You Qualify If …

One spouse lives in Virginia
Nothing has been filed in court yet related to the divorce suit
You don’t have a prenuptial agreement

Our Fees

The Firm For Divorce’s Perfect Divorce™ packet is a flat $997 pursuant to our limited scope representation.

Divorce Questionnaire

The Firm For Divorce’s comprehensive questionnaire covers each issue within your divorce, from custody and support to assets, debt, and military service. Please dedicate your time to filling out each item as accurately and completely as possible as the information herein is the basis for all of your documents.

"*" indicates required fields

Step 1 of 14 - Parties Identification

Hidden

Document Package Date

Month

Day

Year

Parties Information

Which party is the Plaintiff in this suit?*

Husband

Wife

Please note, the Plaintiff is the party filing the complaint. This is the party represented by our firm.

Husband's Information

First Name*

Middle Name

Last Name*

Suffix

Phone Number*

Email*

Address*

Street Address City State ZIP Code

Place of Birth*

State or Foreign Country

Date of Birth*

Month

Day

Year

Social Security Number (SSN)

Highest Grade Completed*

Please enter a number from 0 to 12.

Years of College*

Please enter a number from 0 to 20.

Number of this Marriage*

Husband holds a valid driver's license*

Yes

Driver License State

Driver License Number

Husband is current or prior military*

Yes

Wife's Information

First Name*

Middle Name

Last Name*

Phone Number*

Email*

Address*

Street Address City State ZIP Code

Place of Birth*

State or Foreign Country

Date of Birth*

Month

Day

Year

Social Security Number (SSN)

Highest Grade Completed*

Please enter a number from 0 to 12.

Years of College*

Please enter a number from 0 to 20.

Number of this Marriage*

Wife holds a valid driver's license*

Yes

Driver License State

Driver License Number

Wife is current or prior military*

Yes

Your Marriage

Were you married in the United States?*

Yes

City of Marriage*

State of Marriage*

Enter the entire city name as it appears on your Certificate of Marriage. Do not use any abbreviations.

Location of Marriage*

Date of Marriage*

Month

Day

Year

Date of Separation*

Month

Day

Year

What city and state did you last cohabitate as husband and wife? Format as City, State*

Prior Agreements

Do you have a current signed separation agreement with your spouse?*

Yes

How do you wish to proceed with the current signed agreement?*

The current signed agreement should be included into this agreement.

I want this new agreement to be final and binding.

I wish to only use my current signed separaton agreement

Date of Current Signed Agreement*

Month

Day

Year

Upload Your Signed Separation Agreement*

Max. file size: 100 MB.

Spousal Support

Spousal Support*

Who will cover medical insurance and related costs until entry of the Final Decree of Divorce?*

Husband will carry insurance for wife

Wife will carry insurance for husband

Each party is responsible for their own insurance

Monthly Amount*

Paid by*

Husband

Wife

Spousal support for opposing party*

Husband reserves future spousal support for himself

Husband waives future spousal support for himself

Spousal support for opposing party*

Wife reserves future spousal support for herself

Wife waives future spousal support for herself

Support to be paid*

Once per month

Twice per month

Other

When will spousal support payments begin?*

Month

Day

Year

When will spousal support payments end?*

Month

Day

Year

Will support be modifiable?*

Yes

Day of month for support payment*

Day of month for second support payment*

Day of the week for support payment*

Children

To your knowledge, is the wife pregnant?*

Yes

Are there any minor OR adult children born of the marriage?*

Yes

Are there any children born of one party and adopted by the other?*

Yes

Are there any children adopted by both parties during the marriage?*

Yes

Are there minor children of the marriage?*

Yes

How many minor children of the marriage?*

Enter Children

First Name	Middle Name	Last Name	Will Child Support be paid on this child?	Actions

There are no Children.

Maximum number of children reached.

Custody Arrangement*

Parenting Time*

Child Support*

Custody

LEGAL custody arrangement*

Joint Legal

Sole Legal

Which party shall have sole legal custody?*

Husband

Wife

PHYSICAL custody arrangement*

Primary Physical

Shared Physical

Which party shall have sole physical custody?*

Husband

Wife

What is your shared custody arrangement*

Alternating Weeks

2-2-3 Schedule

Other

Custody Arrangement Details*

The Alternating Weeks Schedule alternates week on/off on a designated exchange day.

The 2-2-3 Schedule alternates Monday -Tuesday, Wednesday-Thursday and the weekend. This means that your child lives with one parent for 2 days of the week, spends the next 2 days with the other parent, and then returns to the first parent for 3. The next week it switches.

Exchange day*

Where would you like custody exchanges take place?*

Would you like to designate a primary residence for school purposes?*

Yes

Designated Primary Residence*

Husband

Wife

Parenting Time

Weekend schedule*

every weekend

every other weekend

Other

When should weekends begin and end?*

Friday to Monday

Friday to Sunday by 6 p.m.

Other

Weekday schedule

I would like to specify a special weekday schedule.

Special weekday schedule*

Define Your Holiday Schedule

New Year's Day*

Parent

Arrangement

Martin Luther King Day*

Parent

Arrangement

Presidents' Day*

Parent

Arrangement

Memorial Day*

Parent

Arrangement

4th of July*

Parent

Arrangement

Labor Day*

Parent

Arrangement

Veteran's Day*

Parent

Arrangement

Thanksgiving Day (and Friday after)*

Parent

Arrangement

Christmas Eve*

Parent

Arrangement

Christmas Day*

Parent

Arrangement

Father's Day Weekend*

Parent

Arrangement

Mother's Day Weekend*

Parent

Arrangement

Add Additional Holidays or Occasions

Holiday

Arrangement

When do holidays and special occasions begin?*

When do holidays and special occasions end?*

Unless otherwise specified, the below questions are regarding the non-custodial parent's parenting time.

The below questions are regarding parenting time for Husband unless otherwise noted. The opposite schedule will be assumed for Wife.

Winter/Christmas Break*

Every other year beginning this year

Every other year beginning next year

Split time

Other

Who gets the first half of Winter/Christmas Break this year?*

Husband

Wife

Date of Exchange*

Time of exchange*

Spring Break*

Every other year beginning this year

Every other year beginning next year

Other

Summer Break*

Full summer

Split summer

Other

Which parent gets the full summer?*

Husband

Wife

How many consecutive weeks will the child(ren) be with this parent during the summer?*

Who gets the first half of the summer this year?*

Husband

Wife

Child(ren)'s Birthdays*

Split day, switching day parts each year

Other

Who gets the first part of the birthday(s) this year?*

Husband

Wife

Special Circumstances

Do any minor children have special needs that should be addressed in regard to parenting time?*

Yes

Please list, in detail, all special needs considerations*

For example: supervision, medical necessities, etc.

Do any minor children have restrictions that must be followed in regard to parenting time?*

Yes

Please list, in detail, all restrictions*

For example: a person your child should not be around, a location your child should not visit

Child Support

Monthly Support Obligation*

Paid by*

Support to be paid*

Once per month

Twice per month

Weekly

Other

When will child support payments begin?*

Month

Day

Year

Day of month for support payment

Day of month for second support payment

Day of the week for support payment*

Medical & Dental Insurance and Expenses

Who will carry medical insurance for the child(ren)?*

Husband

Wife

Neither

Other

Is/are the child(ren) covered by Medicare?*

Yes

Who will carry dental insurance for the children?*

Husband

Wife

Neither

Other

How will unreimbursed medical and dental expenses be shared?*

50% father / 50% mother

Other

Husband is employed*

Yes

Employer Name*

Employer Phone*

Employer Address*

Street Address City State ZIP Code

Husband carries professional licenses*

Yes

Please list all professional licenses, including type of license and license number*

Type

License Number

This may include licensing for nursing/healthcare, HVAC, cosmetology, real estate, teaching, engineering, etc.

Wife is employed*

Yes

Employer Address*

Street Address City State ZIP Code

Employer Name*

Employer Phone*

Wife carries professional licenses*

Yes

Please list all professional licenses, including type of license and license number*

Type

License Number

This may include licensing for nursing/healthcare, HVAC, cosmetology, real estate, teaching, engineering, etc.

Equitable Distribution

Marital Property*

Which of the following types of marital property do you have to include?*

Real Estate

Vehicles

Retirement Plans

Bank Accounts

Debts

Business

Note: Even if the property is only in one spouse's name, it can be marital property or hybrid property! Include everything.

Real Estate

Real estate

Property Address	Actions

There are no Properties.

Maximum number of properties reached.

Motor Vehicles

Vehicle Year	Vehicle Make	Vehicle Model	Actions

There are no Vehicles.

Maximum number of vehicles reached.

Retirement Plans (Non-Military)

Note: Do not include any military retirement accounts here. If either spouse is military, retirement is covered in the next step.

Retirement Plans (Non-Military)

Plan Type	Actions

There are no Retirement Plans.

Maximum number of retirement plans reached.

Bank Accounts

Bank Name	Account Type	Actions

There are no Bank Accounts.

Maximum number of bank accounts reached.

Debt

Debts

Creditor	Current Amount Owed	Actions

There are no Debts.

Maximum number of debts reached.

Business

Business Name	Actions

There are no Businesses.

Maximum number of businesses reached.

Note: Regardless of actual ownership, one party may have equitable interest value in a business or more.

Husband's Military Service

Husband's Military Status*

Branch*

Branch (Reserves)*

Reserve Category*

Does Husband intend to fulfill his 20-year military retirement?*

Yes

Was Husband retired before December 31, 2016?

Yes

Based on the above selection, military pension will not be included.

Did Husband participate in the Thrift Savings Plan?*

Yes

What do you wish to do with the TSP?*

Divide equally

Servicemember keeps

Other

Husband retains military retirement

Husband and Wife agree that Husband keeps his military retirement.

Servicemember Information

Husband/Member Name*

Date of Entry*

Month

Day

Year

Date of Retirement*

Month

Day

Year

Projected Retirement

Retirement date is projected

High-3 during marriage*

Not sure? Calculate High-3 here.

Hidden

Military Days

Hidden

Military Days During Marriage (mar before entry, sep before ret)

Hidden

Military Days During Marriage (mar after entry, sep before ret)

Hidden

Military Days During Marriage (mar after entry, sep after ret)

Hidden

Military Days During Marriage (mar before entry, sep after ret)

Total Points During Marriage*

Total Points at Time of Retirement*

Wife's Military Service

Wife's Military Status*

Branch*

Branch (Reserves)*

Reserve Category*

Was Wife retired before December 31, 2016?

Yes

Does Wife intend to fulfill her 20-year military retirement?*

Yes

Based on the above selection, military pension will not be included.

Did Wife participate in the Thrift Savings Plan?*

Yes

What do you wish to do with the TSP?*

Divide equally

Servicemember keeps

Other

Wife retains military retirement

Husband and Wife agree that Wife keeps her military retirement.

Servicemember Information

Wife/Member Name*

Date of Entry*

Month

Day

Year

Date of Retirement*

Month

Day

Year

Projected Retirement

Retirement date is projected

Hidden

Military Days

Hidden

Military Days During Marriage (mar before entry, sep before ret)

Hidden

Military Days During Marriage (mar after entry, sep before ret)

Hidden

Military Days During Marriage (mar after entry, sep after ret)

Hidden

Military Days During Marriage (mar before entry, sep after ret)

High-3 during marriage*

Not sure? Calculate High-3 here.

Total Points During Marriage*

Total Points at Time of Retirement*

Tax Filings & Exemptions

How will you file Federal and State income tax returns THIS year?*

Joint

Separate

How will any refund or tax payment owed be handled?*

Equally divide refund or tax payment owed

Other

Who will claim the child(ren) on tax returns?*

Parents will alternate years

Parents will alternate children

Husband every year

Wife every year

Other

You previously indicated only one minor child. Please select "Parents will alternate years" instead.

Which child(ren) will Husband claim in odd tax years?*

Which child(ren) will Husband claim in even tax years?*

Who will claim the child(ren) in even years?*

Husband

Wife

Additional Provisions

Please list terms to include in the agreement that were NOT covered in this questionnaire.

You Qualify If …

Our Fees

Divorce Questionnaire

Parties Information

Husband's Information

Wife's Information

Your Marriage

Prior Agreements

Spousal Support

Children

Custody

Parenting Time

Define Your Holiday Schedule

Special Circumstances

Child Support

Medical & Dental Insurance and Expenses

Equitable Distribution

Real Estate

Motor Vehicles

Retirement Plans (Non-Military)

Bank Accounts

Debt

Business

Husband's Military Service

Servicemember Information

Wife's Military Service

Servicemember Information

Tax Filings & Exemptions

Additional Provisions

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