Information Sheet
Please print, complete, and sign this form and mail it to our office:
Your Full Name:________________________________________________
Your Address:__________________________________________________
______________________________________________________________
Home Phone :__________________________________________________
Work Phone :___________________________________________________
Fax :__________________________________________________________
Spouse's Full Name :____________________________________________
Spouse's Address :______________________________________________
______________________________________________________________
Your Age :_____________________________________________________
Citizenship :___________________________________________________
Spouse's Age :__________________________________________________
Citizenship :___________________________________________________
Place of Marriage :_____________________________________________
Date of Marriage :_______________________________________________
Date of Separation:______________________________________________
Names/Birth Dates of Children from this Marriage :
________________________________________________________________
________________________________________________________________
________________________________________________________________
Who will have Custody of the Minor children? ________________________________________________________________
Will Wife use Maiden Name after divorce? Yes_____ No _____
(Please Read and Sign the following)
I hereby request that Mr. __________________ assist me in obtaining a divorce in the _______________________( country’s name), I understand that _______________ is acting as an arrangement service only and that I am only ending my marriage. Any issues of child custody, visitation, child support, spousal support, property, pension plans, debts or assets can be settled by a MARITAL SETTLEMENT AGREEMENT. If I need legal advice I will consult with my attorney. I understand that a divorce judgment obtained in one jurisdiction is honored in all other jurisdictions under the legal principle known as "COMITY". Under this principle of law a divorce obtained in one state, or in another comity, receives "FULL FAITH & CREDIT" in all other states and countries that honor divorce. There are numerous court cases on file to validate this point. My divorce will be handled by a qualified, experienced and licensed attorney in the country. If my divorce is not granted I am entitled to a full refund.
SIGNED_______________________ DATED__________________
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DivorceQuick@yahoo.com
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