Tennessee Final Divorce Forms with Children

Domestic Relations Interview Form

PERSONAL INFORMATION

Client First Name: Middle and/or Maiden Name: Last Name:

Street Address: City: State: Zip Code:

How long has he/she lived at this address?

How long has he/she lived in this State?

County of Residence?

How long has he/she lived in this County?

Home Telephone: Work Telephone:

Employer and Address:

Income = $ /

Job Title or Position:

How far did he/she get in school?

Date and Place of Birth:

Social Security Number:

Driver's License Number: State:

ADVERSE PARTY (Client’s Spouse)

First Name: Middle and/or Maiden Name: Last Name:

Street Address: City: State: Zip Code:

How long has he/she lived at this address?

How long has he/she lived in this State?

County of Residence?

How long has he/she lived in this County?

Home Telephone: Work Telephone:

Employer and Address:

Income = $ /

Job Title or Position:

How far did he/she get in school?

Date and Place of Birth:

Social Security Number:

Driver's License Number: State:

MARRIAGE INFORMATION

Date of ceremony of present marriage?

Place of ceremony of present marriage?

Have you or your spouse ever been married before?

If so, how many times? You: Your Spouse:

If either have been previously married, how and when were the marriages terminated (divorce, death, etc.)?

Date parties separated:

Last address at which client and spouse lived together as husband and wife?

Names and Ages of all children adopted by client and spouse or which client or spouse have custody of from a previous marriage:

DIVORCE TERMS

Is this a contested or uncontested divorce?

State briefly the facts causing client to want a divorce?

Grounds for wanting a divorce (incompatibility; imprisonment, physical cruelty, desertion, adultery, insanity, etc.):

Has client given up hope of getting back together?

Preference as to custody of children:

Visitation desired (reasonable or special times)

ALIMONY AND CHILD SUPPORT:

Child Support of $ per

Alimony of $ per

First payment is due on and subsequent payments are due on thereafter.

Life insurance provision desired?

Insurance company name: Policy number:

Policy face value: Premium rate:

Who is to be allowed to claim the exemption for which child, for income tax purposes?

CHILD MEDICAL EXPENSES

Who is to pay for medical expenses of the child(ren) which are larger than normal (such as braces, hospital stays, therapy for a long period, etc.)?

% of all medical and dental bills in excess of per year per child.

Will either party voluntarily continue his or her group coverage on the child(ren)?

If so, which one? If not, should we seek this as part of what we ask the Court to order?

(From whom)

PROPERTY

List all property of the parties (and value of each item):

Real Estate:

Personal Property (autos, furniture, boats, etc.):

Bank Accounts or Credit Union Accounts:

Annuities, I.R.A.’s, Retirement Plans, Stocks, Bonds, Certificates of Deposit, etc.:

Special Items (coin collections, gold or silver, jewelry, antiques, etc.):

PERSON(S) with client at time of interview:

Initial Interview Date:

Length of Initial Interview: hr___.

DEADLINES:

(1) Client and/or spouse to sign papers

(2) File answer to complaint

(3) File Summons and Complaint

Fee agreed upon: $

Retainer Contract Signed:

Money Received = $ (Receipt # Given)