Fill and Sign the Hawaii Action Information

STATE OF HAWAII FAMILY COURT       CIRCUIT MATRIMONIAL ACTION INFORMATION CASE NUMBER       FC-D NO.       PLAINTIFF       PREPARED BY: PLAINTIFF DEFENDANT ATTORNEY FOR PLAINTIFF ATTORNEY FOR DEFENDANT DATE FILED DEFENDANT       NATURE OF CASE DIVORCE SEPARATION ANNULMENT OTHER ITEM WIFE HUSBAND FULL NAME             BIRTH OR MAIDEN NAME             ADDRESS STREET, APT. NO.             TOWN, STATE ZIP COUNTY             PHONE HOME       WORK       HOME       WORK       SOCIAL SECURITY NUMBER             DATE OF BIRTH             PLACE OF BIRTH (State or Country             RACE             HIGHEST GRADE COMPLETED             HAWAII RESIDENT SINCE             CIRCUIT RESIDENT SINCE             PRIMARY EMPLOYER (Name and Address)             JOB TITLE             WORK SCHEDULE             LENGTH OF SERVICE             Primary Secondary Welfare Primary Secondary Welfare GROSS MONTHLY INCOME (All Sources)                                     DATE OF THIS MARRIAGE DATE       COUNTY/STATE       DATE OF SEPARATION NOT SEPARATED DATE       COUNTY/STATE       MATRIMONIAL ACTION INFORMATION (Continued) CASE NUMBER       FC-D NO.       FROM MONTH/YEAR TO MONTH/YEAR TERMINATED BY STATE DIVORCE ANNULMENT DEATH WIFE’S PRIOR MARRIAGES                                                                                                             HUSBAND’S PRIOR MARRIAGES                                                                                                             CHILDREN: ALL CHILDREN OF EITHER PARTY FROM YOUNGEST TO OLDEST CHILD’S FULL NAME M/F BIRTHDATE LEGAL PARENT PRESENT CUSTODY SCHOOL AND GRADE (HUSBAND, WIFE OR OTHER                                     INFORMATION REQUIRED FOR CUSTODY CHILDREN’S PRESENT ADDRESS :       PLACES WHERE AND PERSONS WITH WHOM THE CHILDREN HAVE LIVED WITHIN THE LAST FIVE YEARS AND DATES ADDRESS CARETAKERS FROM MONTH/YEAR TO MONTH/YEAR                                                                         WIFE IS IS NOT PREGNANT. EXPECTED DELIVERY DATE:       THE UNDERSIGNED SOLEMNLY AND SINCERELY DECLARES, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE TRUE AND CORRECT TO THE BEST OF HIS/HER KNOWLEDGE, INFORMATION AND BELIEF DATE       SIGNATURE