Fill and Sign the Orgnode418 Click on Form

Divorce with Children Go to www.legalaidofnebraska. org/node/418- Click on “Divorce with Child ren automated court forms” In order to type in your divorce paperwork online, you will need the following information at the computer with you: For the “Complaint for Dissolution”: County where you will file divorce _________________________________________ Wife full name _________________________________________ Address, City, State, County _________________________________________ Former name (if changed and want back) _________________________________________ Husband full name _________________________________________ Address, City, State, County _________________________________________ Former name (if changed and want back) _________________________________________ Date, City, State of Marriage _________________________________________ _________________________________________ Restraining/protections orders: Court ordering, case number(s), date(s) ______________________________________ ___ How many children _____________ The name(s) & birth date(s) of child(ren) _________________________________________ you and your spouse have _________________________________________ The names and current address of people the children have lived with for the past 5 years ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ If you have been a party in another proceeding concerning custody of/visitation with the children Name of the court _________________________________________ Case number _________________________________________ Determination date _________________________________________ If there is currently a proceeding which could affect this action Name of the court _________________________________________ Case number _________________________________________ Determination date _________________________________________ If any one else has had custody/claim to have custody Full name of each person _________________________________________ Full address of each person _________________________________________ If other existin g restra ining orders, protection orders, or criminal no -contact orders Type of order __ _______________________________________ Name of court __ _____ __________________________________ Case number __ _____ __________________________________ Date of each order __ _______________________________________ Person getting custody __ _______________________________________ Person getting visitation __ _______________________________________ Confidential Party Information (2 forms and information i n addition to above): Case number (Assigned by Clerk at counter) __ _______________________________________ Wife phone __ _______________________________________ Employer __ _______________________________________ Employer address ______________ ___________________________ Health insurance __ _______________________________________ Policy number _________________________________________ Address _________________________________________ Social Security Number __ ________________________ _______________ Husband phone __ _______________________________________ Employer _________________________________________ Employer address __ _______________________________________ Health insurance __ ____ _______ ____________________________ Policy number _________________________________________ Address _________________________________________ Social Security Number __ _______________________________________ Social Security Numbers of Children under 18, born during the marria ge __ _______________________________________ Bureau of Vital Statistics Form (not court form, complete as much as possible): Husband Current Residence __ _______________________________________ Place of Birth __ __________________________________ _____ Date of Birth __ _______________________________________ Financial Affidavit for Child Support (additional information combined with above): If currently an order for support for minor children Name of the court ________________________________ _________ Case number _________________________________________ Amount of support _________________________________________ Number of children _________________________________________ Name of your employer _________________________________________ Gr oss monthly income _________________________________________ If per hr, amount/ # of hrs _________________________________________ If per mo, amount/bonuses _________________________________________ Name of spouse employer _______________________________ __________ Gross monthly income _________________________________________ If per hr, amount/# of hrs _________________________________________ If per mo, amount/bonuses _________________________________________ If you made more money than currently mak ing Name of past employer _________________________________________ Gross monthly income _________________________________________ If per hr, amount/# of hrs _________________________________________ If per mo, amount/bonuses __________________________ _______________ If spouse made more money than currently making Name of past employer _________________________________________ Gross monthly income _________________________________________ If per hr, amount/# of hrs _______________________________ __________ If per mo, amount/bonuses _________________________________________ Amount you pay for health insurance per month for children ONLY _________________________________________ Amount spouse pays for health insurance per month for children ONL Y _________________________________________ Amount you contribute to retirement acc. _________________________________________ Amount spouse contributes to retire. acc. _________________________________________ Number of other children you support , if an y _____________________________________ Birthdates _________________________________________ Method of support _________________________________________ Name of the court, if ordered _________________________________________ Case number _________________________________________ Amount _________________________________________ Name of other parent, if not ordered _________________________________________ Parent’s gross month ly income _______________________________________ __ Number of other children spouse support s, if any ____ ________________________________ Birthdates _________________________________________ Method of support _________________________________________ Name of the court, if ordered _________________ ________________________ Case number _________________________________________ Amount _________________________________________ Name of other parent, if not ordered _________________________________________ Parent’s gross month ly income _________________________________________