Revised: 07/31/09

Easy asContest a Divorce, Legal Separation, Annulment, and/or Temporary Orders

Online (Response/Answer to Petition)

Note: This questionnaire is for contesting a family law case only. 

If you need to start a family case then this is not the correct questionnaire. 

Please go here:

 

***IMPORTANT***

PLEASE READ

If you do not file a Response / Answer within 20 days (30 days if served outside of Arizona) the other party may have their Petition granted by the Court.

TIME is critical. Do NOT delay.

 

 

Section I - Personal & Contact Information:

Note: All information put in Court documents becomes public record.  If you have information you wish to keep private then please inform us of that when we call for your consultation.

*Name   (Example John Public Doe)

Home phone Work phone   Cell phone    

(Example 602-896-9020)

*Email                            

Mailing address:

Street    Apt.

City  State  Zip

Date of birth  (Example 12-01-1963)

Social Sec. No. (Example 123-04-8789)

Who did you speak with from our office prior to completing this questionnaire?

Section 2 - Spouse (Other party's) Contact Information:

*Name    (Example John Public Doe)

Home phone Work phone  Cell phone

(Example 602-896-9020)

Mailing or severable address:

Street  Apt.

City  State   Zip

Date of birth  (Example 12-01-1963)

 Social Sec. No. (Example 123-04-8789)

Section 3 - Service & Case Information

What date were you served on? (mm/dd/yyyy)

 Were you served with Temporary or Emergency Orders also? No Yes

Were you served with an Order of Protection/Restraining Order? No Yes

What is your case number  

Section 4 - Marital Information

Is the wife pregnant? If yes, what is due date of baby?  

(Example 12-01-2010)

 Date of Marriage?   (Example 12-01-1963)

City and State of Marriage

 Does wife want to change her name?

If yes, what is the name (Example John Public Doe)      

Section 5 - Division of Assets & Debts

Debts

What debts do you wish to assume?

All debts that are in my name  and/or all debts listed below:

 

What debts do you wish the other person to assume?

 All debts that are in their name  and/or all debts listed below:

 

 

Property

What property do you want to be awarded?

 All property currently in my possession   and/or all property listed below:

 

What property do you want the other person to be awarded?

All property currently in their possession  and/or all property listed below:

 

We own a home(s).  This is what I would like done with the home(s):

 

Section 6- Spousal Maintenance (Alimony)

     If alimony is to be paid or received, how much is going to be paid?   $   

      If alimony is to be paid or received, for how long?  month(s), or  never ending, or

      I do not know how much to ask for or for how long.

Section 7- Retirement Benefits

Other  

Section 8- Information Regarding Minor Children:

 

  Child's Name    
Child #1 
Child #2
Child #3
Child #4
  Date of Birth Place of Birth (City and State) Social Security Number
Child #1

 
Child #2

 
Child #3

 
Child #4

 

 

 

Section 9 - Financial Information

Based upon the figures below. Discount Divorce will calculate the child support as per Arizona Child Support Guidelines as required by law.  Ariz.Rev.Stat. 25-320.

How is child support calculated?

If you and your spouse agree on an amount of child support check this box.

Father's gross monthly income:  $  

Mother's gross monthly income: $

Day care cost (if any) $    

Medical insurance premium (if any) $  

What percentage of uninsured medical expense will you be responsible for? %

     If you leave this blank, then the percentage will be calculated proportionate to both incomes.

What percentage of visitation travel related expenses will you be responsible for?   %

     If you leave this blank, then the percentage will be calculated proportionate to both incomes.

Does either you or your spouse have minor children residing with them from another relationship?

If, yes list their names, dates of birth, and who they live with (myself or my spouse)

 

(Example John Public Doe, 07/30/98)

Employment information of NON-Custodial Parent:

Employer  or  Unemployed or   Self-Employed

Address   (Street, City, State, & Zip Code)     

Section 10-  Custody

Select one:

What are the different types of custody?

 Shared custody option not recommended for parents living more than 25 mile apart.

If you selected No visitation you are telling the court that the other parent is an EXTREME Danger to the child(ren).

 If Supervised visitation was checked - Why do you want supervised visitation?  Check all that apply:

      Drug abuse  Alcohol abuse  Anger Management Issues and/or  Flight risk (parent will run off with the children)

Section 11 -Other information or comments  

Section 12-Payment

Discount Divorce will immediately begin work on your case as soon as your initial phone consultation is complete and your payment is received.

Pricing and cost information:

Discount Divorce will call you between the hours of 9AM and 4PM, Monday thru Friday.

What is the best time to reach you at during the hours listed above? until on

Payment & Acknowledgement

All costs will be discussed with you in advance, and we will not proceed or charge your card until you instruct us to do so.

Card number requiredNote: You are not obligating yourself financially by submitting this form.

*Number *Exp. Date *Type of Card

 

 


 SSL Certificate

Agreement and Signature

Terms of Service

*I acknowledge that I have read the "Terms of Service" and agree and understand them.

*Applicant Name/Signature: All information contained herein is true and correct

*Date (mm/dd/yyyy):