New Client Information for Robert L. Jones, Attorney at Law

(This form works best if you have Java scripts enabled for your browser. If you do not, that's OK it will still work well enough to convey the most critical information.)

First: Tell Us About Yourself.

(Use the Tab key or your mouse to move from blank to blank. Do not use the Enter key.)

How did you hear about us? *

Are you the Husband or the Wife? *

Wife

Husband

How many minor children do you have with your spouse? *

Your First Name *

Your Middle Name *

Your Last Name *

Suffix

IMPORTANT: Your name should be your full, legal name as it appears on your driver's license or other government-issued I.D. Please include all hyphens as necessary and, if there is a suffix (Jr., Sr., III, etc.) for the last name, be sure to include it as well. The way your enter your name here will be how your name will ultimately appear on the divorce documents so it must be complete and correct.

Phone Number *

Email Address *

Do you want us to e-mail you about your Inquiry? *

Street Address *

Address Line 2

City *

County where you live -- this is not your State but your County. *

State/Province *

Zip/Postal Code *

Country

Your Birthdate (mm/dd/yyyy) *

Your Occupation *

Next: Tell us about your spouse.

Spouse's First Name *

Spouse's Middle Name *

Spouse's Last Name *

Suffix

IMPORTANT: Your spouse's name should be his/her full, legal name as it appears on his/her driver's license or other government-issued I.D. Please include all hyphens as necessary and, if there is a suffix (Jr., Sr., III, etc.) for the last name, be sure to include it as well. The way your enter your spouse's name here will be how his/her name will ultimately appear on the divorce documents so it must be complete and correct.

Street Address *

Address Line 2

City *

County where your spouse lives - This is not your spouse's State but the County. *

State/Province *

Zip/Postal Code *

Country

Your Spouse's Birthdate (mm/dd/yyyy) *

Spouse's Occupation

We Need Information About The Wife's Name and Possible Name Change.

Wife's Birth Surname (last name) Only *

Does the wife want to have her name changed? *

Yes

No

Unknown

If yes, please enter the wife's FULL and CORRECT name that she will have after the divorce.

We Need Some Background Information.

Date of Marriage (mm/dd/yyyy) *

Date of Separation (mm/dd/yyyy) *

How many times has the wife been married (including this marriage)? *

How many times has the husband been married (including this marriage)? *

Now: Where do you think the divorce case will be filed (which county in Georgia). The county should be either where you or your spouse currently resides. It is NOT the county where you got married -- unless one of you still lives in that county.

NOTE: We do not practice in Rockdale County or DeKalb County at all.

In what county in Georgia do you think that the case will need to be filed? *

If you selected "Other" for the county, please enter the name of the County that you think the case will be in.

Do the two of you have any JOINT (in both names) debt together? *

Please briefly describe what debt(s) you have jointly with your spouse:

Will either one of you be paying Alimony to the other? *

Yes

No

Unknown

Which of you will pay and which of you will receive the Alimony? *

Husband will pay alimony to Wife

Wife will pay alimony to Husband

Have your ever filed a JOINT Income Tax Return with your spouse? *

No

Yes

Not Sure

Do either of you provide health or dental insurance coverage now for the other or the other's children? *

Yes

No

I don't know

Which of you presently provides health or dental insurance coverage for the other or the other's children? Select one of the following. *

Husband provides health and/or dental insurance for Wife only

Husband provides health and/or dental insurance for both Wife and Wife's children

Husband provides health/dental insurance for Wife's children only

Wife provides health and/or dental insurance for Husband only

Wife provides health and/or dental insurance for Husband's children only

Wife provides health and/or dental insurance for both Husband and Husband's children

How confident are you that this is actually going to be a fully uncontested divorce (your spouse will cooperate and sign the necessary documents)? *

Has there been any actual, physical violence between you and your spouse recently or are there presently any restraining orders against your or your spouse? *

Yes

No

Not sure

Enter any additional information that you think we should know about your situation here.

We Need Information About Property

Regardless of how the property is titled, when it was purchased or whether it has any loan associated with it, please provide the following information.

Regardless of how it is titled or when it was purchased, do either of you own any real estate at all? *

Tell us what the real estate is, where it is located, whose name(s) is/are on the deed and about any mortgage(s). Also, please tell us which of you will have the real estate after the divorce or if it will be sold. If you do not know these details, just tell us you do not know yet. *

Do you or your spouse own any kind of business? *

Have you and your spouse completed the physical division of ALL clothing, furniture, household items, etc.? *

Yes

No

Regardless of how titled or registered, when the divorce is complete, will the HUSBAND have any vehicles in his possession at all? *

Yes

No

Not sure

How many vehicles will the husband have? *

Make and model of the husband's first vehicle *

Will the husband keep this vehicle when the divorce is over? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Make and model of the husband's second vehicle *

Will the husband keep this vehicle when the divorce is over? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Make and model of the husband's third vehicle *

Will the husband keep this vehicle when the divorce is over? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Regardless of how titled or registered, when the divorce is over, will the WIFE have any vehicles in her possession at all? *

Yes

No

Not sure

How many vehicles will the wife have? *

Make and model of the wife's first vehicle *

Will the wife keep this vehicle? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Make and model of the wife's second vehicle *

Will the wife keep this vehicle? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Make and model of the wife's third vehicle *

Will the wife keep this vehicle? *

Yes

No

I don't know

Is there a loan on this vehicle? *

Yes

No

I don't know

Whose name(s) is/are on the loan for this vehicle?

_________________________________________________________________

Are there any joint checking or savings accounts that you have with your spouse? *

Yes

No

Not sure

Briefly describe the joint checking and/or savings account(s) that you have with your spouse, including the name of the bank for each account and what will happen to the funds in each account and whether the account will be closed or simply have the name of one of you removed from it. If you do not know all of these details, just provide what information you have. *

Are any retirement accounts or benefits to be transferred or divided between the two of you because of the divorce? *

Yes

No

Not sure

Briefly describe the retirement account or benefit that is to be transferred or divided and provide what information you know already about how this will occur. If you do not know these details, just provide whatever you do know. *

Have you and you spouse EVER filed a JOINT Income Tax Return together during your marriage? *

No

Yes

Not Sure