A TTORNEY AT L AW
1106 Meridian Plaza, Suite 251 Anderson, IN 46016
2. Current address where you are residing, including the Zip Code:
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3. Do you have another address to which you would like to have any mail sent from this office?
If yes, please give the complete mailing address as it should appear on the mailing envelope, including the
Zip Code:
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4. Please list any and all telephone numbers where you can be reached, including cell numbers and area codes:
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If yes, please list their names, full address and telephone numbers, including pager numbers and area codes:
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If yes, please state where and the job title and how long you have been there:
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7. Have you been involved in litigation before? If yes, please state when and what type of lawsuit? What was
the outcome? Were you pleased with the legal system?
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8.Your SSN_____________________________________________________________
9. How did you choose Hasler Law Office for your consultation/representation?
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These questions deal more specifically with the issues of your matter. Not all questions will apply, so do not
worry if you do not have an answer.
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Indiana law requires that you live in the state 6 months and in the county 3 months before you
can file for divorce. What county you live in also determines where the case will be filed.
VI. Have you separated from your spouse? Yes ________ No _________
A. If your answer is “Yes”, when did you separate from your spouse? _____________________
_______ GED
_________ GED
II. Do you and your spouse have any children? Yes _____ No ______
A. If “Yes”, then are any of the children younger than 21? Yes _____ No ______
D. Names, Date of Birth, age, current addresses, and social security numbers for the children under 21
years of age.
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D. Do you have custody of children from a prior marriage? Yes _____ No ______
H. Are there child care expenses so that you can work? Yes _____No ______
(1) How much in work related child care expenses? Yes _____ No ______
Indiana law presumes a 50-50 split on all property and debts. Property includes real estate, and personal
II. Do you and your spouse own any real estate? Yes _____ No ______
A. Was the real estate acquired during the marriage? Yes _____ No ______
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III. Do you have a pension, 401K or other retirement plan? Yes _____ No ______
IV. Does your spouse have a pension, 401K or other retirement? Yes _____No ______
V. Did you and your spouse own your own business? Yes _____No ______
VI. Do you and your spouse have any joint debts? Yes _____ No ______
B. Do you think there can be an agreement on these debts? Yes _____ No ______
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Your name