STEP 2 of 3 – Please fill out the questionnaire.

Thank you! You stated that you want a Nevada divorce, annulment or separation… and have minor children.

Please fill in the questionnaire below. We will use this info to create your divorce, annulment or separation packet.

If you have any questions or any issues at anytime… you may contact us by calling us at
(702) 800-4632
.

Petitioner's Information

  1. *Are We Preparing a Divorce, Annulment or Legal Separation for You?
  2. *Your Full Name (First Name, Middle Name, Last Name)
  3. *Your Address
  4. *Your Zip Code
  5. *Your City
  6. *Your State
  7. *County of Residence
  8. *Best Phone Number to Reach You At?
  9. If we have any questions, what is the best time of day to get a hold of you?
  10. If we call you and reach your voice message, may we leave you a message?
  11. Other Phone Number
  12. Your E-mail Address
  13. What is Your Birth Date? (month/date/year)
  14. Where Were You Born? (city, state, country)
  15. How long have you lived in Nevada for?


  16. Spouse's Information

  17. *Your Spouse's Full Name (First Name, Middle Name, Last Name)
  18. What is Your Spouse's Birth Date? (month/date/year)
  19. Where was Your Spouse Born? (city, state, country)
  20. Where Does Your Spouse Currently Reside at?
    (put SAME if you live in the same house. If you do not know the exact address, please put as much info as possible)
  21. What's your spouse's phone number?
    (We won't contact them, we just need to put it down on the divorce forms. If you unsure, please type in "UNSURE")
  22. What's your spouse's e-mail address?
    (We won't contact them, we just need to put it down on the divorce forms. If you unsure or they don't have an e-mail, please type in "N/A")
  23. *Is your spouse active-duty military?


  24. Other Information

  25. *What date were you & your spouse married? (mm/dd/yyyy)
  26. *Where were you married? (City, State OR Country)
  27. What is the wife's maiden name?
  28. Does the wife want her maiden name restored to her after divorce?
  29. To your knowledge is the wife currently pregnant?
  30. Approximately when did you and your spouse separate? (month/year)

  31. Are there currently any existing restraining orders, protection orders or criminal no-contact orders... between you & your spouse?


    If 'YES', please list (a) the name of the court, (b) case number, (c) date. If you don't know all the details, please put down as much info as possible.


  32. (For DIVORCE & SEPARATION clients only) When you get a divorce in Nevada... the court requires that you have a person sign a short, 2-page document... that states that they have seen you actually physically living within the state for at least 6 weeks.


    That person can be anybody (a friend, relative, co-worker, associate, next-door neighbor, etc.)... and must be at least 18 years old... must not be a involved with your divorce case... and cannot be yourself or your spouse.


    Please list the full name of the person you want to use as your residency witness. If you are unsure of who you will use... please put "UNSURE"... and we will leave that area blank on your divorce papers... so that you can write in the name of your witness at a later date.

    Name of your Witness:
  33. How Long Have You Known the Witness?

    How Do You Know the Witness? (friends, family member, co-worker, etc.)

    How Many Times a Week do You See the Witness?
    (HINT: It should be someone that you see at LEAST three times a week)


  34. (For ANNULMENT clients only) When we prepare an annulment for you, we need to state a reason that is acceptable in the state of Nevada for you seeking an annulment. Read the grounds for annulment below...

    a. There is a close enough blood relationship between you & your spouse that the marriage is prohibited by law.
    ---
    b. You or your spouse were married to someone else on the day of the wedding ceremony.
    ---
    c. You were under the age of 18 at the time of the marriage ceremony and did not get the proper consent from your parents, guardians, and/or district court. (NOTE: You must file the annulment within ONE year of you turning 18 years old AND you must not have lived with your spouse since that time.)
    ---
    d. You lacked understanding of your actions the day/night you were married... to the extent that you were incapable of agreeing to the marriage. (i.e. You were intoxicated, under the influence, etc)
    ---
    e. You were insane at the time of the wedding ceremony and have since regained sanity. Since you regained your sanity, you & your spouse haven’t lived together.
    ---
    f. Your marriage was based off of fraud & you would not have married your spouse had the truth been out there. (NOTE: If this is the ground for annulment... many times the judge will ask for you to appear at the hearing before the annulment is granted. If this happens in your case, we can arrange to have you attend via the telephone)

    ---

    Check ALL the grounds for annulment that apply to you below:
     a. Related by Blood b. Married to Someone Else c. Married Under the Age of 18 d. Lacked Understanding of My Actions e. Insane at Time of Marriage f. Fraud

    Please give a full explanation below on why you believe you deserve an annulment:

  35. PLEASE NOTE: We will try to get an annulment granted for you, but if we are not able to, do you want us to attempt to get a divorce granted for you at no charge to you?


  36. PROPERTY SECTION

    Nevada is a community property state. This means that MOST property (except for gifts & inheritances)... that you and your spouse acquired during your marriage is joint property... which means that it will be divided equally between the two of you.

    Any property that you and your spouse acquired BEFORE your marriage... is your individual property.

    The exception to this... is if you and your spouse both agree that certain property shall go to you... and certain property shall go to your spouse. IF THIS IS THE CASE... then you may divide your property any way you & your spouse see fit... as long as you are both in agreement.

    Please briefly list any PROPERTY or ASSETS of a large value... that you and your spouse may own. If you own none, please put N/A.

    Property will include things of high value like real estate, automobiles, boats, expensive jewelry, etc.

    When you type it out... please be as detailed as you can & type it out like the example below:

    Husband will get:
    1. The house at 123 Anywhere Pl, Henderson, NV 89002. Both names are on the deed/Wife will sign over.
    2. 2011 Ford Taurus vehicle (red). It is in my name only

    Wife will get:
    1. The house at 2343 S. Mickeymouse Ave, Las Vegas, NV 89108. In Wife's name only.
    2. 5 carat diamond engagement ring


  37. DEBT SECTION

    Please briefly list any DEBT of a large value... that you and your spouse may own. If you have none, please put N/A.

    Debts include credit cards, vehicle loans, mortgages, taxes, hospital bills, etc.

    When you type it out... please be as detailed as you can & type it out like the example below:

    Husband will pay:
    1. The mortgage on the house at 123 Anywhere Pl, Las Vegas, NV 89108. Loan is with Bank of America for approx. $88,000. House will be refinanced in his name within 6 months.
    2. Car loan on the 2011 Ford Taurus. Loan is with Ford Credit for approx. $12,500

    Wife will pay:
    1. Sallie Mae Student loans - approx. $50,000
    2. Chase Mastercard credit card - approx. $8,000
    3. Hospital bills (with collections at KGB Debt Recovery) - approx. $2,400


  38. FINANCIAL SECTION

    Please briefly list any finances down below that you wish to put in your divorce paperwork. This will include accounts such as checking, savings, 401-K, retirement plans, investments, etc.

    If you have none, please put N/A.

    When you type it out... please be as detailed as you can & type it out like the example below:

    Husband will get:
    1. 401 K Retirement at Burger King
    2. Bank of America Savings Account - approx. $5,000

    Wife will get:
    1. TD Ameritrade investment account - approx. $75,000
    2. Bank of America Checking Account - approx. $2,000




  39. Children's Information

  40. *Full Name of Child #1 (First, Middle, Last Name)
  41. *Date of Birth for Child #1 (mm/dd/yyyy)
  42. *City and State of Birth for Child #1
  43. ---

  44. Full Name of Child #2 (First, Middle, Last Name)
  45. Date of Birth for Child #2 (mm/dd/yyyy)
  46. City and State of Birth for Child #2
  47. ---

  48. Full Name of Child #3 (First, Middle, Last Name)
  49. Date of Birth for Child #3 (mm/dd/yyyy)
  50. City and State of Birth for Child #3
  51. ---

  52. Any more children? Please use the textbox below... to list a) their full name, b) date of birth, c) location of birth:
  53. *Are any of the child(ren) on any type of government program or assistance? (ex. DHHS, daycare, school lunch, etc.). If so, please state what program(s) they are on... and how much in benefits you receive each month:
  54. *Which parent(s) will provide health care coverage for child(ren):
  55. *Which parent(s) will provide dental care coverage for child(ren):
  56. ---

  57. *How much monthly child support will be paid for each child... and who will be paying it? (please put 'Unsure' if you don't know yet & we will call you to discuss your options.)
    HINT: Nevada law requires that a MINIMUM of $100 per month per child be put down on the divorce paperwork. The guidelines for factoring child support payments based off of gross monthly income of the non-custodial parent is 18% for 1 child; 25% for 2 children; 29% for 3 children; and 2% for each additional child.

    If both parents have joint physical custody of the child(ren), then the child support amount may be less than the $100 minimum amount. Please feel free to call us at 702-706-7015 if you need further explanation.

  58. *Is there already a child support order put through the court for your child(ren)? (YES or NO)
  59. *Do you want a court order to withold support from the wages or paycheck of the person who will be paying child support? (YES or NO)
  60. *Is there any back child support owed? (YES or NO)
  61. *What kind of visitation schedule do you and your spouse have set for your child(ren)? Please tell us what days, times, holidays, etc. that the non-primary parent will have the child(ren).

    Please keep in mind your visitation MUST have specific days and time periods in it, or the court will not accept it. Here's an example visitation schedule:


    FATHER: Monday, 8am until 10pm; Every other weekend starting on Friday, 5pm until Sunday, 9pm.


    If there are special holidays you want to put down, please be specific in stating the visitation schedule for those as well. If you'd like us to use a GENERIC visitation schedule in your divorce paperwork, please type in "Generic Visitation Schedule" below:


  62. * LEGAL CUSTODY
    Legal Custody involves having basic legal responsibility for a child and making major decisions about the child like the child’s health, education and religious upbringing.


    You may choose from joint legal custody or sole legal custody. Please note that most people choose "joint legal custody".


    Below... please write in "joint legal custody" or "sole legal custody". If you put in "sole legal custody"... please state who will have it:

    Joint or Sole Legal Custody:

  63. * PHYSICAL CUSTODY
    Physical custody refers to the amount of time the child(ren) spend in the care of each parent.


    Joint physical custody exists when each parent has physical custody of the children AT LEAST 40% (146 days) of the time calculated over a one year period.


    Primary physical custody exists when one parent has physical custody of the children MORE THAN 60% (219 days) of the time calculated over a one year period.


    Below... please write in "joint physical custody" or "primary physical custody". If you put in "sole physical custody"... please state who will have it:

    Joint or Primary Physical Custody:

  64. Please list (1) the addresses and (2) the dates... where your child(ren) have lived at for the past 5 years below:

  65. Has there been any previous or current child custody or visitation court proceedings on the child(ren) listed above?

    If 'YES', please list (1) the name of the court, (2) case number, (3) date

  66. Who will claim the child(ren) on their taxes?


  67. *Did you find our site on your computer or on your phone/tablet?
  68. *How did you find our site?
  69. *What keywords did you type in to find us... OR who referred you to us?
  70. Is there any other information that you would like us to know, pertaining to your divorce?
  71. *What kind of divorce packet do you need us to prepare for you?
    (TIP: You ONLY need to deposit at least $199 for us to start on your paperwork)

    Paperwork Only - We prepare your divorce AND you file it at court.
    (a) Joint Petition - Both spouses will sign papers (only $199)
    (b) Complaint - My spouse refuses to sign the papers (only $299)
    (c) Publication - My spouse is missing/can't be found (only $399)
    ---
    Full Service - We prepare AND file your divorce at court (Las Vegas only).
    (d) Joint Petition - Both spouses will sign papers (only $699 paid in full)
    (e) Joint Petition - Both spouses will sign papers (only $799 if you need a payment plan)
    (f) Complaint - My spouse refuses to sign the papers (only $999 paid in full)
    (g) Complaint - My spouse refuses to sign the papers (only $1099 if you need a payment plan)
    (h) Publication - My spouse is missing/can't be found (only $1299 paid in full)
    (i) Publication - My spouse is missing/can't be found (only $1399 if you need a payment plan)

  72. *Once your divorce forms are completed, do you want us to:
    (a) E-mail you the completed paperwork & you print (FREE)
    (b) Mail you a printed version to your home (+additional $25)
    (c) Pick up your printed paperwork at our Las Vegas office (FREE if a full service option OR +additional $25 if a paperwork only option)

  73. Would you like a chance to earn $100 cash? From time to time... we ask our past satisfied clients who have completed their divorces at the courthouse... to record a short, video testimonial on how good our services are... to put on our website.

    Would you be interested in earning $100 for a short testimonial video after you complete your divorce?

  74. *Last but not least, NEVADA DIVORCE CENTER values you and we want to make sure we satisfy all of our clients. In your personal opinion, is there anything we can do to improve the quality of this website in any way?

  75. *PLEASE NOTE: There are revision fees of $25-$75 that may be incurred if we prepare your documents & there are things that need to be changed or corrected AFTER the documents have been prepared...

    A copy of this questionnaire will be sent to your email address. Please review your answers to make sure the information you marked down is accurate & correct. If there is anything that needs to be changed, please contact us as soon as possible, to avoid a revision fee... If you are unsure whether there will need to be revisions, please contact us and tell us to "hold off" on preparing your documents.

  76. *To protect from spam, please enter the 4-digit code you see below in the box right next to it.

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