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Page 1-DIVORCE WORKSHEET no children.doc DIVORCE WORKSHEET PLEASE COMPLETE AND RETURN TO: Independent Paralegal Services, 420 SW Washington #200, Portland, OR 97204. Phone : (503)228- 0316 or (800)266-0316 Fax: 503-228-3394 email: katekindred@aol.com PLEASE INCLUDE FEE OF $125.00 PAYABLE TO: INDEPENDENT PARALEGAL SERVICES WHEN RETURNING THIS FORM Information Regarding Your Marriage: Date of your marriage _____________________ City, State and County of marriage _________________________ Do you believe your divorce will be uncontested? ______ Is your spouse serving in the military? __________ Is your spouse legally incapacitated? _________ Are there actions pending regarding this marriage or the children of this marriage? _____Are there any support petitions pending or currently in effect? _____ If yes, give details on back of page Information about You: Your full name ________________________________________ Your complete address, including COUNTY ______________________________ _________________________________________________________________ Your date of birth ________________ Your maiden and/or former names ______________________________________ Length of time you have been a continuous Oregon resident __________________ Information about Your Spouse: Your spouse’s full name _________________________________ Your spouse’s complete address, including COUNTY _______________________ _________________________________________________________________ Spouse’s date of birth_______________ Spouse’s maiden and/or former names __________________________________ Length of time spouse has been a continuous Oregon resident ________________ Information about Your Children: Are there children from this marriage between ages 18 and age 21 who are unmarried? yes no (If yes, please give names and birthdates)_____________________ ______________________________________________________________________ Is the wife currently pregnant? yes no (If yes, due date __________________) Page 2-DIVORCE WORKSHEET no children.doc Real Property, Personal Property, Retirement Assets and Marital Debts (Please include copy of legal description if real estate is involved) List property awarded to wife __________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ List property awarded to husband_______________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ List debts wife will pay _______________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ List debts husband will pay ___________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ Former Name Restored: Does wife wish to return to maiden or former name? _______ If yes, which name? ____________________ Waiting Period: Do you wish to waive the 90 day waiting period? ______ If yes select ONE of the following: 1.___The following emergency or necessity exists ____________ ______________________2. ___ we agree to sign a co-petition. Page 3-DIVORCE WORKSHEET no children.doc If you have additional issues to add to this information list them here, including spousal support: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Your contact info: If we have questions, how should we contact you? __________________ email address: phone number: WE CAN ONLY HELP YOU IF YOUR DIVORCE IS UNCONTESTED. IF YOUR DIVORCE IS CONTESTED CALL AN ATTORNEY Page 4-DIVORCE WORKSHEET no children.doc FORM SELECTION By using this service you acknowledge that you are aware that we are not attorneys and cannot advise you. You acknowledge that you must select the forms you wish us to prepare by selecting from one of the kits below or by providing forms to us. Please select the forms you wish us to prepare for you and sign below. I select the following forms and request that Independent Paralegal Services prepare them specifically as I have directed. I further specifically request that if Independent Paralegal Services is aware of any changes or modifications that must be made to the forms in order to make them acceptable for filing that such modifications be made by Independent Paralegal Svcs. We are happy to accept your personal check. How ever, if your check is returned by your bank due to insufficient funds, your check will be immediately forwarded to a collection agency. Collection efforts will include re-depositing the check electronically at which time processing fees, bank fees and all state authorized fees shall also be debited from your account. Select ONE of the following: _________ Co-Petition kit of standard forms (both parties agree to sign) _________ Sole-Petition kit of standard forms (one party signs, the other party is served) Dated __________________________ Signed Page 5-DIVORCE WORKSHEET no children.doc WHEN WE HAVE COMPLETED YOUR DOCUMENTS WE WILL GIVE YOU FILING INSTRUCTIONS.YOU MUST FILE FOR DIVORCE IN THE COUNTY WHERE YOU OR YOUR SPOUSE NOW RESIDE. IF YOU ARE UNABLE TO PAY THE FEES BELOW, THE COURT MAY ALLOW YOU TO DEFER THE FEES OR SET UP A PAYMENT ARRANGEMENT. IF YOU DO NOT SEE YOUR COUNTY ON THE LIST BELOW, CONTACT US AND WE WILL CHECK FOR YOU. Benton $256.00 Clackamas $381.00 Clatsop $299.00 Columbia $252.00 Gilliam $271.00 Hood River $271.00 Jefferson $281.00 Lane $331.00 Lincoln $256.00 Linn $268.00 Marion $296.00 Multnomah $381.00 Polk $256.00 Sherman $271.00 Tillamook $266.00 Wasco $271.00 Washington $331.00 Wheeler $271.00 Yamhill $261.00 BILLING INFORMATION : You may mail a check or money order or supply credit card information as payment for our fee of $125.00 (we do not collect the court filing fee from you, you will pay that directly to the court). Payment of our $125.00 fee must be provided before we begin work on your divorce. We accept debit cards, Visa and MasterCard. You may call and give us the info over the phone or provide below: Account No. ______________________________________ Name of account holder _____________________________ Expiration date ____________________________________ Billing address ____________________________________
