FAMILY LAW QUESTIONNAIRE

PATERNITY SUIT

GENERAL INFORMATION:

Date

Help us know who to Thank or where you found us… How were you referred to Crane Law?

Have you consulted or retained any other attorney on this matter before coming to this office?

Yes

If so, please state who and when:

List an emergency number of someone who can always reach you:

First Name Last Name

Telephone(Required)

Telephone

CLIENT INFORMATION:

Full Legal Name

First Name Middle Name Last Name

Address

Street Address City State ZIP Code

Cell Phone

E-Mail Address

Employment

Length of employment

Salary

Education

My date of birth is

ADVERSE PARTY:

Full Legal Name

First Name Middle Name Last Name

Address

Street Address City State ZIP Code

Cell Phone

E-Mail Address

Attorney’s Name

Employment

Length of employment

Salary

Education

Date of Birth

DATE OF SEPARATION AND MAINTAINING SEPARATE RESIDENCES

Date of separation

Date maintaining separate residences

MILITARY INFORMATION

Is either parent/party a member of the military?

Yes

If yes, active military?

Yes

If yes, which parent(s)

CHILDREN OF THIS RELATIONSHIP

Please give the full name, date and place of birth, & sex of each child:

Full Legal Name (first, middle, last)

Gender

City/State/County of Birth

DOB

Who are children presently residing with?

Residences of children for the past five (5) years

Child Name

Dates (From/To)

Address (including city and state) where child lived

Name and present address of person child lived with

Relationship to child

NAME CHANGE PROVISION

If the parent-child relationship is established, should the child(ren)’s last name be changed?

Yes

If yes, what is the Full Name that should be used?

First Name Middle Name Last Name

CHILDREN OF A DIFFERENT RELATIONSHIP

Do you or your (ex-) spouse have any other children from another relationship for whom a duty support is owed?

Yes

Please give the full name, date, place of birth, sex, & name of father of each child:

Full Legal Name (first, middle, last)

Gender

City/State/County of Birth

DOB

Name of Father

Do you pay child support?

Yes

If so, how much & how often?

Do you receive child support?

Yes

If so, how much & how often?

Does your Ex pay child support?

Yes

If so, how much & how often?

Does your Ex receive child support?

Yes

If so, how much & how often?

AREAS OF CONTESTED LITIGATION

Does either parent intend to move more than 50 miles away?

Yes

If yes, who, where & when?

What is desired for timesharing and parental responsibility?

Do you have any concerns regarding the other parent during timesharing?

Yes

If yes, list concerns.

Is the other parent disparaging you in front of the child(ren) and do you have any proof?

Yes

If yes, explain.

Are there any domestic violence issues?

Yes

If yes, explain.

Do you anticipate issues collection child support payments if they are awarded?

Yes

If yes, explain.

Have any of your children been diagnosed with a handicap?

Yes

If yes, explain.

Do you think your Ex is hiding money?

Yes

If yes, explain.

Has the other parent been diagnosed with any mental illness?

Yes

If yes, explain.

Does your Ex take any prescriptions?

Yes

If yes, give a timeframe for the use and also describe if you have reason to believe there is a CURRENT problem with prescription(s):

RELATED PROCEEDINGS

Are there any related proceedings?

Yes

1. Are there any related cases of the following types?

[check all that apply]

Other {specify}

2. Participation in custody or time-sharing proceeding(s)

I HAVE NOT participated as a party, witness, or in any other capacity in any other litigation or custody proceedings, in this or any other state, concerning custody of the children subject to this proceeding.

I HAVE participated as a party, witness, or in any other capacity in any other litigation or custody proceedings, in this or any other state, concerning custody of the children subject to this proceeding.

Please list information below for each child

Full name of child (first, middle, last)

Type of proceeding

Court and State

Date of court order or judgment (if any)

3. Information about custody or time-sharing proceeding(s)

I HAVE NO INFORMATION about any custody proceeding pending in a court of this or any other state concerning the children subject to this proceeding.

I HAVE THE FOLLOWING INFORMATION concerning a parental responsibility, custody, time-sharing, or visitation proceeding pending in a court of this or another state concerning a child subject to this proceeding, other than set out in the item 2:

Please list information below for each child

Full name of child (first, middle, last)

Type of proceeding

Court and State

Date of court order or judgment (if any)

Case Number

4. Persons not a party to this proceeding

I DO NOT KNOW OF ANY PERSON not a party to this proceeding who has physical custody or claims to have custody or visitation rights with respect to the children to this proceeding.

I KNOW OF the following named person(s), not a party to this proceeding, has (have) physical custody or claim(s) to have parental responsibility for, custody of, or timesharing or visitation with respect to any child subject to this proceeding:

A. Name of person

First Name Middle Name Last Name

Address

Street Address City State ZIP Code

Select all that apply

has physical custody

claims parental responsibility or custody rights

claims time-sharing or visitation

Name of each child & relationship to the child

Full name of child (first, middle, last)

Relationship to child, if any

B. Name of person

First Name Middle Name Last Name

Address

Street Address City State ZIP Code

Select all that apply

has physical custody

claims parental responsibility or custody rights

claims time-sharing or visitation

Name of each child & relationship to the child

Full name of child (first, middle, last)

Relationship to child, if any

C. Name of person

First Name Middle Name Last Name

Address

Street Address City State ZIP Code

Select all that apply

has physical custody

claims parental responsibility or custody rights

claims time-sharing or visitation

Name of each child & relationship to the child

Full name of child (first, middle, last)

Relationship to child, if any

5. Knowledge of prior child support proceedings

I HAVE NO INFORMATION about any child support proceeding pending in a court of this state or any other state concerning a child subject to this proceeding.

The child(ren) described in this affidavit are subject to the following existing child support order(s):

Please list information below for each child

Full name of child (first, middle, last)

Type of proceeding

Court and address

Date of court order or judgment (if any)

Amount of child support ordered to be paid and by whom?

CAPTCHA

PATERNITY SUIT

GENERAL INFORMATION:

CLIENT INFORMATION:

ADVERSE PARTY:

DATE OF SEPARATION AND MAINTAINING SEPARATE RESIDENCES

MILITARY INFORMATION

CHILDREN OF THIS RELATIONSHIP

NAME CHANGE PROVISION

CHILDREN OF A DIFFERENT RELATIONSHIP

AREAS OF CONTESTED LITIGATION

RELATED PROCEEDINGS

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