Case issues checklist

Your divorce attorney may use a form like this to keep track of the issues in your case, the information that has already been gathered, and the information that still needs to be gathered to prepare for mediation and settlement, and if necessary, for trial.

CASE OUTLINE

I. REQUIRED INFORMATION

PETITIONER’S NAME:
HEIGHT:       WEIGHT:
SSN:
DATE OF BIRTH:
AGE:
HOME ADDRESS:
CITY/ZIP:
TELEPHONE #:
BEEPER #:
EMPLOYER: TELEPHONE:
ADDRESS: CITY/ZIP:
ATTORNEY:
ADDRESS:
CITY/ZIP:
TELEPHONE:
MONTHLY NET INCOME ON
FINANCIAL AFFIDAVIT $_____________
DRIVER’S LICENSE #:
DATE OF ISSUE:
RESPONDENT’S NAME:
HEIGHT:       WEIGHT:
SSN:
DATE OF BIRTH:
AGE:
HOME ADDRESS:
CITY/ZIP:
TELEPHONE #:
BEEPER #:
EMPLOYER: TELEPHONE:
ADDRESS: CITY/ZIP:
ATTORNEY:
ADDRESS:
CITY/ZIP:
TELEPHONE:
MONTHLY NET INCOME ON
FINANCIAL AFFIDAVIT $_____________
DRIVER’S LICENSE #:
DATE OF ISSUE:

Marriage:

DATE OF MARRIAGE: PLACE OF MARRIAGE:
YEARS OF MARRIAGE: DATE OF FINAL SEPARATION:

Pleadings:

DATE PETITION FOR DISSOLUTION OF MARRIAGE FILED:
DATE ANSWER FILED:
DATE COUNTERPETITION FOR DISSOLUTION OF MARRIAGE FILED:
DATE ANSWER FILED:

Restoration of maiden name:

MAIDEN NAME TO BE RESTORED?
YES____     NO____
MAIDEN NAME: (SPELL OUT ENTIRE
NAME, INCLUDING
MIDDLE NAME)

Children:

CHILD’S NAME CHILD’S AGE DATE OF BIRTH LOCATION OF CHILD
CHILD SUPPORT
PURSUANT TO THE
GUIDELINES IS $________MON.
IF DEVIATION REQUESTED,
REASON IS ______________
________________
HAS THE PETITIONER
ATTENDED PARENTING
COURSE? ______
HAS THE RESPONDENT
ATTENDED PARENTING
COURSE?______

II. SUMMARY OF ISSUES:

THE FOLLOWING
ISSUES ARE SETTLED:
attach partial settlement agreement.
(PUT N/A NEXT TO
SPACES IN WHICH THE
ISSUE DOES NOT
APPLY IN YOUR CASE)
WE NEED A TRIAL
ON THE FOLLOWING ISSUES:

(PUT N/A NEXT TO
SPACES IN WHICH
THE ISSUE DOES NOT
APPLY IN YOUR CASE)

LIST ISSUES IN THIS
ORDER CUSTODY/PARENTAL
RESPONSIBILITY, PROPERTY
DIVISION, ALIMONY, CHILD
SUPPORT, EVERYTHING ELSE)
JOINT CUSTODY/SHARED
PARENTAL RESPONSIBILITY
SOLE CUSTODY/
PARENTAL RESPONSIBILITY
VISITATION/
TIMESHARING/ACCESS
CHILD SUPPORT
PROPERTY DIVISION—
DATE OF VALUATION
SEPARATE/NON
MARITAL ASSETS

COMMUNITY/
MARITAL ASSETS

SEPARATE/NON
MARITAL LIABILITIES

COMMUNITY/
MARITAL LIABILITIES

UNEQUAL DISTRIBUTION
ALIMONY
ATTORNEY’S FEES-
ENTITLEMENT
ATTORNEY’S
FEES-AMOUNT
CHARGING LIEN
OTHER:
_________________
OTHER:
_________________

III. CUSTODY/PARENTAL RESPONSIBILITY:

ANSWER ONLY IF CUSTODY/PARENTAL RESPONSIBILITY IS A CONTESTED ISSUE, AND ANSWER ONLY THOSE PARTS THAT REQUIRE COURT RESOLUTION:

A. LEGAL JOINT CUSTODY/SHARED PARENTAL RESPONSIBILITY
(DECISION-MAKING)
COMPLETE NUMBER ONE (1), TWO (2) OR THREE (3):

1._____ EQUAL LEGAL SHARED
CUSTODY/PARENTAL
RESPONSIBILITY:
___PARTIES AGREE THAT
THEY ARE ABLE TO CONFER AND
COOPERATE AND MAKE ALL
MAJOR DECISIONS JOINTLY.
2._____ ULTIMATE RESPONSIBILITY
(COURT FINDINGS REQUIRED):
___THE PARTIES AGREE THAT THEY
ARE ABLE TO CONFER AND COOPERATE AND
MAKE MOST MAJOR DECISIONS
JOINTLY, BUT THERE IS CONFLICT WITH
REGARD TO THE FOLLOWING ISSUE(S)
REQUIRING THE COURT TO GIVE ONE
PARENT FINAL WORD WHEN THERE IS
DISAGREEMENT AFTER DISCUSSION:

_____EDUCATION—PUBLIC/PRIVATE
_____RELIGIOUS TRAINING/EDUCATION
_____MEDICAL/DENTAL CARE
_____EXTRA-CURRICULAR ACTIVITIES
_____SUMMER CAMP
_____TUTORING/PRIVATE LESSONS
_____SPORTS PARTICIPATION
_____OTHER: ___________________
_______________________________

3._____SOLE CUSTODY/PARENTAL
RESPONSIBILITY (COURT FINDINGS REQUIRED):

IF THE PARTIES CHECKED THIS BOX, ANSWER THE FOLLOWING:

A. PETITIONER ________ SAYS THE
DETRIMENT TO THE CHILD(REN) IF THE
PARTIES SHARE PARENTAL RESPONSIBILITY
IS____________________________
___________________________________

B. RESPONDENT ________SAYS THE DETRIMENT
TO THE CHILD(REN) IF THE PARTIES SHARE
PARENTAL RESPONSIBILITY IS______________
___________________________
_____________________________________

___THE PARTIES ARE NOT ABLE TO
CONFER OR COMMUNICATE OR EVEN TALK TO
ONE ANOTHER AT ALL ON SPECIFIC DECISION-
MAKING ISSUES OR ALL ISSUES AND IT
WOULD BE DETRIMENTAL TO THE CHILD(REN) FOR
THEM TO DO SO, REGARDING THE FOLLOWING:

_____ALL ISSUES
_____EDUCATION—PUBLIC/PRIVATE
_____RELIGIOUS TRAINING/EDUCATION
_____MEDICAL/DENTAL CARE
_____EXTRA-CURRICULAR ACTIVITIES
_____SUMMER CAMP
_____TUTORING/PRIVATE LESSONS
_____SPORTS PARTICIPATION
_____OTHER:____________________

B. PHYSICAL SHARED CUSTODY/PARENTAL RESPONSIBILITY
(WHERE IT IS IN THE BEST INTERESTS OF THE CHILD TO LAY HIS OR HER HEAD DOWN MORE OF THE TIME)

CHECK ONE AND ANSWER:

_____ WE AGREE THAT _____________ SHALL BE THE PRIMARY RESIDENTIAL PARENT AND THAT ________________ SHALL BE THE SECONDARY RESIDENTIAL PARENT.
______THE ISSUE OF WHO SHALL BE PRIMARY RESIDENTIAL PARENT IS DISPUTED (COURT FINDINGS REQUIRED).

C. FACTORS. IF THE PARTIES HAVE ANY DISPUTES REGARDING LEGAL OR PHYSICAL SHARED CUSTODY/PARENTAL RESPONSIBILITY, CHECK WHICH OF THE FOLLOWING FACTORS APPLY.

EVIDENCE/TESTIMONY WILL BE PRESENTED ON THE FOLLOWING FACTORS AT TRIAL (PUT N/A NEXT TO FACTORS NOT IN DISPUTE):

_____THE PARENT WHO IS MORE LIKELY TO ALLOW THE CHILD FREQUENT AND CONTINUING CONTACT WITH THE OTHER PARENT.
_____THE LOVE, AFFECTION, AND EMOTIONAL TIES EXISTING BETWEEN THE PARENTS AND THE CHILD.
_____THE CAPACITY AND DISPOSITION OF THE PARENTS TO PROVIDE THE CHILD WITH FOOD, CLOTHING, MEDICAL CARE OR OTHER REMEDIAL CARE RECOGNIZED AND PERMITTED UNDER THE LAWS OF THIS STATE IN LIEU OF MEDICAL CARE, AND OTHER MATERIAL NEEDS.
_____THE LENGTH OF TIME THE CHILD HAS LIVED IN A STABLE, SATISFACTORY ENVIRONMENT AND THE DESIRABILITY OF MAINTAINING CONTINUITY.
_____THE PERMANENCE, AS A FAMILY UNIT, OF THE EXISTING OR PROPOSED PRIMARY HOME.
_____THE MORAL FITNESS OF THE PARENTS.
_____THE MENTAL AND PHYSICAL HEALTH OF THE PARENTS.
_____THE HOME, SCHOOL, AND COMMUNITY RECORD OF THE CHILD.
_____THE REASONABLE PREFERENCES OF THE CHILD, IF THE COURT DEEMS THE CHILD TO BE OF SUFFICIENT INTELLIGENCE, UNDERSTANDING, AND EXPERIENCE TO EXPRESS A PREFERENCE.
_____THE WILLINGNESS AND ABILITY OF EACH PARENT TO FACILITATE AND ENCOURAGE A CLOSE AND CONTINUING PARENT-CHILD RELATIONSHIP BETWEEN THE CHILD AND THE OTHER PARENT.
_____A PARTY PROVIDED FALSE INFORMATION TO THE COURT IN A DOMESTIC VIOLENCE PROCEEDING.
_____ANY OTHER FACTOR CONSIDERED TO BE RELEVANT:______________.

IV. PROPERTY DIVISION

A. NON-MARITAL/SEPARATE ASSETS AND LIABILITIES
(ANSWER ONLY IF APPLIES OR PUT N/A):

1. DATE OF IDENTIFICATION (CHECK ONE):

_____AGREED AS DATE OF FILING
_____AGREED AS DATE OF SEPARATION AGREEMENT DATED__________
_____DISPUTED

2. IF DISTRIBUTION OF NON MARITAL/SEPARATE ASSETS AND LIABILITIES IS AGREED, ATTACH PARTIAL SETTLEMENT AGREEMENT.

3. IF DISPUTED AS TO WHETHER THE ASSET OR LIABILITY IS MARITAL/COMMUNITY OR NON-MARITAL/SEPARATE, COURT FINDINGS REQUIRED AS TO IDENTIFICATION, OWNERSHIP INTEREST, VALUE, VALUATION DATE, AND DESIGNATION OF WHICH SPOUSE SHALL BE ENTITLED TO EACH):

IDENTIFY AND SET FORTH
IF ASSET OR LIABILITY
VALUE OWNERSHIP INTERESTS DATE OF VALUATION REASON DISPUTED

B. MARITAL/COMMUNITY ASSETS AND LIABILITIES
(ANSWER ONLY IF APPLIES OR PUT N/A):

1. DATE OF IDENTIFICATION (CHECK ONE):

_____AGREED AS DATE OF FILING
_____AGREED AS DATE OF SEPARATION AGREEMENT DATED__________
_____DISPUTED

2. IF DISTRIBUTION OF MARITAL/COMMUNITY ASSETS AND LIABILITIES IS AGREED, ATTACH PARTIAL SETTLEMENT AGREEMENT.

3. SPECIFIC ASSET AND LIABILITY INFORMATION REQUIRED ON DISPUTED ASSETS ONLY (PUT N/A IF DOESN’T APPLY):

a. MARITAL HOME:

(1) FORMAL APPRAISAL ENTERED INTO EVIDENCE BY
___ PETITIONER
___ RESPONDENT

(2) PARTITION REQUESTED BY
___ PETITIONER
___ RESPONDENT

STREET ADDRESS:
LEGAL DESCRIPTION:
PETITIONER SAYS: VALUE DATE OF FILING VALUE DATE OF TRIAL
FAIR MARKET VALUE
MORTGAGE
LIENS/TAX EFFECT (IF SALE)
NET EQUITY
RESPONDENT SAYS: VALUE DATE OF FILING VALUE DATE OF TRIAL
FAIR MARKET VALUE
MORTGAGE
LIENS/TAX EFFECT (IF SALE)
NET EQUITY

b. OTHER DISPUTED REAL PROPERTY:

(1) FORMAL APPRAISAL ENTERED INTO EVIDENCE BY
___ PETITIONER
___ RESPONDENT

(2) PARTITION REQUESTED BY
___ PETITIONER
___ RESPONDENT

PETITIONER SAYS: VALUE DATE OF FILING VALUE DATE OF TRIAL
FAIR MARKET VALUE
MORTGAGE
LIENS/TAX EFFECT (IF SALE)
NET EQUITY
RESPONDENT SAYS: VALUE DATE OF FILING VALUE DATE OF TRIAL
FAIR MARKET VALUE
MORTGAGE
LIENS/TAX EFFECT (IF SALE)
NET EQUITY

4. DEBTS / LIABILITIES

a. WE AGREE THAT THE FOLLOWING LIABILITIES SHALL BE PAID AS FOLLOWS:

(1) TO BE PAID BY HUSBAND:
____________________ OF $________
____________________ OF $________
____________________ OF $________

(2) TO BE PAID BY WIFE:
____________________ OF $________
____________________ OF $________
____________________ OF $________

5. TANGIBLE PERSONAL PROPERTY

a. IF AGREED, ATTACH STIPULATED LIST.

b. IF DISPUTED, ATTACH A LIST THAT SETS FORTH THE FOLLOWING INFORMATION:

(1) DESCRIPTION OF ITEM
(2) COST DATE OF PURCHASE
(3) PETITIONER’S VALUE DATE OF FILING
(4) RESPONDENT’S VALUE DATE OF FILING
(5) PETITIONER’S VALUE DATE OF TRIAL
(6) RESPONDENT’S VALUE DATE OF TRIAL
(7) PETITIONER’S PROPOSED DISTRIBUTION
(8) RESPONDENT’S PROPOSED DISTRIBUTION

C. UNEQUAL DISTRIBUTION OF ASSETS.

IF EITHER PARTY IS SEEKING AN UNEQUAL DISTRIBUTION OF MARITAL ASSETS, COURT FINDINGS ARE REQUIRED AS TO JUSTIFICATION THEREFOR BASED ON THE FOLLOWING FACTORS. ONLY IF EITHER PARTY IS SEEKING AN UNEQUAL DISTRIBUTION, CHECK THOSE FACTORS FOR WHICH TESTIMONY/EVIDENCE WILL BE PRESENTED AT TRIAL. YOU MAY ATTACH WRITTEN PROPOSED FINDINGS TO THIS PRE-TRIAL STIPULATION:

PUT N/A NEXT TO THOSE WHICH DO NOT APPLY:

_____1. CONTRIBUTION TO THE MARRIAGE (HOMEMAKER)
_____2. ECONOMIC CIRCUMSTANCES OF THE PARTIES
_____3. DURATION OF THE MARRIAGE
_____4. INTERRUPTIONS TO CAREERS OR EDUCATION
_____5. CONTRIBUTION TO OTHER SPOUSE’S CAREER OR EDUCATION
_____6. DESIRABILITY OF RETAINING ANY ASSET INCLUDING AN INTEREST IN A BUSINESS, CORPORATION, OR PROFESSIONAL PRACTICE INTACT AND FREE FROM ANY CLAIM OF INTERFERENCE BY THE OTHER PARTY
_____7. CONTRIBUTION OF EACH SPOUSE TO THE ACQUISITION, ENHANCEMENT, AND PRODUCTION OF INCOME OR THE IMPROVEMENT OF, OR THE INCURRING OF LIABILITIES TO BOTH THE MARITAL AND NON-MARITAL ASSETS OF THE PARTIES
_____8. DESIRABILITY OF RETAINING THE MARITAL HOME AS A RESIDENCE AS IT IS EQUITABLE TO DO SO, IN THE BEST INTERESTS OF THE CHILD OR FINANCIALLY FEASIBLE FOR THE PARTIES TO DO SO
_____9. INTENTIONAL DISSIPATION, WASTE, DEPLETION OR DESTRUCTION OF MARITAL ASSETS AFTER THE FILING OF THE PETITION OR WITHIN TWO YEARS PRIOR TO THE FILING OF THE PETITION
_____10. ANY OTHER FACTORS NECESSARY TO DO EQUITY AND JUSTICE
_____11. UNEQUAL DISTRIBUTION DESPITE GIFTING, SHORT MARRIAGE
_____12. APPRECIATED VALUE OF NON-MARITAL ASSETS, PAYMENTS AND/OR LABOR DURING THE MARRIAGE

D. PETITIONER’S PROPOSED DIVISION/DISTRIBUTION:

1. PETITIONER’S PROPOSED DISTRIBUTION CHART:

a. FOR EACH ASSET:

DEBT AMOUNT AS OF DATE $ TO BE PAID
BY HUSTAND
$ TO BE PAID
BY WIFE

b. FOR EACH DEBT OR LIABILITY:

DEBT AMOUNT AS OF DATE $ TO BE PAID
BY HUSTAND
$ TO BE PAID
BY WIFE

c. TOTALS TO EACH PARTY

TOTALS TO EACH HUSBAND WIFE

2. IF THE TOTALS TO THE HUSBAND AND WIFE ARE NOT EQUAL, GIVE REASONS WHY:

__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________.

V. ALIMONY. IF ALIMONY IS AN ISSUE, ANSWER THE FOLLOWING (PUT N/A IF DOESN’T APPLY):

A. TEMPORARY ARREARAGES: ____ ATTACH ARREARAGES
CALCULATIONS WORKSHEET
B. PERMANENT PERIODIC
ALIMONY:

____AGREED NO SUCH ALIMONY
____AGREED NEED/ABILITY FOR $_____
PER MONTH UNTIL _________’S
REMARRIAGE OR DEATH OF EITHER PARTY

___HUSBAND SAYS THERE IS NO NEED
AND/OR ABILITY TO PAY NEED AND/OR
ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS THERE IS NO NEED
AND/OR ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS SHE NEEDS $_____ PER
MONTH UNTIL THE WIFE’S REMARRIAGE
OR DEATH OF EITHER PARTY

___ HUSBAND SAYS HE NEEDS $_____ PER
MONTH UNTIL THE HUSBAND’S REMARRIAGE
OR DEATH OF EITHER PARTY

C. BRIDGE THE GAP
REHABILITATIVE ALIMONY:

____AGREED NO SUCH ALIMONY

____AGREED NEED/ABILITY FOR $_____ PER
MONTH UNTIL DATE_________ OR _________’S
REMARRIAGE OR DEATH OF EITHER PARTY,
WHICHEVER FIRST OCCURS.

___HUSBAND SAYS THERE IS NO NEED
AND/OR ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS THERE IS NO NEED AND/OR
ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS SHE NEEDS $_____ PER MONTH
UNTIL DATE _________ OR THE WIFE’S
REMARRIAGE OR DEATH OF EITHER PARTY,
WHICHEVER FIRST OCCURS

___HUSBAND SAYS HE NEEDS $_____ PER MONTH
UNTIL DATE __________ OR THE HUSBAND’S
REMARRIAGE OR DEATH OF EITHER PARTY,
WHICHEVER FIRST OCCURS

D. RETRAINING
REHABILITATIVE ALIMONY

____AGREED $_______ PER ____
UNTIL ___________________
______________________
______________________

___HUSBAND SAYS THERE IS NO
NEED AND/OR ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS THERE IS NO NEED
AND/OR ABILITY TO PAY SUCH ALIMONY

___WIFE SAYS SHE NEEDS $_____ PER
______ OR UNTIL _____________ FOR
THE FOLLOWING:
RETRAINING PLAN_________________________
OBJECT OF REHABILITATION
______________________________
COST OF PLAN ________________
PERIOD TO COMPLETE_________
HOW PLAN IS WORKABLE TO MAKE SELF
SUPPORTING AND MAINTAIN THE STANDARD
OF LIVING COMPARABLE TO THAT ENJOYED
DURING THE MARRIAGE ________________
_______________________________

___HUSBAND SAYS HE NEEDS $_____ PER
______ OR UNTIL _____________ FOR THE FOLLOWING:
RETRAINING PLAN_________________________
OBJECT OF REHABILITATION
______________________________
COST OF PLAN ________________
PERIOD TO COMPLETE_________
HOW PLAN IS WORKABLE TO MAKE
SELF SUPPORTING_____________
_______________________________

E. LUMP SUM ALIMONY

___AGREED $_____ TO BE PAID
AS FOLLOWS ___________________
________________________

___HUSBAND SAYS THERE IS NO
NEED OR ABILITY TO PAY WIFE PERMANENT
PERIODIC ALIMONY AND NO UNUSUAL
CIRCUMSTANCES OR JUSTIFICATION WHICH
WOULD REQUIRE A NON-MODIFIABLE AWARD
OF SUPPORT IN THE FORM OF LUMP SUM ALIMONY

___WIFE SAYS THERE IS NO NEED OR ABILITY TO
PAY HUSBAND PERMANENT PERIODIC ALIMONY AND
NO UNUSUAL CIRCUMSTANCES OR JUSTIFICATION
WHICH WOULD REQUIRE A NON-MODIFIABLE AWARD
OF SUPPORT IN THE FORM OF LUMP SUM ALIMONY

___WIFE SEEKS LUMP SUM ALIMONY FROM THE
HUSBAND AS FOLLOWS:$_____________________
JUSTIFICATION IS________________
SOURCE OF FUNDS TO PAY IS________________________________

___HUSBAND SEEKS LUMP SUM ALIMONY
FROM THE WIFE AS FOLLOWS:$_____________________
JUSTIFICATION IS________________
SOURCE OF FUNDS TO PAY IS_____

CHILD SUPPORT (PUT N/A IF DOES NOT APPLY)

A.GUIDELINES SUMMARY: TO BE ATTACHED
B.IF THERE ARE ARREARAGES, ATTACH ARREARAGES CALCULATION WORKSHEETS.
C.ADJUSTMENTS: ANSWER ONLY IF SEEKING AN ADJUSTMENT IN THE CHILD SUPPORT GUIDELINES AMOUNT:

____PLUS 5%
____MINUS 5%
COURT TO CONSIDER ALL RELEVANT FACTORS, INCLUDING:
____NEEDS OF CHILD(REN)
____AGE OF CHILD(REN)
____STATION IN LIFE
____STANDARD OF LIVING
____FINANCIAL STATUS AND ABILITY OF EACH PARENT
____OTHER____________________
_______________________________
___PLUS MORE THAN 5%
WRITTEN FINDING REQUIRED WHY
GUIDELINES AMOUNT UNJUST OR INAPPROPRIATE
__________________________________________

____MINUS MORE THAN 5%
WRITTEN FINDING REQUIRED WHY
GUIDELINES AMOUNT UNJUST OR INAPPROPRIATE
__________________________________________

IDENTIFY FACTORS FOR ADJUSTMENT:

____EXTRAORDINARY MEDICAL
____EXTRAORDINARY PSYCHOLOGICAL
____EXTRAORDINARY EDUCATIONAL
____EXTRAORDINARY DENTAL
____INDEPENDENT INCOME OF CHILD
____SUPPORT FOR A PARENT PAID FOR WHICH THERE IS A NEED
____SEASONAL INCOME/EXPENSES
____AGE OF CHILD/OLDER CHILD
____SPECIAL NEEDS:___________
____PARENTING ARRANGEMENT: _______________________________
____MORE THAN 28 CONSECUTIVE DAYS OF CONTACT
____TOTAL AVAILABLE ASSETS
____DEPENDENCY EXEMPTION
____PAY MORE THAN 55% GROSS
____JOINT DEBT OR EXPENSE
____SEEK FROM NON-RECURRING INCOME ID: ___________________
____ANY OTHER: _______________

E. IF IMPUTED INCOME IS AN ISSUE:

IF WIFE SAYS HUSBAND IS VOLUNTARILY
UNEMPLOYED OR UNDEREMPLOYED, WIFE
FILL IN REGARDING HUSBAND:

EMPLOYMENT POTENTIAL: ________________________________
PROBABLE EARNINGS LEVEL: ________________________________
RECENT WORK HISTORY: ________________________________
OCCUPATIONAL QUALIFICATIONS:
________________________________
PREVAILING EARNINGS LEVEL IN COMMUNITY: ____________________

IF HUSBAND SAYS WIFE IS VOLUNTARILY
UNEMPLOYED OR UNDEREMPLOYED, HUSBAND
FILL IN REGARDING WIFE:

EMPLOYMENT POTENTIAL: ________________________________
PROBABLE EARNINGS LEVEL:
________________________________
RECENT WORK HISTORY:
________________________________
OCCUPATIONAL QUALIFICATIONS:
________________________________
PREVAILING EARNINGS LEVEL IN COMMUNITY: ____________________

F. OTHER CHILD SUPPORT ISSUES:

ISSUE: LOCATION: COST: WHY IN THE BEST
INTERESTS OF THE CHILD:
____PRIVATE SCHOOL
____EXISTING CONTRACT
FOR PREPAID COLLEGE
____SUMMER CAMP
____SCHOOL FIELD TRIPS/FEES
____SCHOOL UNIFORMS
____TUTORING
____EXTRA-
CURRICULAR
____UNINSURED
MEDICAL OR DENTAL
____DEPENDENT
PAST MAJORITY
____LIFE INSURANCE
OR OTHER SECURITY
AVAILABILITY________________
CAP__________
____ RETRO-ACTIVE
CHILD SUPPORT

VII. ATTORNEY’S FEES, SUIT MONIES AND COSTS:

A. ____ ENTITLEMENT AND AMOUNT SHALL BE HEARD AT A HEARING SUBSEQUENT TO FINAL HEARING

B. ____WIFE’S FEES AND COSTS ARE AN ISSUE:

(PUT N/A IF DOES NOT APPLY)

ENTITLEMENT:
___TO BE DETERMINED AT TRIAL
___TO BE DETERMINED AT A
HEARING SUBSEQUENT TO TRIAL
AMOUNT:
___TO BE DETERMINED AT TRIAL
___TO BE DETERMINED AT A
HEARING SUBSEQUENT TO TRIAL
___ENTITLEMENT IS AGREED
___ABILITY TO PAY DISPUTED
___NEED DISPUTED

___ALL CIRCUMSTANCES SHOULD
BE CONSIDERED, INCLUDING:
___SCOPE AND HISTORY OF LITIGATION
___DURATION OF THE LITIGATION
___MERITS OF THE RESPECTIVE POSITIONS
___WHETHER THE LITIGATION IS BROUGHT OR
MAINTAINED PRIMARILY TO HARASS
(OR WHETHER A DEFENSE IS
RAISED MAINLY TO FRUSTRATE OR STALL)
___THE EXISTENCE AND COURSE OF
PRIOR OR PENDING LITIGATION

___ LODESTAR:

___ WIFE SAYS:
____ HOURS X $_____ REASONABLE
HOURLY RATE = $__________FEES
AND REASONABLE COSTS = $________
TO BE PAID AS FOLLOWS:_______________________

___ HUSBAND SAYS:
____ HOURS X $_____ REASONABLE
HOURLY RATE = $__________FEES
AND REASONABLE COSTS = $_________
TO BE PAID AS FOLLOWS:_______________________

C. ____ HUSBAND’S FEES AND COSTS ARE AN ISSUE:
(PUT N/A IF DOES NOT APPLY)

ENTITLEMENT:
___TO BE DETERMINED AT TRIAL
___TO BE DETERMINED AT A
HEARING SUBSEQUENT TO TRIAL
AMOUNT:
___TO BE DETERMINED AT TRIAL
___TO BE DETERMINED AT A
HEARING SUBSEQUENT TO TRIAL
___ENTITLEMENT IS AGREED
___ABILITY TO PAY DISPUTED
___NEED DISPUTED

___ALL CIRCUMSTANCES SHOULD BE
CONSIDERED, INCLUDING:
___SCOPE AND HISTORY OF LITIGATION
___DURATION OF THE LITIGATION
___MERITS OF THE RESPECTIVE POSITIONS
___WHETHER THE LITIGATION IS BROUGHT OR
MAINTAINED PRIMARILY TO HARASS
(OR WHETHER A DEFENSE IS RAISED
MAINLY TO FRUSTRATE OR STALL)
___THE EXISTENCE AND COURSE OF PRIOR OR PENDING LITIGATION

___LODESTAR:

___WIFE SAYS:
____HOURS X $_____ REASONABLE
HOURLY RATE = $__________FEES
AND REASONABLE COSTS = $________
TO BE PAID AS FOLLOWS:_______________________

___HUSBAND SAYS:
____HOURS X $_____ REASONABLE
HOURLY RATE = $__________FEES
AND REASONABLE COSTS = $_________
TO BE PAID AS FOLLOWS:_______________________