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New York Divorce Questionnaire

If you have questions or need assistance in completing this questionnaire, please feel free contact us at +1 (212) 359-9352.  We will be more than glad to assist you with your inquiry.


Information about you (Plaintiff)

First Name Middle Name Last Name
Street City State                                     Zip Code
 
       
Phone Number Email Address  
 
     
Date of Birth Place of Birth  
 
     
Highest Completed Education Maiden Name (if applicable)
   
     
Married before? If married before, how many times?  
 
     
Ethnicity                        Others, specify    
     

Information about your spouse (Defendant)

First Name Middle Name Last Name
Street City State                                     Zip Code
 
       
Phone Number Email Address  
 
     
Date of Birth Place of Birth  
 
     
Highest Completed Education Maiden Name (if applicable)
   
     
Married before? If married before, how many times?  
 
     
Ethnicity                        Others, specify    
     

Marriage and Separation Information



Place of Marriage:    
City State Country
Date of Marriage Type of Ceremony Date of Separation                                  
       
Address where both parties lived as husband and wife:

Grounds for Divorce



Abandonment
Adultery
Constructive Abandonment
Conversion of a Judgment of Separation
Conversion of a Written Separation Agreement
Cruel & Inhuman Treatment
Imprisonment
Irretrievable Breakdown in Relationship (No Fault Divorce Ground)
           

Residency Requirements

 Plaintiff's residence in New York for 2 years          
Defendant's residence in New York for 2 years
Marriage in New York plus 1 year residence by Plaintiff
Marriage in New York plus 1 year residence by Defendant
Having resided in New York as husband and wife plus 1 year residence by Plaintiff
Having resided in New York as husband and wife plus 1 year residence by Defendant
The act upon which the divorce grounds are founded occurred in NY and both parties resided in NY for 1 year
The act occurred in New York and both parties reside in New York

Children Information


  Child's Name Date of Birth Address
       
1
       
2
       
3
       
4
       
5

 

Who provides insurance?
   
Group Health Plan
   
Identification Number
   
Plan Administrator
   
Insurance Coverage

 

 

Have the Family Court made any Order (e.g. child support, visitation, custody) which is to be continued by the Divorce Judgment?   
   
Under a recent amendment to DRL Sec 240, the Court has to search the statewide Registry of Orders of Protection, the Family Court's Protective Records and the Sex Offender Registry before entering any custody record. Will the record search disclose any such orders or other records?     

 

Please note that you will be requested to provide Social Security Numbers of the Plaintiff, Defendant, and children as they are required to file for Uncontested Divorce.