YOUR DETAILS

Full Name:......................................................................................................................................................

Address:.........................................................................................................................................................

..................................................................................................................Post Code...................................

Alternative Address for Correspondence (if appropriate):...............................................................

.................................................................................................................Post Code..................................

Email Address:.......................................................................................

Home Telephone:..................................................................................

Work Telephone:..................................................................................

Mobile Telephone:................................................................................

Date of Birth:.................................................................Age:..............

National Insurance No:.......................................................................

Occupation (if any):.............................................................................

Nationality:............................................................................................

If you are not British, how long have you lived in this country:......................................................

If you are British but are not resident in the UK, how long have you lived in the country in which you now reside and identify the country:

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SPOUSE

Husband/Wife (please delete as appropriate)

Full Name:...................................................................................................................................................

Address:......................................................................................................................................................

........................................................................................................................Post Code..........................

Date of Birth:.....................................................................Age:.............................

Occupation (if any):.......................................................................

Nationality:.......................................................................................

Solicitors (if any):..........................................................................

Solicitors' Address:..........................................................................................................................................

...................................................................................Post Code.............................Ref....................................

MARRIAGE

Please note that at least one year must have elapsed from the date of marriage before a divorce can be filed at Court. 

Date of Marriage:..................................................

Place of Marriage:.................................................................................................................

Marriage Certificate Details (please delete as appropriate):  Original Certificate supplied/to be supplied later/to be obtained by Stantons (at an additional cost of £9.25)

Did you live with your spouse before marriage? (please delete as appropriate)   YES/NO

If YES, how long did you live together?......................................

CO-RESPONDENT (if any)

A Co-Respondent is the person with whom you believe your spouse has committed adultery.  Please note we would not normally name a Co-Respondent in proceedings but we need to check the name of the person to establish whether we have acted for them in the past or had any professional dealings with them as this may prevent us from acting for you.

Full Name:...........................................................................

Address:.........................................................................................................................................................

....................................................................................................Post Code...............................................

Occupation (if any):....................................................

If your spouse has committed adultery, do you know the date this started?     YES/NO

Do you know where the adultery took place?                                              YES/NO 

If so, please identify...........................................................................................................................

When did you find out about the adultery?.............................................

CHILDREN

Where you have children under the age of 16 or up to the age of 18 but who are in full time education or studying for a trade or vocation, a form known as a "Statement of Arrangements for Children" is lodged with the Court at the same time as the Petition.  Please provide the following information about all such children so that we can complete the form:

Is there any child living with either of you who is not a child of both of you?    YES/NO

If yes and the children's natural parents are still alive, please give full name(s) and address:

Name(s):......................................................................................................................................................

Address:.......................................................................................................................................................

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Is maintenance being paid?  If so, how much a week is received?..................................

Is this following a CSA assessment?                                                          YES/NO

If you have living with you a child who is either your or your spouse's child from a previous marriage, please let us know the number of the previous divorce proceedings and confirm in which County Court they took place.

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Is any child being brought up in a strong religious faith or national identity?      YES/NO

Is a change of residence being suggested for the child/children?                    YES/NO

Is any child suffering from a serious disability or chronic illness?                      YES/NO

Is any child/children in care or under the supervision of the Local Authority,

either now or at any time in the past?                                                                 YES/NO

If yes, please supply full details and copies of any Court Orders in relation to the proceedings.

With whom is the child/children now living?......................................................................

What are the arrangements for the child/children to see the other parent?............................

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Do the arrangements include the child/children staying with the other parent?  YES/NO

If yes, what are the arrangements?................................................................................

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MATRIMONIAL HOME

Please delete the following as appropriate:

Is the matrimonial home:

Detached House/Semi Detached House/Bungalow/Flat

Does it have, Lounge/Dining Room/Kitchen/Garden/Bathroom/Garage

How many bedrooms does the property have?...................

Is the home occupied by:

You/Spouse/Children/Others (if so specify who)

Is the property:

Owned/Rented/Council Accommodation

Is the property in:

Joint Names/Your Name/Your Spouse's Name/Another Name (specify who)

Date of purchase:.........................................................................

Price at time of purchase:..........................................................

Current value:..............................................................................

Amount owing to Bank/Building Society:..............................

Number of Endowment Policies supporting the mortgage (if any):......................................................

Details of value of Endowment Policy at present:.....................................................................................

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Did either you or your spouse make any significant unequal contribution towards the purchase of the property?

If so, set out details:......................................................................................................................................

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Date you/your spouse left the property:..........................................

Last address at which you lived together:.....................................

Are you and your spouse sharing a bedroom?                                                        YES/NO

Are you having sexual relations together?                                                   YES/NO

Are you carrying out housework or other tasks with your spouse?                            YES/NO

Do you or your spouse intend to marry or cohabit with another person?                     YES/NO

Since you separated, have there been any attempts at reconciliation:                      YES/NO

If yes, state dates of such attempts and duration:...............................................................................

..........................................................................................................................................................................

Please set out below the various addresses at which you have both lived since separating and the dates when you lived at those addresses for yourself and your spouse:

BEHAVIOUR PETITION

If you are considering a divorce on the grounds of your spouse's behaviour, please give a brief statement containing details of the behaviour upon which you rely with dates if possible.  This can generally be over the last few years but specific instances over the last six months should also be included. 

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(Continue on separate sheet if necessary)

FINANCIAL

Although our fixed fee divorce does not include any work in relation to financial issues between you and your spouse, in order to enable us to consider whether you should take further advice in respect of those matters, it would be helpful for us to have the following information available:

What is your current gross income?

£ ........................ monthly/weekly (please delete)

What is your current net income?

£ ........................ monthly/weekly (please delete)

Are you in receipt of any State benefits such as Working Families Tax Credit,

Children's Tax Credit, Child Benefit, Housing Benefit, State Pension or any                  YES/NO

other State benefits?

If yes, please set out details of all benefits received and frequency of payment.

Do you have a private pension?                                                                         YES/NO

If yes, please indicate:

The amount and frequency you pay into the pension:........................................

How long have you had the pension?.....................................................

If more than one, please give similar details in respect of each individual pension.

Apart from the matrimonial home, do you or your spouse own any other properties? YES/NO

If so, please give details of the net value of all such properties, i.e. approximate sale price less any outstanding mortgages. 

Please give the approximate total value of all monies held by you in any bank/building society.

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Please give approximate total value of all monies held by your spouse in any bank/building society.

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Please give details of any monies held jointly by you and your spouse in any bank/building society. 

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Do you or your spouse own any items of significant value (over £500) , e.g. stock and shares, jewellery, etc? 

If so, please give details.

I confirm that I wish to proceed with the Stantons Fixed Fee Divorce and enclose/will send my initial payment of £350 prior to my first appointment.