Divorce Agreement Form - Michigan

DIVORCE AGREEMENT
"A COMPLETE DIVORCE SERVICE"
5240 Portage Road, Portage, Michigan, 49002
Kalamazoo: (269) 345-1173
PLEASE ANSWER ALL QUESTIONS. YOUR DIVORCE ACTION WILL BE PREPARED FROM THE INFORMATION
SUPPLIED ON THIS APPLICATION.
(PLEASE BE AWARE THAT IT IS A CRIME TO FILL OUT THIS APPLICATION WITH
FACTS YOU KNOW ARE FALSE, OR LEAVE OUT FACTS THAT YOU KNOW ARE IMPORTANT. ) IF YOU ARE PROCESSING
YOUR CASE BY MAIL, PLEASE RETURN THIS APPLICATION WITH YOUR CHECK OR MONEY ORDER IN THE
AMOUNT OF $_______________ MADE PAYABLE TO DIVORCE AGREEMENT.
1.
PLAINTIFF (Filing Party)
(Your Full Name) Eye Color
PHONE NUMBERS:
HOME:
Alias______________ Hair Color
BUSINESS:
S.S.# __________________ Height
Date of Birth:
Driver's Lic. #___________ Weight
State of Birth:
Scars, tattoos, etc.________ Race
ADDRESS:
Street City State Zip
County, Michigan OCCUPATION:
Length of Employment: years ______ months EMPLOYER:
Weekly Gross Income $ Weekly Net (Take Home Pay) $
Deductions: (Taxes, pension s, union dues and medical insurance for children only.) $
Residence owned or rented? Highest Grade Completed in School:
2.
DEFENDANT
(Your Spouse' s Full Name ) Eye Color_________
PHONE NUMBERS:
HOME:
Alias______________ Hair Color
BUSINESS:
S.S.# __________________ Height
Date of Birth:
Driver's Lic. #___________ Weight
State of Birth:
Scars, tattoos, etc.________ Race
ADDRESS:
Street City State Zip
County, Michigan OCCUPATION:
Length of Employment: years months EMPLOYER:
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