Fillable Printable Divorce Agreement Form - Michigan

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.

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:

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:

Weekly Gross Income $ Weekly Net (Take Home Pay) $

Deductions: (Taxes, pension s, union dues and medical insurance for children o nly.) $

Residence owned or rented? Highest Grade Completed in School:

3. Date of Marriage: By Whom Married:

Please indicate whether judge, minister, magistrate, etc.)

4. Place of Marriage:

City/Township County State

5. Previous married name of wife, if any:

Maiden Name:

6. Number of this marriage for Plaintiff _______ Defendant ___________

7. Wife's name restored, and if so, what name?

(If filing party is wife, there is no charge for restoration of prior name. Ho wever, if filing party is husband, we charge a

$35.00 processi ng fee to have prior name restored).

8. How long have you been a resident of your county? _______ years

9. How long have you been a resident of Michigan? _______ years

10. Date you last lived together as husband and wife: ____________, 200__. (Estimate if necessary)

Please list name, age(s) of birth of all minor children OF marriage:

NAME AGE S.S.# DATE OF BIRTH

11. Is wife pregnant? ____ Yes ____ No (to the best of your knowledge)

ANY children born during the marriage other than above? Explain below:

12. Address where each child is currently living:

13. Address where the children have lived for the last five (5) years, and with whom they lived at each address:

14. Has there ever been a custody matter regarding any of the minor children in a court of this state or another

state? ______ If yes, state where and what was involved:

15. Is there any person other than you and your spouse who has physical custody of any of your children or

who claims to have custody or visitation rights regarding any minor child in this case? ______ If yes, give

details and attach copies of any court orders:

16. Name any person other than you and your spouse in whose custody the minor children may be found or

kept during this divorce:

17. Who will have custody of the minor child or children in this divorce action?

______ Mother ______ Father ______ Joint physical and legal

18. What visitation schedule will the non-custodial parent have in this divorce action? (Please be specific)

19. What amount of child support will be paid by the non-custodial parent? $ __________ per week.

20. Who provides medical insurance for the minor child/children? ______ Mother ______ Father

Please list the insurance carrier, policy number, etc.

21. Have you or your spouse previously filed for divorce of this marriage? ____ Yes ____ No

22. Is either party receiving FIA assistance? ______ If so, how much and who receives it?_______________

23. Is there a non-support action by the Prosecuting Attorney or Social Services currently in progress?

(Applies to person on FIA assistance, etc.) ______ If so, has child support been ordered and in what amount

per week?

24. Is either party a member of the Armed Forces? ____ Yes ____ No

25. Joint property of the parties: ____ Yes ____ No ____ Been divided

(Provide legal descriptions and vehicle numbers prior to court date)

List of Property: (attach additional sheet of paper if necessary)

26. State here how you and your spouse have agreed to divide marital assets, debts, etc. (Assets include, but

not necessarily limited to: real estate, household goods, appliances, furniture, furnishings, bank accounts,

stocks, bonds, pensions, 401K's, automobiles motorcycles, other motor vehicles, boats and trailers.)

27. Have you divided all personal property and household furnishings, etc? ____ Yes ____ No

28. Where did you read or hear of Divorce Agreement?

(Please be spe cific: newspaper, friend, courthouse, etc.)

IMPORTANT: Will your spouse sign an acknowledgement of service in front of a Notary Public when he/she

receives copies of the divorce papers ____ Yes ____No; or will it be necessary to have him//her served by a

sheriff or process server where he/she resides? ____ Yes ____ No. If he/she must be served, what would be

the best time to have him/her served?

I have been a resident of the State of Michigan for ____ years, am of sound mind and make this appointment

of my own free will.

INSTRUCTIONS FOR SIGNING: If you are processing your case by mail, you MUST sign in the presence of

a Notary Public. You can usually find a Notary at any bank. Please do not sign until a Notary is present.

Date:

Plaintiff (Please sign in front of a Notary Public)

STATE OF MICHIGAN )

COUNTY OF ______________) ss.

Subscribed and sworn to before me this ____ day of __________, 200___.

Notary Public, __________ County, Michigan

My Commission Expires: