Intake Form: Family Law

Matter Details

Please select one.

Marriage Information

Where were you married?

Child(ren) Information

Full Name / Date of Birth

Child Custody

Please explain in detail.

Child Support

Total and Paid percentage
Total and Paid percentage
Total and Paid percentage
Total and Paid percentage
Please explain expenses, (CHRONIC ILLNESS, ORTHODONTIA, LEARNING DISABILITY, ETC.)
Please outline any current agreement.

Assets & Debt

PLEASE LIST ANY ASSETS (ITEMS WITH A VALUE OF OVER $500) ACCUMULATED DURING MARRIAGE AND PROPOSED DIVISION (INCLUDING PERSONAL PROPERTY, REAL PROPERTY, RETIREMENT OR PENSION PLANS, STOCKS AND BONDS, BANK ACCOUNTS, VEHICLES, ETC.)
PLEASE LIST ANY SOLE AND SEPARATE PROPERTY OWNED BY YOU OR YOUR SPOUSE PRIOR TO MARRIAGE OR INHERITED OR GIFTED TO YOU OR YOUR SPOUSE DURING MARRIAGE.
LEASE LIST DEBTS INCURRED BY EITHER PARTY DURING MARRIAGE.

Spousal Maintenance

Temporary Orders

Please list all other issues or concerns.

Modification

Please be as detailed as possible.

Past Due Child Support (Contempt)

Supporting Document Upload

Please upload any documents relevant to this matter.

CONSENT CHECKBOX - I consent to receive communications from Gillespie, Shields & Taylor, including emails, text messages, and phone calls, for the purpose of receiving updates, important information, and legal assistance related to my inquiry or case. I also acknowledge and agree that by scheduling and attending a consultation with Gillespie, Shields & Taylor, I am responsible for the consultation fee as outlined. I understand this fee is due regardless of the outcome of the consultation, and I agree not to dispute this charge with my bank or credit card provider after services have been rendered.