NOTE: THIS DOCUMENT IS STRICTLY CONFIDENTIAL AND WILL ONLY BE SEEN BY THIS OFFICE.While some of the information we request may seem irrelevant, it is necessary if you decide to petition for divorceTodayWho referred you to us?PERSONAL INFORMATIONNameCurrent addressStreet/Apt. No.CityPostal CodeHome PhoneWork PhoneWhere would you like mail to be sent ? Same as aboveOrE-maul addressCan confidential information be sent to this e-mail address Yes NoYour occupationName and address of your employerYour approximate incomeFrom employmentFrom other sourcesYour birthdayYour birthplaceWhen did you begin to reside in OntarioYOUR SPOUSESpouse nameSpouseHomeYour spouseName and address of spouseSpouseFrom employementFrom other sourcesSpouseSpouseWhen did you spouse begin in reside on Ontario?Does you spouse have a lawyer Yes NoYour spouseNameAddressPhoneDETAILS OF YOUR MARRIEGEDate of marriegePlaceWifeWifeHusbandHave you been married before? Yes NoIf yesDate of previous divorcePlace of previous divorceDo you have a copy of the Certificate of Divorce or the Divorce Judgment Yes NoWhat was your spouseCHILDREN:(Under 18 years or still dependent on you or your spouse)NameAgeBirthdateNow living withNameAgeBirthdateNow living withNameAgeBirthdateNow living withNameAgeBirthdateNow living withCURRENT LIVING ARRANGEMENTSHave you separated Yes NoIf so, on what date?Who is living in the matrimonial home?Have you had marriage counselling? Yes NoIf yes, with whom?Do you think counselling would be helpful? Yes NoEXISTING AGREEMENTHave you signed a marriage contract, cohabitation agreement or other document dealing with rights between you and your spouse? Yes NoHave you sand your spouse any agreements in place (in writing or otherwise) regarding your respective right on separation? Yes NoLITIGATIONHave there been any court proceedings between you and your spouse Yes NoIf yes, please give detailsMATRIMONIAL HOMEAddressIn whose name is title?Approximate value todayMortagages totalWho is living there today?