If you find yourself with questions to ask the attorney as you fill out these pages, please jot notes down here. You can also use this page to make notes on as you talk to the attorney. You can also use this page to make notes on items you might need to bring back. Make sure before you leave, you have signed a contract and gotten a copy of the contract specifying the payment terms and terms of what the attorney is actually going to do for you. Also make sure that you have signed in on the sign in sheet up front.

I NEED TO ASK:

I NEED TO BRING WITH ME NEXT TIME:

I HAVE A FOLLOW UP APPOINTMENT WHEN?

I HAVE SIGNED THE CONTRACT?

I HAVE RECEIVED A COPY OF THE CONTRACT?

I HAVE LEFT A COPY OF ANY IMPORTANT PAPERS WITH THE ATTORNEY THAT THEY MAY NEED.

I UNDERSTAND THAT IF MY PHONE NUMBERS AND ADDRESS CHANGE I NEED TO CONTACT THE ATTORNEYS IMMEDIATELY.

Your name ____________________ Work No.______________ Home No.______________ Cell No.____________ Fax No. ____________ E-mail Address: ______________ Pager: _____________ Next of Kin Phone Number __________ Friend Number _______

You are male or female ____ Age ____

(C**) Case No. & Judge Initials (if known) _________________

Custody _____ Temporary Custody _____ Legal Custody ___ Adoption ___

Divorce _____ [Contested ____ Uncontested ____]

Modification ______ Rule Nisi (Abuse, Failure to pay child support, failure child visitation) Crime by child ______ Family Court ______ Divorce Court ______ Other _______.

(W1)Witness(es):________________________________________________________________(W1A)Street Address of Witness(es) _____________________________________________(W1B)City, State, Zip __________________________________________________________

What will the witness testify to: ______________________________________________

Additionally, if this is a divorce, we need to know who wants what, and who is going to contest what item, if the property is not already divided. Remember, you are paying $150.00 per hour (or legal services is paying by the hour for you) to fight about these assets, please make sure when you are discussing fighting over them with your husband or wife, to make sure they are worth what you or legal services is paying us to fight over them.

H2 HUSBAND FULL NAME ______________________________

Any Prior Names husband ever used? (nickname, uses middle name, alias, etc. _______________________________________

H3 Date of Birth of Husband _______________________

H4 Race of Husband ________________________________

H5 Husband Education Level ________________________

H6 Husband SS# ____________________________________

H7 Husband State of Residence _____________________

H8 Husband County of Residence ____________________

H9 Husband City of Residence ______________________

H10 Does Husband live inside the City Limits of the City of his Residence or does he live in the county? _____________________

H11 Husband Street Address & Zip & Phone ____________________________________

(Add to P1, D1 for address and name) ____________________________________

H12 Number of This Marriage for Husband (First, Second) ________

H13 If Husband Previously Married, last marriage ended by Divorce ___ Separation ___ Annulment ___ Death ___

Husband Employer Name ________________________________

Husband Employer Address _____________________________

Husband Employer Telephone Number ____________________

Husband Job 1 Wages per hour ______ # hours per week _____ overtime hours ave._____ Salary ____ Another Job? ______ If so, wages ____

Day care expenses paid if any ______ Medical Insurance paid if any ______

W14 WIFE'S FULL NAME __________________W15 Wife's Maiden Name ________________W15A Wife's Prior Married Name(s) ___________________

W16 Date of Birth of Wife _____________

W17 Race of Wife ______________________

W18 Wife Education Level ________________

W19 Wife SS# _______

W20 Wife State of Residence _____________

W21 Wife County of Residence ____________

W22 Wife City of Residence ______________

W23 Does Wife live inside the City Limits of the City she resides in or does she live in the County? _____________

W24 Wife Street Address & Zip & Phone ___________________________________

(See P1, D1 for address and name)______

W25 Number of This Marriage for Wife (First, Second) _________

W26 If Wife Previously Married, last marriage ended by Divorce ___ Separation ___ Annulment ___ Death ___ (Add to P1, D1 for address and name) ________________

Wife's Employer Name ________________________________

Wife's Employer Address _____________________________

Wife's Employer Telephone Number ____________________

Wife’s Wages per hour ______ # hours per week _____ overtime hours ave._____ Another Job? ______ If so, wages ____

Day care expenses ______ Medical Insurance Costs ______

27 Number of Child(ren) of this Marriage _____

28 Number of Minor Child(ren) in This Marriage (under 18)_____

Names of Child(ren) D2(41): _____________________

Father of Child(ren): ___________________________

Mom of Child(ren): ______________________________

Date of Birth of Child(ren) D2(40) ______________

D2(29) child(ren) SS# ___________________________

Who does the child(ren) live with currently? ______________Please give names and addresses _______________________________________________________________

D2(29)Date of Separation

D2(31)Place of Marriage D3(32)Date of Marriage

County, City, State

Have any legal proceedings ever been filed as a result of this marriage? Yes ___ NO ____ If so, what county?________ Result? _________________________________

Attorney's Name that filed proceedings _______________________________________ City of Residence of atty _______________ Address of atty if known ______________________ Phone number of atty if known _____________ Please provide us immediately with a complete copy of any previous domestic proceedings even from decades ago.

Custody _____ Temporary Custody _____ Temporary Support ____ Legal Custody ___ Adoption ___ (special form)

Divorce _____ [Contested ____ Uncontested ____]

Modification ______ Specifically which provision(s) do you want to modify. We need a copy of the court order.

Rule Nisi (Abuse, Failure to pay child support, failure child visitation)

Specifically – what has your ex-spouse done wrong. When. How many times. What have you done to document what your spouse has done wrong. How much does your spouse owe you in back child support.

Crime by child – What did your child get arrested for. What does your child say he/she did. What do witnesses say he/she did if you have talked to them.

______ Family Court ______ Divorce Court ______ Other _______.

If either of you have ever had any criminal proceedings filed against you and whether these are still pending and whether you need us to assist you in a pending criminal case. Also, if you are going to go to trial on your divorce case we would need to know if you were convicted for theft for example as it is a crime of dishonesty and may bear on whether the judge believes your side. We need to know the crime charged, the court pending in, and the crime convicted of:

If either of you signed a prenuptial or antenuptial agreement we need a copy of it:

If you want to change your will to disinherit your soon to be ex-spouse:

This is a separate fee and a separate service, please feel free to make an appointment.

If either of you have ever filed bankruptcy or whether you would like us to advise you on bankruptcy law before filing for divorce.

Is there any other legal matter you need advise on before filing divorce? Please so state here, and set an appointment to discuss this matter.

Other information you need to tell us about the particular legal matter you are here for today.

List all assets belonging to either of you, INCLUDING BUT NOT LIMITED TO THE FOLLOWING. For value put the fair market value you could get if you sold the asset today by putting an ad in the paper (without deducting what is owed on the asset). List all creditor information for each asset as requested below. You can attach bills and do not have to re-list the information on the bills like the creditor name, address, account number, and balance and so forth if it’s on the bill. Make photographs of all the assets in your home and put them in a safe place, in case your spouse comes and removes the items from the home while you are gone. Photographs (The nice thing to do is to divide these evenly, and make copies of photos that can’t be divided.)

House Street Address: Value:

Other Buildings and/or Real Estate: Value:

Equity in home and other assets if mortgage is paid off:

List every persons name that is on the title. We will need a copy of each of the deeds for each parcel of real estate that you or your spouse has any interest in.

CREDITOR: List Name, address, account no., interest rate on contract, account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

For your information: There is an additional charge to prepare a deed taking a spouses name off of a piece of property. Additionally, there are extra recording fees at the court house when you or your spouse records the new deed.

For each vehicle list make, model, VIN# and year and creditor information requested below and if all vehicles are already divided, please state who is keeping which:

List Identifying Information Regarding All Vehicles Titled in Husband's Name

List Identifying Information Regarding All Vehicles Titled in Wife's Name

List Identifying Information Regarding All Vehicles Titled Jointly

List Sport Utility Vehicles (Motorcycles, Watercraft, 4 Wheeler’s, etc.)

Is there any dispute over any of the above vehicles? If so, state who has the asset, and whether the dispute can be resolved or will have to be taken to court in front of the judge for the judge to decide.

CREDITOR: List Name, address, account no., interest rate on contract, account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

Circle those that apply, put the brand name, and how many of each you have, and list a value out to the side of the item. Please indicate clearly if there is any dispute over any of these items.

No mark means to us that you have either already divided these assets and do not want them mentioned in your papers, or there is no asset by that description.

Microwave Stereo T.V.

V.C.R. C.D. Player Frig

Washer/Dryer Dishwasher Stove

Other:

(Do not forget to divide the coffee pot, toaster, dishes, pots and pans, dish cloths, and other small kitchen appliances.)

CREDITOR: List Name, address, account no., interest rate on contract (we need a copy of these contracts), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also. Alabama Power, Circuit City, Sears, Security Pacific, or other creditors may have a lien on your appliances, for example.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

(Circle those that apply, put how many of each you have, and list a value out to the side of the item) (Also indicate if there is any dispute over any of these items.) (No mark means to us that you have either already divided these assets and do not want them mentioned in your papers, or there is no asset by that description.)

Jewelry – Husband:

Jewelry – Wife:

Personal Items/Clothes – Husband:

Personal Items/Clothes – Wife:

Leather Coats/ Furs:

CREDITOR: List Name, address, account no., interest rate on contract (we need a copy of these contracts), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also. Companies like Zales, Lorches, etc. may keep a security interest in the debt until it’s paid for.

For each debt list whether you and your spouse are in agreement over who will pay for the debt.

Please be as specific as you can. These forms are designed to save you time and money and to help you in the long run with your divorce. While you are sitting here filling this out, be thinking about the money we are saving you. We designed the forms to be able to charge you less for reviewing the information than we would have to charge you to sit here and fill this out ourselves with you. These forms also ask you questions in the order we use the information in our divorce paperwork and that also saves you money for our time.

This includes photography equipment of any description; sporting goods e.g. fishing, hunting, softball, football, sewing equipment, collections of any descriptions, libraries, and so forth:

Hobby Equipment Wife:

Hobby Equipment Husband:

Lawn and Yard Equipment:

Tools:

Other:

CREDITOR: List Name, address, account no., interest rate on contract (we need a copy of these contracts), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

(Circle those that apply, put how many of each you have, list the name brand and list a value out to the side of the item) (Also, indicate if there is any dispute over any of these items.) (No mark means to us that you have either already divided these assets and do not want them mentioned in your papers, or there is no asset by that description.)

Couch/Chairs: Table/Chairs: Beds/Dresser/Chest/Wardrobe:

Bathroom and bathroom appliances: Computer:

Office Equipment: Misc. Other:

CREDITOR: List Name, address, account no., interest rate on contract (we need a copy of these contracts), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also, if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also. Folks like Standard Furniture, Marks Fitzgerald, may have kept a security interest in the furniture.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

Retirement Accounts Wife: Retirement Accounts Husband:

Work/Company IRA or investment accounts:

Stocks, bonds:

Other:

It is a good idea to close any joint bank accounts and open up an individual account, but make sure that you advise your spouse you have closed the account.

CREDITOR: If there are any liens against any bank accounts, or if you have pledged any of these accounts as security, please List Name, address, account no., interest rate on contract (we need a copy of these contracts), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

This set of debts includes priority, and regular unsecured debts and are categorized as easily as we can for you. There are several reasons that we need to see any contracts that you or your spouse might have signed: It tells us who signed the contract; date of signing, interest rate, addresses for contact, whether the loan was cross-collateralized with another loan, etc.

(B2) Examples of priority debts are debts to the government such as debts for TAXES CHILD SUPPORT STUDENT LOANS

CREDITOR: Please List Name, address, account no., interest rate on contract (we need a copy of these contracts, garnishments, lawsuits, tax liens, judgements levied against you, and so forth – In other words any piece of paper on any of these bills), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for a debt of any description with anyone else including a family member, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these debts is in dispute.

UNSECURED DEBTS: Credit Cards: GAS: STORES WHERE YOU MAY HAVE CHARGING PRIVILEGES: SEARS: AMERICAN EXPRESS: MASTERCARD: VISA: DISCOVER: OTHER: (This also includes every debt that you or your spouse have co-signed with anyone on.) (loans to or from parents need to include names addresses phone numbers and amounts)

CREDITOR: Please List Name, address, account no., interest rate on contract (we need a copy of these contracts, if any), account balance, date debt incurred, and name of all party(s) that signed on the contract including parents and friends. Also if you or your spouse have co-signed on a contract for an asset of any description, please make note of all of the information on this debt also.

For each creditor listed, please state if you and your spouse are in agreement over who will be responsible for these debts or whether who will pay for these

debts is in dispute.

CONTRACT SIGNED ______

FILING FEE PAID OR WILL BE PAID WHEN? ________

ATTORNEY FEE PAID AMOUNT OF RETAINER? ________

CLIENT UNDERSTANDS THAT NO LEGAL SERVICES WILL BE PERFORMED UNTIL ATTORNEY FEES ARE PAID FOR.

____________________ __________

CLIENT SIGNATURE DATE

32 Petitioner - who we represent - husband _____or wife ______

33 Attorney - CARLISLE & CARLISLE, P.C.

34 Attorney Address 1621 Pinson St., or P.O. Box 170766, B'ham, AL 35217

35 What does client want us to do for them? Divorce ____, Custody ____, Modification ___, Rule Nisi ____, Appeal ____, Annulment ____, Separation ____, Termination of Parental Rights ____, Adoption _____, Temporary Support ____, Temporary Custody ____, Temporary Restraining Order ____, other legal services desired _______________________

36 Describe Spouse approximate height _____, weight _____, eye _____ and hair color _____

STYLE

P12 Plaintiff Name ____________________________

P1A Street Address ____________________________

P1B City, State, Zip __________________________

D1 Defendant Name ____________________________

D1A Street Address of Witness ____________________________

D1B City, State, Zip __________________________

County Defendant Lives In _______________________

(P1 or D1) Plaintiff or Defendant

HEADING OF EACH ADDITIONAL PAGE

(A**) Last Name Only (Name vs. Name) ____________

(B**) Page Number (heading) _____

SEX

(S2**) he or she __________

(S1** hers or his __________

(D2**) Date of Pleading or Today _______________

(F**) cc: Spouse's Attorneys Name ____________________ Address ________________ Phone Number___________ Fax Number ___________