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Marriage Dissolution Form

Use the following form to report to Attorney Michael S. Tuma’s Office the details of your marriage dissolution.

Be as complete as possible when filling out this request then click submit at the end. If you place your email as the reporting email, you will receive a copy of the submission immediately,

If you are human, leave this field blank.

Complete this form as much as possible. Fields marked with an asterisk are required.

This information is for attorney

Email of person submitting this information

Today’s Date

If you were referred to Mike Tuma by another attorney, list that name here

Client Information

Client full legal name *

Client maiden or former names

Client age *

Client email address *

Client address *

Country

City

State

Zip code

Client length at address?

Client phone *

Client occupation/employer *

Client employer address *

Country

City

State

Zip code

Years client worked there *

Client employer phone *

Client salary *

Client gross or net *

Gross

Net

Client pay period *

Hourly

Bi-weekly

Weekly

Monthly

Annually

Spouse Information

Spouse full legal name

Spouse maiden/former name

Spouse age

Spouse email address

Spouse address *

Country

City

State

Zip code

Spouse length at address?

Spouse phone number *

Spouse employer

Spouse years at employer

Spouse employer phone

Spouse employer address

Country

City

State

Zip code

Spouse salary

Spouse gross/net

gross

net

Spouse payment period

Hourly

Weekly

Bi-weekly

Monthly

Anually

Marriage information

Date of marriage

Place of marriage – city, county, state

Date of Separation

Details of separation

Children Information

Child 1 full legal name

Child 1 address

Country

City

State

Zip code

Child 1 date of birth

Child 1 age

Child 2 full legal name

Child 2 address

Country

City

State

Zip code

Child 2 date of birth

Child 2 age

Child 3 full legal name

Child 3 address

Country

City

State

Zip code

Child 3 date of birth

Child 3 age

Child 4 full legal name

Child 4 address

Country

City

State

Zip code

Child 4 date of birth

Child 4 age

Use this space to include additional children or other details.