FROM THE LAW OFFICE OF Licensed in Texas in 1983
PAMELA A. CALHOUN Member: Family Law Section, State Bar of Texas
440 Louisiana, Suite 900 Member: Family Law Section Houston Bar Assoc.
Houston, Texas 77002
713-236-7793 Office
713-236-7748 Fax Board Certified - Family Law -
713-906-0956 Mobile Texas Board of Legal Specialization since 1989
pcalhoun@pdq.net
www.calhounfamilylaw.com
CLIENT QUESTIONNAIRE FOR DIVORCE
CLIENT NAME: Date:
REFERRED BY:
The information provided by you in response to this questionnaire will help me organize your
case. The more thorough you are, the more efficient I can be. This will save time and money.
Notice of Confidentiality
The information in this document is subject to the attorney-client privilege and constitutes attorney
work product. This information is confidential and will not be disclosed to third parties other than
those to whom disclosure is made in furtherance of the rendition of professional legal services.
Do not be afraid to speak openly and honestly with me. My job is not to judge you. I will not be
shocked. It makes no sense to pay me a fee, then fail to provide me with all the information I need
to properly represent you.
Information About You
Name:
(first) (middle) (maiden) (last) (suffix)
Address (residence):
(city) (county) (state) (zip)
Mailing address, if different from above:
How long have you lived in Texas? In your current county?
Phone Numbers & other contact information:
Home Phone: Cell:
Work Phone: Fax:
E-mail:
Name, Relationship, Phone # & Address of person(s) to contact in case of an emergency:
Any restrictions on how this office should contact you?
Date of Birth: Age:
Place of Birth:
(city) (county) (state)
Social Security #: Texas DL #:
Your Employer's Name & Address:
Your Job Title: Length of Employment:
Your Gross Monthly Salary:
Do you have any other source of income? (i.e. trust income, interest income, bonuses, second
job, overtime, etc.) Yes No If yes, please explain source and amount:
Please provide this office with your last three (3) pay stubs and your last two years tax returns.
(this information is required by the court)
Your Education:
Have you been married before? Yes No If so, how many times?
Do you have children from a previous marriage? Yes No If yes, please provide
following information about each child:
Name: Age: Sex:
Date of Birth: Place of Birth:
Name: Age: Sex:
Date of Birth: Place of Birth:
Do you receive child support? Yes No If so, how much? $
How Often?
Do you pay child support? Yes No is so, how much? $
How often?
About your Spouse
Name:
(first) (middle) (maiden) (last) (suffix)
Address:
(city) (county) (state) (zip)
Telephone: Residence Cell
If your spouse lives in Texas, how long has he/she lived in Texas?
How long in current county?
Date of Birth: Age:
Place of Birth:
(city) (county) (state)
Social Security #: TDL #
Name of Spouse's Employer:
Employer's Address:
Spouse's Job Title: Monthly Salary:
Length of Employment:
Does your spouse have any other source of income (i.e. overtime, bonuses, interest income, trust
funds, etc.) Yes No If so, explain source and amount:
Attach last three paystubs if available.
Spouse's Education:
Has your spouse been married before? Yes No If so, how many times?
Does your spouse have children by a previous marriage? Yes No If so, please
provide the following information:
Name: Age: Sex:
Date of Birth: Place of Birth:
Name: Age: Sex:
Date of Birth: Place of Birth:
Does your spouse receive child support? Yes No If so, how much? $
How often?
Does your spouse pay child support? Yes No If so, how much? $
How often?
Date and Place of Marriage & Date of Separation
Date of Marriage: Place:
(city) (county) (state)
Date of Separation:
Will wife want a name change? Yes No If so, to what?
Do your marriage difficulties involve any of the following?
Drugs/alcohol Physical Violence Religion
Infidelity Sexual Disappointment
Incompatability Financial Disputes Other:
Note: This will be discussed in more detail as your case progresses.
Have you filed for a divorce against your current spouse before?
Has he/she filed for divorce against you before?
If you answered yes to either of the above two questions, please explain when the divorce was
filed and how it was disposed of:
About the Children of this Marriage
How many children do you have who are over 18 and out of high school?
Provide the following information about each child born during this marriage who is under
eighteen years of age, and who is eighteen or over and is still in high school.
Name: Sex: Age:
Date of Birth: Place of Birth:
SS #: Driver's License #:
Name: Sex: Age:
Date of Birth: Place of Birth:
SS # Driver's License #:
Will there be a dispute over custody of the children? Yes No
If not, who will have primary custody?
Where and with whom are the children living now?
List all property owned by the children:
Since the marriage have you received welfare or AFDC?
Is there medical insurance currently covering the children? Yes No
Name of Insurance Company
Policy # Who pays for coverage?
Is this coverage provided through a parent's employment? Yes No
If yes, which parent's?
If no, explain:
Summary of Marital Property
Note: This is just our first look at the property issues - we will get more detailed as the case
progresses. If more space is needed, please provide additional information on a separate sheet
of paper.
Real Estate - Do you and your spouse own any real estate? If so, list:
Street Address:
City, County, State, Zip:
Monthly Mortgage Amount:
Does this amount include taxes and insurance? Yes No
If not, are taxes and insurance current? Yes No
Who is currently living here?
Was this property purchased during the marriage? Yes No
If it was purchased prior to the marriage, by whom?
If not purchased by the spouses during the marriage or purchased by one of the spouses prior to
the date of marriage, how was it acquired, when, and by whom?
(for example: the property was received as a gift or was inherited)
Vehicles - For each car, boat, airplane, motorcycle, trailer, recreational vehicle, etc. that you
and/or your spouse own, please list:
Year Make Model
VIN # Serial #
Lienholder: Who drives?
Family Owned Business - Do you and/or your spouse own a business? If so, state the name of
the business and explain who runs it.
Bank Accounts - Please list the following information for each and every bank account held by
you, your spouse, or jointly by you and your spouse. (If account held in the name of one spouse
with a third party please note)
Name of Bank Acct #
Balance as of _____________________, 20____: $
Type of Account? Account in name of:
Other Assets - Please check if you and/or your spouse own any of the following:
Stocks, bonds, mutual funds
Retirement Benefits, Pension Benefits, 401(k)s, IRAs
Debts/Liabilities/Charge Accounts - Please list the following information with regard to all debts
owed by you and/or your spouse:
Name of Creditor: Acct #
Account in whose name? Balance Due:
What is debt for:
Who has been paying?