Divorce Worksheet - The Martin Law Firm

1 Divorce Worksheet Division of Marital Property, Assets & Debts This Worksheet is to be used by individuals contemplating a Divorce . Completing this form prior to your initial meeting with your Divorce attorney may save you valuable time and money. The Martin Law Firm, Jason B. Martin , Esquire 725 Skippack Pike, Suite 337 Blue Bell, PA 19422 (215) 646-3980 Divorce Worksheet 1 | P a g e Legal Disclaimer This whitepaper is a public resource of general information and may not apply to particular factual or legal circumstances. It is intended, but not promised or guaranteed to be correct, complete and up-to-date.

2 The whitepaper and information contained herein is not intended to be a source of solicitation, legal advice or opinions and should not be relied upon as such. The Martin Law Firm only provides legal advice after having entered into an attorney-client relationship, which the whitepaper specifically does not create. An attorney-client relationship will only be created with a written, signed agreement with The Martin Law Firm. It is extremely important and imperative that any action taken be done on advice of counsel. Links contained within the whitepaper are not intended to be referrals or endorsements of the linked entities.

3 The Martin Law Firm, 725 Skippack Pike, Suite 337 Blue Bell, PA 19422 (215) 646-3980 Divorce Worksheet 2 | P a g e Divorce Worksheet Division of Marital Property, Assets & Debts Your Information Name: _____ Address: _____ _____ DOB: _____ Phone: _____ Email: _____ Your Spouse Name: _____ Address: _____ _____ DOB: _____ About the Author Jason B. Martin , Esq. is a Pennsylvania family law attorney and the founder of The Martin Law Firm, The Martin Law Firm s family law practice includes representation for Divorce , child custody, child support, alimony and spousal support matters. From our office in Blue Bell, Montgomery County, PA, we regularly represent clients throughout Montgomery, Bucks, Chester, Delaware and philadelphia County.

4 Contact The Martin Law Firm to schedule a free case evaluation for your family law matter. (215) 646-3980 Divorce Worksheet 3 | P a g e Information About Your Marriage Date of Marriage: _____ City, State and County of Marriage: _____ Previous marriages? _____ Spousal Support Sought Custodial parent will seek spousal support in the amount of $_____ per month. Custody Who will have custody of the children? _____ Who will pay child support? _____ Child Support [ ] My spouse and I agree on child support in the amount of $_____ for all children listed. (We still must complete a child support Worksheet for you and the court can still order support according to state guidelines.)

5 OR [ ] Child support will be computed based on the state guidelines. When will support begin? _____ Which day of the month will support be due? _____ Life Insurance and Medical Information for Children Who will provide medical insurance for the children? _____ Dental? _____ Vision? _____ Divorce Worksheet 4 | P a g e Is this insurance available through employment or union? _____Yes _____No For uncovered medical, dental and vision expenses, husband will pay _____% and wife will pay _____%. Will the parent paying child support be required to maintain life insurance? _____ If yes, how much? $_____ Tax Matters The children will be claimed as dependents for taxes as follows: [ ] Mother will claim the children.

6 [ ] Father will claim the children. [ ] We will alternate claiming the children. [ ] We will each claim one or more of the children. Father will claim the following children: _____ Mother will claim the following children: _____ Marital Home [ ] You will remain in the marital home. [ ] Your spouse will remain in the marital home. [ ] The home will be sold, and the net proceeds will be divided in the following percentages: You: _____% Your spouse: _____% Divorce Worksheet 5 | P a g e Your Children Please provide the name, date of birth, social security number and name of parent(s) (if different than the above listed parties) of your children: Name: _____ DOB: _____ SSN: _____ Parent(s): _____ Name: _____ DOB: _____ SSN: _____ Parent(s): _____ Name: _____ DOB: _____ SSN: _____ Parent(s): _____ Name: _____ DOB: _____ SSN: _____ Parent(s).

7 _____ Divorce Worksheet 6 | P a g e Child Support Computation Information Gross income for each party: Mother: $_____ Father: $_____ Name of employer: Mother: _____ Father: _____ Child care costs (day care costs needed while a parent works or seeks employment). Indicate amount and which parent pays. Amount: $_____ Paid by: _____ Number of children under age 21 from other marriages or relationships that each parent has to support: Mother: _____ Father: _____ Amount paid for health insurance for children Amount: $_____ Paid by: _____ If this parent is required to maintain his/her own health insurance in order to insure the child, what is the amount paid for this parent s insurance?

8 Amount: $_____ Amount of spousal support or alimony either parent is paying or receiving: Amount: $_____ Paid by: _____ Amount of Social Security or Veterans Benefits, if any, received: Amount: $_____ Divorce Worksheet 7 | P a g e Financial Information Balance Sheet Assets Spouse 1 Spouse 2 Joint House Checking accounts Savings accounts Certificates of Deposit Stocks Bonds IRAs Retirement plans Pension plans Life insurance Business property Accounts receivable Loans (lender) Vehicles Boats Jewelry Clothing Sporting equipment Collections Other assets Total Assets: Divorce Worksheet 8 | P a g e Liabilities Real estate mortgage: _____ Home equity loan: _____ Credit card debt: _____ Vehicle loans: _____ Student loans.

9 _____ Other debts: _____ Total Liabilities: Net Worth (Assets Liabilities): $_____ Monthly Income Spouse 1 Spouse 2 Joint Salary (gross) Bonuses/Commissions Investment accounts Rental property Other income Total Income (Monthly): Divorce Worksheet 9 | P a g e Monthly Expenses Spouse 1 Spouse 2 Joint Housing (mortgage & taxes) Auto (loans/expenses) Food Clothing Child care & education Income taxes Insurance Utilities Phone Health care/medicine Recreation Student loans Home maintenance Miscellaneous Total Expenses: Other Information.