I have previously filled out this form with Washington Family Law Coach and have no changes.
I have previously filled out this form with Washington Family Law Coach and have the following changes.

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If you check the box above, please make your changes below then proceed to the next page.

Date of Birth

Birth Place

I am in the military at this time
I was in the military in the past
The other party is in the military at this time
The other party was in the military in the past

Date of Marriage

Date of Separation

I am not sure of the date of separation
I want to talk about what effect the date of separation may have on my case
The case has not been filed
I don’t know if the case has been filed. If it turns out that it has been filed, I will be the respondent and will need to respond in writing. We will discuss what steps are necessary during the initial phone interview and adjust the information and attorney time as necessary.

I want to:

file for a divorce
file for a legal separation
discuss the differences between a divorce and a legal separation and then decide

Click on the box if the following information may apply to your case or you want to discuss the matter further:

I know for certain where the other party is located/living
I do not know where the other party is located/living
I want to discuss the matter further
I am certain the other party will participate in this case
I am not certain the other party will participate in this case
I have not seen or heard from the other party in a long time
I want to discuss the matter further

Division of assets:

Pick the one that best fits your situation. More detail about assets will be filled out later.

Both parties agree what the division of assets should be: I keep everything I have in my possession and the other party keeps everything s/he has in his/her possession.
Both parties agree what the division of assets should be: I plan to provide a complete list of what each person will get at the beginning of the case.
I am fairly certain about what the division of assets should be, but the other side may not agree with me. I plan to provide a complete list of what I think each person should get at the beginning of the case.
I am not sure what the division of assets should be but want to get the paperwork started and file the case now. I will decide about asset division, debt allocation, and other matters in more detail after the case is filed.

The following section outlines assets that are involved in this case. Complete the section regardless of whether you and the other party have agreed to the asset division. Select each that applies or may apply to this case.

Furniture, Clothes, and Household Items

I have a list of specific furniture, clothes, and household items each person should get or keep and I can provide it at the beginning of the case
Each person should keep the furniture, clothes, and household items in his or her current possession
I do not know how the furniture, clothes, and household items should be divided and want to decide at a later date or have the court to decide at a later date
I want to discuss options regarding the furniture, clothes, and household items
Additional information the attorney needs to know

Real Estate (homes or land)

I have no real estate that was purchased or acquired before the marriage or after the separation date
The other party and I have no real estate that was purchased or acquired together between the date of marriage and the separation date
The other party has no real estate that was purchased or acquired before the marriage or after the separation date
I have real estate I purchased or owned before the date of marriage or after the separation date

I keep
Other party keeps
I want to discuss this

The other party has real estate s/he purchased or owned before the date of marriage or after the separation date

I keep
Other party keeps
I want to discuss this

The other party and I have real estate that was purchased or acquired between the date of marriage and the separation date

I keep
Other party keeps
I want to discuss this
Additional real estate to include
I want to remove/I want the other party to remove his/her name off the debt for this real estate
Additional information attorney needs to know

Additional real estate to include

Additional information attorney needs to know

I have no motorized vehicles that were purchased or acquired before the marriage or after the separation date
The other party and I have no motorized vehicles that were purchased or acquired between the date of marriage and the separation date
The other party has no motorized vehicles that were purchased or acquired before the marriage or after the separation date
I have motorized vehicles that were purchased or acquired before the marriage or after the separation date

I keep
Other party keeps
I want to discuss this

The other party and I have motorized vehicles that were purchased or acquired between the date of marriage and the separation date

I keep
Other party keeps
I want to discuss this

The other party has motorized vehicles that were purchased or acquired before the marriage or after the separation date

I keep
Other party keeps
I want to discuss this
The other party has motorized vehicles and I am not sure what they are
Additional motorized vehicles to include

Additional motorized vehicles to include

I want to remove/I want the other party to remove his/her name off the debt for this real estate

Additional information attorney needs to know

Additional information attorney needs to know

Jewelry & Artwork (worth more than $250)

Each party will keep jewelry and artwork in his or her possession right now.
Each party will keep the following jewelry and artwork

Hidden

I keep
Other party keeps
I want to discuss this

Additional jewelry and artwork to include

Additional information attorney needs to know

Retirement/pension
(includes but not limited to: Individual Retirement Account (IRA), TSP, PERS, FERS, 401(k) VIP, stocks, bonds, mutual funds, etc.)

I have no retirement/pension that was acquired or contributed to before the marriage or after the separation date
The other party and I have no retirement/pension that was acquired or contributed to between the date of marriage and the separation date
The other party has no retirement/pension that was acquired or contributed to before the marriage or after the separation date
I don’t know if the other party has retirement/pension

Accounts in my name

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Accounts in other party’s name

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Accounts in both parties’ names

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Additional retirement/pension to include

Additional information attorney needs to know

Other financial and banking accounts
(checking, savings, PayPal, trading, etc.)

I have no financial or banking accounts that were opened before the marriage or after the separation date
The other party and I have no financial or banking accounts that were opened between the date of marriage and the separation date
The other party has no financial or banking accounts that were opened before the marriage or after the separation date
I don’t know if the other party has open financial or banking accounts

Accounts in my name

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Accounts in other party’s name

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Accounts in both parties’ names

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

I keep
Other party keeps
I want to discuss this

Additional financial accounts not listed here

Additional information attorney needs to know

Other assets

I have listed in this form all assets/items of value that need to be divided
Other assets/items of value that need to be divided that are not listed here

I keep
Other party keeps
I want to discuss this

Hidden

Additional assets/items of value to include

Additional information attorney needs to know

DEBTS

Include debts for all parties that exist right now (even if the debt was acquired before marriage or after separation). Assign which party gets the debt. If you do not know who should get the debt, you have questions about the debt, or you want each party to get some of the debt, check the box for “I want to discuss this” Complete the following section regardless of whether you and the other party have agreed to the debt allocation. Select each that applies or may apply to this case.

know for certain, I have no debt that was acquired before the marriage or after the separation date (that is still owed)
I know for certain, the other party and I have no debt that was acquired between the marriage date and the separation date (that is still owed)
I know for certain, the other party has no debt that was acquired before the marriage or after the separation date (that is still owed)

Real Estate Debt

Neither party has a Mortgage, 2nd Mortgage, of Home Equity Line of Credit
One or both parties have a mortgage, 2nd Mortgage, or Home Equity Line of Credit

Debt is:

In both of our names
In my name
In other party’s name
I keep debt
Other party keeps debt
I want to discuss this
I want to remove or I want the other party to remove his/her name off real estate debt
I do not know if the other party has a Mortgage, 2nd Mortgage, or Home Equity Line of Credit

Additional Mortgage, 2nd Mortgage, or Home Equity Line of Credit

Additional information attorney needs to know

Credit Cards and Revolving debt

I know for certain, I have no credit cards or revolving debt that was acquired before the marriage or after the separation date (that is still owed)
I know for certain, the other party and I have no credit cards or revolving debt that was acquired between the marriage date and the separation date (that is still owed)
I know for certain, the other party has no credit cards or revolving debt that was acquired before the marriage or after the separation date (that is still owed)

Debt is:

In both of our names
In my name
In other party’s name
I keep debt
Other party keeps debt
I want to discuss this

Additional revolving debt or credit cards to include

I do not know if the other party has revolving debt or credit cards or I am not sure if I know all of the revolving debt or credit cards the other party might have.
I want to remove or I want the other party to remove his/her name off credit cards

Additional information attorney needs to know

Motorized Vehicle Loans

(cars/trucks, ATVs, snowmobiles, motorhome/camping trailer, motorcycles, boats, utility trailers, etc.)

There is debt associated with motorized vehicles currently owned by me
There is debt associated with motorized vehicles currently owned by the other party:

approximate debt

Debt is:

In both of our names
In my name
In other party’s name
I keep debt
Other party keeps debt
I want to discuss this

Additional debt for motorized vehicles to include

I do not know if the other party has debts for motorized vehicles or personal loans or I am not sure if I know all of the debts for motorized vehicles or personal loans the other party might have.
I want to remove or I want the other party to remove his/her name off motorized vehicle loans

Additional information attorney needs to know

Health Related Debts

I have medical/dental debt
The other party has medical/dental debt
I do not know if the other party has medical/dental debts or I am not sure if I know all of medical/dental debts the other party might have.

I keep
Other party keeps
I want to discuss this

Additional debt for medical/dental to include

Additional information attorney needs to know

Tax Debt

I have Internal Revenue Service (IRS) debt(s) or State Income tax debt that was incurred prior to marriage or after the separation date
The other party has Internal Revenue Service (IRS) debt(s) or State Income tax debt that was incurred prior to marriage or after the separation date
We have Internal Revenue Service (IRS) debt(s) or State Income tax debt that was acquired between the marriage date and separation date
I do not know if the other party has IRS or State Income Tax debt or I am not sure if I know all of IRS or State Income Tax debt the other party might have.

I keep
Other party keeps
I want to discuss this

Additional IRS or State Income Tax debt to include

Additional information attorney needs to know

Other Personal loans/debts Not Listed

I have personal loans or other debt to list
The other party has personal loans or other debt to list
I do not know if the other party has personal loans/other debts or I am not sure if I know all of personal loans/debts the other party might have.
I want to remove or I want the other party to remove his/her name off personal loans/other debts

I keep
Other party keeps
I want to discuss this

I Additional debt for other personal loans/other debts to include

Additional information attorney needs to know

Spousal Support or Maintenance (alimony)

I want to request spousal support from the other party
I want to pay spousal support to the other party
I do not want to pay spousal support to the other party
The other party may or may not request spousal support from me
I want to discuss spousal support

Attorney fees

I want to request each party pays his or her own attorney fees
I want to request the other party pays my attorney fees if I hire an attorney in the future
I do not want to request the other party pays my attorney fees even if I end up hiring an attorney in the future
I want to discuss payment of attorney fees if one is hired in the future

Restraining Order or Protection Order

I want to discuss getting a restraining order
I want to discuss getting a protection order

Name Change

I do not want to change my name
I want to change my name
The other party wants to change his or her name

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FAMILY LAW COACH

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Parenting Plan

Decision Making

Dispute Resolution

Custodian

Parenting Schedule

Location for pick up and drop off

Time for pick up and drop off

Parenting Time

Summer Schedule

Holidays

Other Provisions

Employment Information