Application for Divorce (With Children, Property and or Debts)
(Do you Not Have Children, Property and or Debts? If not, Click Here).

= Required, = Not Required.

Your Full Name:
Your Address: (Street, City, State and Zip)
Your Email:
Your Telephone Number:
Your Social Security Number:
Your Date of Birth (Month, Day, Year):
Your Driver's License Number:
Your Ethnicity:
Name of your Employer:
Employer's Address:
Employer's Telephone:
Full Name of your Spouse:
Your Spouse's Address:
            (Street, City, State and Zip)
Your Spouse's Telephone Number:
Your Spouse's Social Security Number:
Your Spouse's Date of Birth
            (Month, Day, Year):
Your Spouse's
                    Driver's License Number:
Your Spouse's Ethnicity:
Spouse's Employer:
Spouse's Employer's Address:
Spouse's Employer's Telephone:
Date and place of the Wedding:
            (00/00/00, City and State)
Full Name of the Wife that
            she will use After the Divorce:

Nevada requires one of you to be a resident of Nevada.
To prove this you need to have someone who will swear on a Document that they know you,
and that they're a Resident of Nevada and that they know you are a Nevada Resident also.

Name of the Resident Witness:
A Resident Witness is a person that can verify under oath that they are a bona fide resident of the State of Nevada, know you personally for an extended period of time, sees you frequently, and can verify that you are a resident of Nevada.
Their Telephone Number:
Address of the Resident Witness:
How Long has the Resident Witness
             Lived in Nevada?
When did the Resident Witness
             First See you in Nevada?
How often does the Resident Witness
             See you?
What is the Relationship between the
    Resident Witness and you? (Friend, Family etc..)

(End of Residency)

The Reason for the Divorce? (Check One)

During the course of said marriage, the taste, mental disposition, views, likes and dislikes of Plaintiff and Defendant have become so widely divergent that the parties have become incompatible in marriage to such an extent that it is impossible for them to live together as husband and wife; that the incompatibility between Plaintiff and Defendant is so great that there is no possibility of reconciliation between them.
That the Parties have lived separate and apart for more than one year and it is impossible for them to live together as husband and wife; there is no possibility of reconciliation.
Incompatibility

Please list any other Reasons
for the Divorce that you may have here:
Address, Fax or E-mail you want the
            finished documents sent to?
What Type of Service
            are you Requesting?		    Full Service
   Documents Only
   Certified copy of Decree ($5.00 each)
Are Both Parties Signing?    Yes        No



Wife's List of Properties and Debts (if any):
i.e., vehicles with VIN numbers, banking accounts with last for digits of
account number, furniture, credit cards with last for digits of account number, etc.


Husband's List of Properties and Debts (if any):
i.e., vehicles with VIN numbers, banking accounts with last for digits of
account number, furniture, credit cards with last for digits of account number, etc.



Legal Custody Details for Children (if any):
Custody
by
Individual

Physical Custody Details for Children (if any):
Custody
by
Individual



Who Will Maintain Medical Insurance (for the children, if any)?



Normal Visitation Schedule:
List pick up and drop off days and times for the Father.List pick up and drop off days and times for the Mother.

Holiday Visitation Schedule:
List pick up and drop off days and times for the Father. Who gets odd years? Who gets even years?List pick up and drop off days and times for the Mother. Who gets odd years? Who gets even years?



Will either of you be paying Child Support? If so who and how much?
(Please state reasons for amount agreed upon , i.e., offsets, presumptive maximum limit, etc.)

Is this amount in compliance with NRS 125B.070?
NRS 125B.070 requires the non-custodial parent to pay 18%, 25%, or 29% of his/her monthly gross income for 1, 2, or 3+ children, respectively. However, there are presumptive maximum limits based on the parent's monthly gross income.



Non-custodial Parent's Monthly Gross Income (If known):$


Does this case involve family violence?



Are you requesting IV-D services? (Help for Child Support from the DA'S Office.)


Children Involved in Case (if any).

1
Child's Name:


Social Security Number:

 State of Residence:


Date of Birth:

 Blood Relation:

2
Child's Name:


Social Security Number:

 State of Residence:


Date of Birth:

 Blood Relation:

3
Child's Name:


Social Security Number:

 State of Residence:


Date of Birth:

 Blood Relation:

4
Child's Name:


Social Security Number:

 State of Residence:


Date of Birth:

 Blood Relation:

Do you have More than 4 children?



How did you find us?
Short Explanation for the Divorce:


I Agree
I Do Not Agree

         




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