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About Us
Our Team
Location
Success Examples
FAQ
Services
Annulments
Child Custody & Visitation
Child Support
Divorce & Domestic Partnership Dissolution
Domestic Violence Restraining Orders
Legal Separation
Mediation
Paternity / Parentage
Post Judgment Issues
Prenuptial Agreements
Property Division
Spousal Support
Step Parent Adoption
Info Center
Contact Us
Make a Payment
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Client Information Form – Pre & Post Nuptial Agreements
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Client Information Form – Pre & Post Nuptial Agreements
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This form is only to be used by potential clients of Mesnik Law Group. Please fill this form out as completely as possible. Note, all data entered in this form will be kept strictly confidential if (and only if) you are a potential client of Mesnik Law Group, Inc.
Client's Full Name
*
Other Names/Aliases
Date of Birth
*
MM slash DD slash YYYY
Addresses
Home Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Contact Information
Cell/Mobile Phone
*
Home Phone
Work Phone
Personal Email
*
Only include if you approve for us to use
Work Email
Only include if you approve for us to use
Employment
Current Employer Name
*
Please indicate N/A if unemployed
Position
Date Started Current Job
MM slash DD slash YYYY
Approximate if needed
Hours Work Per Week
Gross Monthly Income
*
Before Taxes (put zero if unemployed)
Avg Bonus, Profit Sharing
Monthly average
Housing, BAH, BAS
Monthly
Personal Information
Social Security Number
Drivers License / State
Military Service
*
Never
Active
Retired
Proposed or Actual Wedding Date
MM slash DD slash YYYY
Leave Blank if Unknown
Minor Children
*
Please enter a number greater than or equal to
0
.
(How Many)
Previous Marriages
*
(How Many)
Purpose & Goals of the Agreement
*
How Did You Hear About Mesnik Law Group?
Other Party's Information
Other Party's Full Legal Name
*
Other Names/Aliases
Date of Birth
MM slash DD slash YYYY
Home Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Work Address
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Mobile Phone
*
Home/Work Phone
Email
*
Employer Name
*
Please indicate N/A if unemployed
Position
Date Started Current Job
MM slash DD slash YYYY
Hours Per Week
Gross Monthly Income
*
Before Taxes (put zero if unemployed)
Avg Bonus, Profit Sharing
Monthly
Housing, BAH, BAS
Monthly
Social Security Number
Drivers License / State
Military Service
*
Never
Active
Retired
Minor Children
*
Please enter a number greater than or equal to
0
.
(How Many)
Previous Marriages
*
(How Many)
Other Party's Attorney Name Contact Information
(If they already have one)