Free Fee Quote Form *

* For answers to basic fee questions, please see Answer #2 in our Frequently Asked Questions section.

First Name Only:


Private email, phone or contact:


Date of marriage:    

Date of separation:  

Describe your relationship:

Married, living together
Separated, haven't filed for divorce
Separated, divorce has been filed
Divorced, both living alone
Divorced, I'm now re-married
Divorced, ex is re-married
Divorced, both are now re-married
Living together, not married
Not living together, never married
Other situation:
 

Your age:  

Your occupation:
 

Your gross yearly income:
$

• • • • • • • • • •

Other spouse/parent/partner's age:  

Other spouse/parent/partner's occupation:
 

Other spouse/parent/partner's yearly income:
$

• • • • • • • • • •

How many children from this relationship?:  

Child/children's age(s):  

Major assets (approximate value):

Home:
$
Vehicle(s):
$
Investments (& other property):
$
Stocks, bonds:
$
Cash, savings, checking:
$
Other assets:
$
Not sure of assets

Major debts (approximate value):

Home mortgage(s):
$
Vehicle loan(s):
$
Credit card(s):
$
Personal loan(s):
$
Medical bills:
$
Rental mortgage(s):
$
Taxes:
$
Other:
$
Not sure of debts

Would both of you consider mediation?

Yes
Yes, but not sure about spouse
Yes, but not my spouse
No
What's mediation?

Please give us a brief description of your situation and concerns.   Do NOT include information that may be confidential or considered an admission.

To submit this form, please enter the
characters you see in the above image:   Why?

          © 2007 Robert J. Baumer