Premarital Agreement Questionnaire

Please have this Information Packet completed prior to our initial meeting. We would appreciate your providing us with the information prior to our meeting so that we have enough time to understand the specifics of your situation before our meeting. If you need assistance completing the information, call our office at (925) 933-9047 and we will help you.

DON’T WORRY ABOUT TOTAL ACCURACY - JUST DO THE BEST YOU CAN WE LOOK FORWARD TO SEEING YOU!!!

ALL INFORMATION IS STRICTLY CONFIDENTIAL

Personal Profile

Client Full name*

First Last

Other names used

Home address*

Street Address Address Line 2 City State ZIP Code

Is it OK to send mail to the above address?*

Yes
No

please provide a mailing address*

County of Residence*

Home Phone*

Work Phone*

Facsimile*

Is it OK to send faxes to the above fax number?*

Yes
No

please provide a fax number*

Cell Phone*

Email address*

Is it OK to send email to the above email?*

Yes
No

please provide an email address*

Occupation*

Employer

Social Security Number*

Date of Birth*

Period of Residence in California*

Are you a U.S. Citizen?*

Yes
No

Contemplated Spouse Full name

Client Full name*

First Last

Other names used*

Other names used

Home address*

Street Address Address Line 2 City State ZIP Code

County of Residence

Home Phone*

Work Phone*

Facsimile*

Cell Phone*

Email address*

Occupation*

Social Security Number*

Date of Birth*

Period of Residence in California*

Are you a U.S. Citizen?*

Yes
No

Date of Contemplated Marriage*

Place of Contemplated Marriage*

Marital Relationships

Prior marriages of Client / Contemplated Spouse

Has Client or Contemplated Spouse been married before?*

Yes
No

give the following information for each former marriage:

Name of former spouse*

First Last

Date of marriage*

Was marriage ended by death or divorce (and final date)?*

Children

Child(1)

Male
Female

Name*

First

Child of*

Client/CSpouse
Client
Contemplated Spouse

Address*

Street Address Address Line 2 City State ZIP Code

Phone No

Birthdate*

Special Needs of Child*

Yes
No

Describe

Child(2)

Male
Female

Name*

First

Child of*

Client/CSpouse
Client
Contemplated Spouse

Address*

Street Address Address Line 2 City State ZIP Code

Phone No

Birthdate*

Special Needs of Child*

Yes
No

Describe*

Child(3)

Male
Female

Name*

First

Child of*

Client/CSpouse
Client
Contemplated Spouse

Address*

Street Address Address Line 2 City State ZIP Code

Phone No*

Birthdate*

Special Needs of Child*

Yes
No

Describe*

Child(4)

Male
Female

Name

Child of*

Client/CSpouse
Client
Contemplated Spouse

Address*

Street Address Address Line 2 City State ZIP Code

Phone No*

Birthdate*

Special Needs of Child*

Yes
No

Describe*

Child(5)

Male
Female

Name*

Name

Child of*

Client/CSpouse
Client
Contemplated Spouse

Address*

Street Address Address Line 2 City State ZIP Code

Phone No*

Birthdate*

Special Needs of Child*

Yes
No

Describe*

Are there any deceased children?*

Yes
No

Did they leave any surviving children?*

Yes
No

Names and ages of any surviving children of the deceased children

What is your main reason for wanting a premarital agreement?

Is there anything unique about your situation that the attorney should know about?

Anything else?

There are time requirements and disclosure requirements that need to be complied with in order to have a valid premarital agreement. Please return this questionnaire immediately.

You cannot validly waive spousal support unless both sides are represented by an attorney. Just because both sides are represented does not mean that a court cannot set aside an invalid waiver.

Spousal support waivers may still not apply if a court finds them unconscionable at the time of the dissolution (or at the time one party tries to enforce the waiver).

Premarital agreement document review and signing appointments are typically available Monday through Friday starting at 8:30 a.m. Afternoon appointments must usually commence by 4:30 p.m. Exceptions are made for emergencies and special circumstances.

Thank you for allowing us to be of service with your family law needs!

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