SETTLEMENT AGREEMENT QUESTIONA IRE
www.quebecjointdivorce.com
INSTRUCTIONS
• Download, print and complete the questionaire.
• Fax it at 1-888-210-4594 or scan it tolsirois[at]avocat-quebec[dot]com or mail the questionaire to our office at : Louis Sirois, lawyer, 442, St-Gabriel Street , # 100, Montreal, Qc.
• If you have questions or would like us to fax or mail you a questionaire, give us a call at 514-667-5934
MARITAL SETTLEMENT AGRE EMENT QUESTIONAIRE SECTION 1
CLIENT INFORMATION
NAME ADDRESS
NAME/ADDRESS:
CITY: HOME PHONE: ( ) -
BUSINESS PHONE: ( ) -
FAX: ( ) - E-MAIL:
YOUR ANNUAL INCOME: $
GENERAL INFORMATION
BIRTHDAY AND PLACE OF: NAME OF YOUR FATHER: MOTHER MAIDEN NAME: LENGTH RESIDENCE IN PQ:
LENGTH RESIDENCE IN
CANADA:
SECTION 2
INFORMATION ABOUT YOUR / SPOUSE
SPOUSE NAME ADDRESS
NAME/ADDRESS:
CITY: HOME PHONE: ( ) -
BUSINESS PHONE: ( ) -
FAX: ( ) - E-MAIL:
YOUR ANNUAL INCOME: $
SPOUSE - GENERAL INFORMATION
BIRTHDAY AND PLACE OF: NAME OF FATHER: MOTHER MAIDEN NAME: LENGTH RESIDENCE IN PQ:
LENGTH RESIDENCE IN
CANADA:
SECTION 3 MARRIAGE SEPARATION
MARRIAGE
DATE OF MARRIAGE: PLACE OF MARRIAGE:
SEPARATION
DATE OF SEPARATION:
SECTION 4
MINOR CHILDREN
CHILDREN OF THIS MARRIAGE
FULL LEGAL NAME BIRTHDATE AGE
1. Living With Whom? Residence Address:
2. Living With Whom? Residence Address:
3. Living With Whom? Residence Address:
4. Living With Whom? Residence Address:
CHILDREN NOT OF THIS MARRIAGE
FULL LEGAL NAME BIRTHDATE AGE
1. Living With Whom? Residence Address:
2. Living With Whom? Residence Address:
3. Living With Whom? Residence Address:
What is the reasons of your divorce ? ( mark with a X your choice)
a) the spouses have lived separate and apart for at least one year immediately preceding the determination of the divorce proceeding and were living separate and apart at the com mencement of the proceeding; or
(b) committed adultery, or
(c) treated the other spouse with physical or mental cruelty of such a kind as to render intolerable the continued cohabitation of the spouses.
Have you reach an agreement regarding the family assets (patrimoine familial) ?
How will you split the house, if so ?
How will you split the furnitures?
How will you split cars?
Do you wish to split your pension plan, Regie des Rentes du Quebec (RRQ) and/or your Federal pension? no yes
If yes, what will you split, and how?
What is your agreement regarding children custody,alimony,visitation etc? Any other comments, regarding your divorce?
Prior the marriage, did you sign a pre-nuptial agreement ? If so, please give details (date of agreement, name of the Notary or Lawyer, provide us a copy with this form)
NOTE INCLUDED IN THIS SERVICE:
· Visit to the Court House
· Written or verbal legal opinion
· Phone advises, after free initial 20 minutes
WHEN COMPLETE, PELASE
• Fax 1-888-210-4594 or scan it tolsirois[at]avocat-quebec[dot]com or mail the questionaire to our office at :
•
• Louis Sirois, lawyer, 442, St-Gabriel Street , # 100, Montreal, Qc. H2Y 2Z0
•
• If you have questions or would like us to fax or mail you a questionaire, give us a call at 514-667-5934