Use This Form to Submit The Necessary
Preliminary Information

Your full name:

Your e-mail address:

A Safe Phone
Number where you
can be reached:

I prefer to be
contacted via:

e-mail

telephone

I answered "Yes" to all of the 12 qualification
questions:

Yes, I qualify

No, I didn't qualify

During the marriage, my spouse and I
accumulated community (marital):

property
and debt

property

debt

During the marriage, my spouse and I had or
adopted:

Comments: