TO:       JAY CHAUHAN
            Barrister and Solicitor
            330 Highway 7 East, Suite 309
            Richmond Hill, Ontario
            L4B 3P8
            Telephone: (905) 771-1235
            Facsimile:   (905) 771-1237
            Email: jaylawyer@hotmail.com  

Please complete as many details as possible and discuss with us the remaining particulars.

1.  Client’s Name and Address

Full Name of Client:
Address:


Telephone (Home):
Telephone (Office):
Email address: 

2.  Name and Address of your Spouse

Full Name of Spouse:
Address:


Telephone (Home):
Telephone (Office): 

3.  Service

Do you anticipate any difficulty in your spouse acknowledging the receipt of the Petition for Divorce?            Yes________            No________

4.  Grounds for Divorce

One year’s separation is usually the best ground for divorce. Adultery and cruelty as grounds require evidence.

One year’s separation ________
Cruelty ________
Adultery ________ 

5.  Reconciliation

Is this divorce going to be contested?      Yes________    No________

Have any efforts been made to reconcile through the marriage counsellor or minister or other party? If so, give particulars.




6. Marriage Certificate

Please enclose your original marriage certificate ________

7. Details of Marriage 

Date of marriage:
(Please provide us with your original marriage certificate) 

Place of marriage:

Wife’s surname immediately before marriage:

Wife’s surname at birth:

Husband’s surname immediately before marriage:

Husband’s surname at birth:

Marital status of husband at time of marriage:
(For a second marriage, we need divorce judgement) 

Marital status of wife at time of marriage:

Wife’s birthplace:

Wife’s birth date:

Husband’s birthplace:

Husband’s birth date:

8. Children

Please provide the names and dates of birth of each of the children of the marriage of supported by the spouses:

Name                                        |           Date of Birth
                                                |
                                                |
                                                |
                                                |
                                                |
                                                |
                                                | 

Do the children normally reside with the husband or wife? _______________

Are you seeking custody of the children? Yes________    No________

9.  Support

Are you seeking a support order as a spouse?     Yes________    No________

How much support are you claiming?       $_______________
(Husband or wife can claim support from the other)

Are you seeking support for the children? Yes________    No________

If yes, how much?          $_______________

10.  Division of Assets

Please describe which assets are to be divided and how.




11.  Domestic Agreements

Is there a marriage contract or separation agreement?       Yes________    No________
If yes, please provide a copy.

12.  Pension Plans

Please give particulars of the Pension Plans owned by the parties.

Husband:


Wife:


13.  Tax Deduction

Who will use the tax deduction for the children in the income tax returns?

14.  Fees

In a divorce that is uncontested, a fee may be quoted. If it turns into a contested matter or other unusual problems arise, fees will be based on time. Fixed amount of fees is not possible in contested matters. If the divorce is uncontested, we can provide a quote. I agree to provide a retainer to you. I understand that the disbursements such as photocopies, court costs, courier, and long distance will be charged in addition to the legal fees.  Legal fees will be discussed for uncontested and contested divorce, and if the uncontested divorce becomes contested, the fees will be changed accordingly. The balance of the full amount of fees will be payable before the final judgement is obtained.

___________________________
Date

 __________________________________________________
Client’s Signature