Divorce Clinic
Application

Feel free to visit us at:
JohnWalkerAttorney.com

If you see a “**” the information is required.

    **1) How did you find us?

    **2) Indicate all that you are interested in:

    **3) Please enter your current name as it appears on your ID (Client Name):

    **4) Do you require a maiden name change?:


    If needed please enter the maiden name to which you are returning:

    **5) What is your cellphone number and email address?

    **Cell #:
    **Email:

    **6) Have you lived in NC for more than six months?

    YesNo

    **7) Marriage Information:

    **Date Married:

    **Date you and your spouse began
    living in separate homes with the intent
    to remain apart from one another.
    (Leave Blank if Not Separated)

    **Please enter the town and state
    in which you were married:

    **8) Please enter your SPOUSE'S name as it appears on their ID (Defendant's Name):

    Mr.Mrs.Ms.

    **9) Does your spouse live in the USA?

    Additional Comments

    Of Note

    • No upfront payment.
    • No Court Appearance.
    • No office visit required.
    • We fill out your papers.
    • Only your notarized signatures needed.

     

    <<Translations done by Google>>