Thank you for choosing Bennett Vernier to assist you with your family law needs. Please complete the form below to the best of your ability. Completing the form will help us analyze your case more quickly and better serve you. If you have any questions, please email us at info@bennettvernier.com.

Your Name *

First Name

Last Name

Your Current Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Date of Birth (0/00/0000) *

Your Phone *

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Your Email *

Have you or your spouse lived in the State of Oklahoma for the past six months?

Yes

Are you currently employed? *

Yes

What is your estimated yearly income? *

If you answered yes to being currently employed, please provide the name of your employer, your occupation or job title, and your estimated yearly income from your job(s) *

Spouse's Name *

First Name

Last Name

Spouse's Date of Birth (0/00/0000) *

Spouse's Current Address (If different from yours)

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Is your spouse currently employed? *

Yes

What is your spouse's estimated yearly income? *

If you answered yes to your spouse being currently employed, please provide the name of your spouse's employer, their occupation or job title, and their estimated yearly income from their job(s)

Does this divorce involve children under the age of 18? *

Yes

If this case involves children, please list the children's full names and dates of birth.

Do you or your spouse have any checking or savings accounts? *

Yes

If you or your spouse own any checking or savings accounts, please tell us the name of the bank, the account number, and the estimate amount in each account

Bank Accounts

Do you and your spouse own a home?

Yes

If you and your spouse own a home, please provide the address of the home and tell us whether there is a mortgage on the house and how much you estimate is due.

Do you and your spouse own any vehicles?

Yes

If you or your spouse own vehicles, please list the year, make, and model of the vehicles, and indicate where there are any loan amounts due on those vehicles. *

Do you or your spouse have any investment accounts or pensions? *

Yes

If you and your spouse have investment accounts or pensions, please list them below and give us the name of the account and account number, if you know it. *

Retirement Account Information Needed

Do you or your spouse have any debts, including credit cards, medical, or personal loans? *

Yes

If you any your spouse have any debts other than a mortgage, please list each debt here, telling us the name of the debt, last four numbers of the account, and the estimated balance owed

Debts

Do you or your spouse own any businesses? *

Yes

Are you or your spouse in the military, either active or reserve? *

Yes

Have you or your spouse been convicted of any crime besides traffic tickets? *

Yes

Not sure

Please feel free to provide any other information that might be helpful for us to know in the space below.

Thank you for your help! Our attorneys will be in touch with you soon.

3810 North Peniel Avenue Bethany, Oklahoma 73008
(405) 787-9950

Travis Vernier | Les Bennett - Labor Law Attorneys

Criminal Defense Attorney Travis Vernier

Oklahoma FOP Legal Defense Plan Attorneys

Disclaimer: The choice of an attorney is an important decision and should not be based solely upon advertisement. Neither the use of this website, nor the use of the information contained within it, should be construed in any manner as to create an attorney-client relationship. It is the policy of the Bennett | Vernier , PLLC, and its members, to not enter into any such relationship absent an express, written agreement, signed by both the attorney and the client. In addition, because there may be conflicts of interest, it is important that this website not be used to communicate any confidential information.