Free Prenuptial Agreement Template 20Free Prenuptial Agreement Template 20Free Prenuptial Agreement Template 20
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PRENUPTIAL AGREEMENT QUESTIONNAIRE
Please complete this form and return to the address listed above. For optimum accuracy, please type or print clearly. If necessary
please use additional sheets of paper to answer the questions.

GENERAL CLIENT INFORMATION
CLIENT NAME (LAST)

FIRST

MI

SOCIAL SECURITY NUMBER

BIRTH DATE
/
/

PROSPECTIVE SPOUSE’S NAME (LAST)

FIRST

MI

SOCIAL SECURITY NUMBER

BIRTH DATE
/
/

CLIENT’S ADDRESS

HOME TELEPHONE

HOME FAX

CELLULAR PHONE

WORK TELEPHONE

WORK FAX

EMAIL

ANTICIPATED DATE OF MARRIAGE
/
/

I. PERSONAL AND FAMILY DATA
A

DOES EITHER PARTY HAVE ASSUMED OR FORMER NAMES, SUCH AS A MAIDEN NAME, OR NICKNAMES, THAT SHOULD BE INCLUDED? † YES † NO
IF SO, WHAT ARE THEY?

B

DOES EITHER PARTY HAVE PREVIOUS MARRIAGE(S)? † YES † NO IF YES, PLEASE STATE THE NAME(S) OF THE FORMER SPOUSE(S), AND THE
YEAR THAT THE DEATH OCCURRED, OR DISSOLUTION OF MARRIAGE WAS FINAL.

C

ARE BOTH PARTIES U.S. CITIZENS? † YES † NO
IF NOT A U.S. CITIZEN, WHAT IS THE COUNTRY OF