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DIVORCE AGREEMENT
"A COMPLETE DIVORCE SERVICE"

5240 Portage Road, Portage, Michigan, 49002
Kalamazoo: (269) 345-1173
PLEASE ANSWER ALL QUESTIONS. YOUR DIVORCE ACTION WILL BE PREPARED FROM THE INFORMATION
SUPPLIED ON THIS APPLICATION. (PLEASE BE AWARE THAT IT IS A CRIME TO FILL OUT THIS APPLICATION WITH FACTS
YOU KNOW ARE FALSE, OR LEAVE OUT FACTS THAT YOU KNOW ARE IMPORTANT.) IF YOU ARE PROCESSING YOUR
CASE BY MAIL, PLEASE RETURN THIS APPLICATION WITH YOUR CHECK OR MONEY ORDER IN THE AMOUNT
OF $_______________ MADE PAYABLE TO DIVORCE AGREEMENT.

1.

PHONE NUMBERS:
PLAINTIFF (Filing Party)
(Your Full Name)

HOME:

S.S.# _______-_______-_______
ADDRESS:

BUSINESS:

Street

City

County, Michigan

State

Zip

OCCUPATION:

Date of Birth:

EMPLOYER:

State of Birth:

Highest Grade Completed in School:

2.

PHONE NUMBERS:
DEFENDANT
(Your Spouse's Full Name)

HOME:

S.S.# _______-_______-_______
ADDRESS:

BUSINESS:

Street

City

County, Michigan

State

Zip

OCCUPATION:

Date of Birth:

EMP