A/DR
E / Z#
DATE FILED

MUST BE TYPED AND COMPLETED IN FULL

Court of Common Pleas of Hamilton County

Division of Domestic Relations

DIVORCE LEGAL SEPARATION

DISSOLUTION ANNULMENT

PLAINTIFF / PETITIONER 1	SOCIAL HISTORY	DEFENDANT / PETITIONER 2

Marriage Date:	Place:	Final Hearing Disposition: __________________	Date: _________________________
Date of Separation:	Granted________________________________	To Whom _____________________

RACE:	Other:
PRESENT OCCUPATION
NAME OF EMPLOYER:
ADDRESS:	ZIP CODE:
POSITION HELD:
WEEKLY EARNINGS: Gross $	Net $
OTHER INCOME (Amount): $
PARENTS NAME:
Mother:
Father:
PLAINTIFF / PETITIONER 1
NAME:
( LAST / FIRST / MIDDLE )
ADDRESS
CITY	STATE	ZIP
EMAIL:
PHONE:	( ) - Cell Carrier:	( ) -
CELL	OTHER NUMBER
SS#	- -	PRESENT AGE	D.O.B.
ATTORNEY’S NAME & PHONE
ATTORNEY’S EMAIL ADDRESS
ATTORNEY’S I.D. NUMBER
RACE:	Other:
PRESENT OCCUPATION
NAME OF EMPLOYER:
ADDRESS:	ZIP CODE:
POSITION HELD:
WEEKLY EARNINGS: Gross $	Net $
OTHER INCOME (Amount): $
PARENTS NAME:
Mother:
Father:
DEFENDANT / PETITIONER 2
NAME:
( LAST / FIRST / MIDDLE )
ADDRESS
CITY	STATE	ZIP
EMAIL:
PHONE:	( ) - Cell Carrier:	( ) -
CELL	OTHER NUMBER
SS#	- -	PRESENT AGE	D.O.B.
ATTORNEY’S NAME & PHONE
ATTORNEY’S EMAIL ADDRESS
ATTORNEY’S I.D. NUMBER

MINOR CHILDREN OF PRESENT MARRIAGE
NAME	SEX	DATE OF BIRTH	SOC. SEC. NO.	LIVING WITH	REMARKS
1:	- -
2:	- -
3:	- -
4:	- -

PLAINTIFF / PETITIONER 1 - FORMER MARRIAGES / CHILDREN
NAME	Divorced	Deceased
Former 1:
Spouse(s) 2:
3:
NAME	Other Parent	Age
Children 1:
of 2:
Plaintiff 3:

DEFENDANT / PETITIONER 2 - FORMER MARRIAGES / CHILDREN
NAME	Divorced	Deceased
Former 1:
Spouse(s) 2:
3:
NAME	Other Parent	Age
Children 1:
of 2:
Defendant 3: