Family Scheduling Conference Data Sheet

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FAMILY SCHEDULING CONFERENCE DATA SHEET
THIS FORM IS MUST MAILED TO THE CLERK OF COURTS OFFICE AT LEAST ONE WEEK BEFORE THE SCHEDULING CONFERENCE
Branch No:
Case No:
Sched. Conf. Date:
Petitioner's Attorney:
Respondent's Attorney:
Phone:
Phone:
PETITIONER:
RESPONDENT:
Occupation:
Occupation:
Income last year:
Income last year:
Est. income this year:
Est. income this year:
Have you received public assistance, food stamps, Badger Care or the like ?
Date of Marriage: ______
__________
Date of Filing Petition: ______
______
Yes
No
Date of Separation: ______
________
Date of Temporary Hearing: ___
____
Name and Ages of Minor Children (list special needs, if any):
Indicate real estate owned by either or both parties, including homestead (include estimated
value and applicable debt):
Who resides in the homestead property at this time?
Description of business interests owned by either or both parties:
Description of retirement benefits owned by either or both parties, including estimated
values:
Give a brief statement on issues to be resolved:
Custody
Placement
Child Support
Maintenance
Property Division
DATED: ____
_____
SIGNED: _____________________________________________
Attorney for:
M:\Forms\FA\FA2002 Family Scheduling Conference Data Sheet-fillable (Wash Co Local)05/12
FAMILY SCHEDULING CONFERENCE DATA SHEET
THIS FORM IS MUST MAILED TO THE CLERK OF COURTS OFFICE AT LEAST ONE WEEK BEFORE THE SCHEDULING CONFERENCE
Branch No:
Case No:
Sched. Conf. Date:
Petitioner's Attorney:
Respondent's Attorney:
Phone:
Phone:
PETITIONER:
RESPONDENT:
Occupation:
Occupation:
Income last year:
Income last year:
Est. income this year:
Est. income this year:
Have you received public assistance, food stamps, Badger Care or the like?
Date of Marriage: ______
__________
Date of Filing Petition: ______
______
Yes
No
Date of Separation: ______
________
Date of Temporary Hearing: ___
____
Name and Ages of Minor Children (list special needs, if any):
Indicate real estate owned by either or both parties, including homestead (include estimated
value and applicable debt):
Who resides in the homestead property at this time?
Description of business interests owned by either or both parties:
Description of retirement benefits owned by either or both parties, including estimated
values:
Give a brief statement on issues to be resolved:
Custody
Placement
Child Support
Maintenance
Property Division
DATED: ____
_____
SIGNED: _____________________________________________
Attorney for:
M:\Forms\FA\FA2002 Family Scheduling Conference Data Sheet-fillable (Wash Co Local)05/12
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