1300 699 688

Client Registration Form

Your Personal Details

My Matter Relates To*

Children;

Intervention Order;

Property and Financial Matters;

Divorce;

Child Maintenance;

Other

Name*

Gender

Date of Birth*

Occupation

Email*

Phone*

Address*

Who Referred You To Pearsons?*

If you found us online, please write "Online."

Other Party/Former Partner Information

Partner Name*

Partner Gender

Partner Date of Birth

Partner Occupation

Partner Email

Partner Phone

Partner Address

Relationship Details

Date You Started Living Together

Date of Marriage

Date of Separation

Children

Please list details of any children.

Number of Children

Child #1: Name

Child #1: Date of Birth

Child #1: Gender

Child #1: Who Does The Child Live With?

Child #1: What School Does The Child Attend?

Child #1: What Year Level Is The Child In?

Child #2: Name

Child #2: Date of Birth

Child #2: Gender

Child #2: Who Does The Child Live With?

Child #2: What School Does The Child Attend?

Child #2: What Year Level Is The Child In?

Child #3: Name

Child #3: Date of Birth

Child #3: Sex

Child #3: Who Does The Child Live With?

Child #4: Name

Child #4: Date of Birth

Child #4: Sex

Child #4: Who Does The Child Live With?

Child #5: Name

Child #5: Date of Birth

Child #5: Sex

Child #5: Who Does The Child Live With?

Additional Children

If you have more than 5 children, please list additional children below including Name, DoB, Sex & Who The Child Lives WIth.

Property/Financial Matters

1. Do you have financial questions or property matters you wish to discuss with the lawyer:*

Yes

2. Your gross or net income per annum

3. Your spouse/defacto partner’s gross income per annum

4. Do you have any health concerns that affect your ability to work?

Yes

Specify health issues

Please specify any health issues that YOU have, that may affect your ability to work.

5. Does your partner have any health concerns that affect their ability to work?

Yes

Specify health issues

Please specify any health issues that YOUR PARNER has, that may affect their ability to work.

5. Do you support any dependent adult children or other adults? eg. Do you have children who are studying and working part-time or adults?

Yes

Please advise the university name and length of the course the adult child is studying

6. Do any of your children have disabilities and do they receive NDIS or other funding? Do you receive a carer’s allowance for them?

Yes

If yes, how much?

7. If you have children, do you pay child support or do you receive child support payments?

Yes

If yes, how much per week?

Please list your assets PRIOR to you living together:

Your Assets PRIOR To Living Together

Family Home

Investment Property

Motor Vehicle

Other Vehicles (Boats, Caravans, Motorbikes, Jetskis, etc)

Investment

Savings

Other

Family Home Address

$ Estimated Value at Commencement

Investment Property - List

Investment Property Address

$ Estimated Value at Commencement

Investment Property - List

Make, Model & Year

$ Estimated Value at Commencement

Other Vehicles - List

Make, Model & Year (if known)

$ Estimated Value at Commencement

Investment Type

Asset Type (shares, crypto, etc)

Estimated Value at Commencement

Estimated Savings Value at Commencement

Investment Type

Type (Business, Antiques, Collectibles, Memorabilia, etc)

Estimated Value at Commencement

What did your spouse/ defacto own PRIOR to you living together:

Spouse/Defacto Assets PRIOR To Living Together

Family Home

Investment Property

Motor Vehicle

Other Vehicles (Boats, Caravans, Motorbikes, Jetskis, etc)

Investment

Savings

Other

Family Home Address

$ Estimated Value at Commencement

Investment Property - List

Investment Property Address

$ Estimated Value at Commencement

Investment Property - List

Make, Model & Year

$ Estimated Value at Commencement

Other Vehicles - List

Make, Model & Year (if known)

$ Estimated Value at Commencement

Investment Type

Asset Type (shares, crypto, etc)

Estimated Value at Commencement

Estimated Savings Value at Commencement

Investment Type

Type (Business, Antiques, Collectibles, Memorabilia, etc)

Estimated Value at Commencement

Did you have any debts PRIOR to you living together:

Your Debts PRIOR To Living Together

Family home

Investment property

Credit card

Personal loan

Business loan

HECS/HELP

Other (tax debt)

Family Home Address

$ Estimated Value

Investment Property - List

Investment Property Address

$ Estimated Value

$ Credit Card Estimated Value

$ Personal Loan Estimated Value

$ Business Loan Estimated Value

$ HECS/HELP Estimated Value

Debt Type

Estimated Value

Did your spouse/defacto partner have any debts PRIOR to you living together:

Spouse/Defacto Debts PRIOR To Living Together

Family home

Investment property

Credit card

Personal loan

Business loan

HECS/HELP

Other (tax debt)

Family Home Address

$ Estimated Value

Investment Property - List

Investment Property Address

$ Estimated Value

$ Credit Card Estimated Value

$ Personal Loan Estimated Value

$ Business Loan Estimated Value

$ HECS/HELP Estimated Value

Debt Type

Estimated Value

During your relationship whilst you lived together until NOW:

8. Did you receive any lump sum(s) from outside sources:

Yes

Your lump sum(s) received:

List the dates and amounts for each lump sum payment below:

9. Did your spousal or defacto receive any lump sum(s) from outside sources:

Yes

Spousal or Defacto lump sum(s) received:

List the dates and amounts for each lump sum payment below:

10. Did you or your spousal/defacto partner engage in any wastage of assets (eg: gambling, drugs and/or alcohol expenditure, excess spending, holidays?

Yes

Detail the wastage of assets:

11. Are there any other special financial contributions that either you or your spouse / defacto partner made during the relationship that you think may be relevant (eg: renovations conducted by the family members, rent free living with family members)?

Yes

Detail any other special financial contributions:

Please list what you and your spouse/defacto own NOW:

List all assets whether in your name or in joint names or in company or trust names eg:

Assets you and spouse/defacto own NOW

Family home

Investment property

Business or company

Motor vehicles

Boats, caravans, trailers, motor bikes (including current value if sold)

Bank accounts

Shares or cryptocurrency

Memorabilia (if sold)

Superannuation

Family Home Address

Ownership

$ Estimated Value Today

Investment Property - List

Investment Property Address

$ Estimated Value Today

Business - List

Business or Company

$ Estimated Value Today

Motor vehicles - List

Who is the vehicle owned by?

Model

Year

$ Estimated Sale Value Today

Other vehicles - List

Boats, caravans, trailers, motor bikes

$ Estimated Value Today

Bank accounts - List

Account holder (husband, wife or joint)

$ Estimated Total Funds

Shares or Crypto - List

Shares or cryptocurrency

$ Estimated Value Today

$ Your Superannuation Estimated Value Today

$ Your Spouse/Defacto's Superannuation Estimated Value Today

Please list all liabilities you and your spouse/defacto have NOW:

List all liabilities whether in your name or in joint names or in company or trust names eg:

Liabilities you and your spouse/defacto have NOW:

Mortgage

Credit cards

Debts on motor vehicles

Outstanding tax

Personal loans

Any other debts

Mortgage - List

Mortgage

$ Estimated Amount Today

Credit Cards - List

Credit Cards (name of card and amounting owing as of today’s date)

$ Estimated Amount Today

Debt Motor - List

Debts on Motor Vehicles

$ Estimated Amount Today

Outstanding Tax - List

Outstanding Tax

$ Estimated Amount Today

Personal Loans - List

Personal Loans

$ Estimated Amount Today

Other Debts - List

Other Debts

$ Estimated Amount Today

Now that you and your spouse/defacto partner have separated, do you expect to come into any payments in the next year or two (redundancy payout, compensation payment or inheritance)

Yes

Future Payments - List

Please specify the payment type

$ Estimated Value

Please detail future payments

Comments

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