Intake – GraserSmith

Children
List Children
Name Date of Birth School Custody

To add additional rows for additional children, please click on the + button on the end of the row above.
Address(es) of the children for the last 5 years:
Child's Name Address Date Range

To add additional rows for additional children & addresses, please click on the + button on the end of the row above.

Income and Financial Information
Income for Other Party
Name Occupation Employer Time on Job Compensation Bonus

To add additional rows for additional information, please click on the + button on the end of the row above.
Income for You
Name Occupation Employer Time on Job Compensation Bonus

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Do either of you have a pre-existing child/ spousal support obligation?
- No
- Yes
If yes, please describe and and provide details.
Assets
Assets
Description Net Value Date Acquired

To add additional rows for additional information, please click on the + button on the end of the row above.
Attach Supplemental Documents?
Max. file size: 50 MB.
Supplement: Attach additional documents & sheets if necessary. Acceptable documents types are Microsoft Word documents or PDF files.
Debts
Debts
Description Owe Date Incurred

To add additional rows for additional information, please click on the + button on the end of the row above.
Attach Supplemental Documents?
Max. file size: 50 MB.
Supplement: Attach additional documents & sheets if necessary. Acceptable documents types are Microsoft Word documents or PDF files.
Communication Preferences
What should be our primary method of communication?
- Phone
- Email
- In Person

Acknowledgement
I,
Full Legal Name
have been advised by Tonya Smith Graser, of SmithGraser, PLLC that I am not to remove, damage, nor destroy, any evidence, documents, correspondence or the like including but not limited to pictures, posts, and messages from social media account(s) under my control by either inactivating my account(s) and/or deleting information from my account(s). I have been advised and understand that removing relevant information from my social media account(s) may be considered spoliation of evidence and subject to punishment. This in no way relinquishes my right to discontinue use of my social media account(s) and / or adjust the privacy settings on my social media account(s) so long as doing so does not interfere with my legal proceedings.

Additionally, I hereby certify that all of the above information is accurate to the best of my knowledge.

I finally acknowledge that I am NOT establishing an ongoing attorney-client relationship with GraserSmith, PLLC, or the lawyers thereof, by meeting for this initial consultation. Rather, I understand that this relationship will only be established unless and until a formal Contract for Payment of Fees for Legal Services is signed and the fee, or fee advance, required thereby is paid.
Name
First Last
Date
MM slash DD slash YYYY

Contact Information

Name	Date of Birth	School	Custody

Child's Name	Address	Date Range

Name	Occupation	Employer	Time on Job	Compensation	Bonus

Name	Occupation	Employer	Time on Job	Compensation	Bonus