David G. Crum & Associates, P.C. - Online Divorce Case Evaluation

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Divorce Evaluation

This online evaluation is for use with Divorce & Custody cases to provide David Crum & Associates with the information necessary to evaluate your case and contact you. Please be sure to fill in all fields including when and where you would like to be contacted. Please do not provide telephone numbers for locations at which you do not want to be contacted. A short form is available if you do not want to provide all of the requested information.

Personal Information
First Name Last Name	Home Phone Work Phone Other Phone	Email Address How did you find us? How did you find us (other)?
What's the Best Time to Contact You: am pm
Where Would You Like to be Contacted: Home Work Other
Date of Birth	Time Residing in New Mexico


Job Title	Time at Current Employer	Annual Pay Rate
Opposing Party
First Name	Last Name	Date of Birth
Name and Address of Opposing Party's Employer:

Job Title	Time at Current Employer	Annual Pay Rate
Case Information
Number of Children	Ages of Children
Place of Marriage	Date of Marriage	Date of Separation
Is this a pending case? Yes No
If yes, what is the case number?
Are there any hearings currently scheduled? Yes No
Have you ever applied for child support through the state? Yes No
If you have children, briefly describe your proposed custody and visitation schedule.
Debts & Assets
Is there a marital residence? Yes No
If so, please describe your proposed resolution of the property?
Please describe your outstanding debts.
Please describe your community assets.
Additional Comments:
For security purposes, please enter into the box below the characters exactly as they are on the background (case-sensitive).

With Offices in Two Locations:
Crum & Associates 1005 Marquette Avenue NW Albuquerque, NM 87102	Crum & Associates 4351 Jager Rio Rancho, NM 87124