Anacapa Custody
Service Request Contract
Please input your information so we can prepare your documents.
Anacapa Custody Service Request Contract
Every state in the United States will require this information about you on any domestic relations or family law matter. If you leave items blank it will slow down the preparation of your documents.
Name
(Required)
First Name
Middle Name
Last Name
Email Address
Your Date of Birth
Month
Month
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12
Day
Day
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Year
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1926
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1922
1921
1920
Your Age
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Other Country
How long have you lived at current address?
County Where you Live
Daytime phone
Evening phone
Are you in the military
Yes
No
Are you a veteran of Iraq, Afghanistan, or Gulf War
Yes
No
If yes, where are you currently stationed
How many hours per week do you work
How much per week do you make (before taxes)
Are you currently employed?
Yes
No
Does your job make certain visits impossible?
Name of your employer
Employer's Phone number
Dates worked (start-finish)
Address of employer line 1
Address of employer line 2
Your driver's license number
Issuing State of your driver's license
Information About the Other Party
Name
First Name
Middle Name
Last Name
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Other Country
How long have they lived at current address?
County Where they Live
Their Social Security Number
Email Address
Daytime phone
Evening phone
Their Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
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11
12
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27
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29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
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1945
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1941
1940
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1932
1931
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1921
1920
Their Age
Their driver's license number
Is this person your spouse?
Yes
No
Issuing State of their driver's license
Was this person your spouse?
Yes
No
Are you separated?
Yes
No
When did you marry?
When did you separate?
Are you divorced?
Yes
No
Where did you marry?
Are they in the military
Yes
No
Are they a veteran of Iraq, Afghanistan, or Gulf War
Yes
No
If yes, where are they currently stationed
Information About Your Family
If there are children involved the court will require this information. This means any children born to or adopted by you and the other party.
Child 1
Name
First
Where born (county and state)
SSN
It is required that we provide information about who the child has lived with and where they have lived for the last five years.
Where did they live?
From what date to what date did the child live there
Age
Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
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5
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11
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27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Who does the child live with?
Who did the child live with?
If you have more children...
Child 2
Child 3
Child 4
Child 5
Child 2
Name
First
Where born (county and state)
SSN
Where did they live?
From what date to what date did the child live there
Age
Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
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8
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10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Who does the child live with?
Who did the child live with?
Child 3
Name
Where born (county and state)
SSN
Where did they live?
From what date to what date did the child live there
Age
Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
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10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Who does the child live with?
Who did the child live with?
Child 4
Name
Where born (county and state)
SSN
Where did they live?
From what date to what date did the child live there
Age
Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
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10
11
12
13
14
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16
17
18
19
20
21
22
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25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Who does the child live with?
Who did the child live with?
Child 5
Name
Where born (county and state)
SSN
Where did they live?
From what date to what date did the child live there ?
Age
Date of Birth
Month
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
Year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Who does the child live with?
Who did the child live with?
What are your goals in this case?
Please mark all that apply. You may mark more than one. We need to know all you wish to accomplish so the right documents can be prepared.
Divorce
Yes
No
Custody
Yes
No
What type of custody? Full, Primary, Joint etc.
Full or sole legal and physical custody
Yes
No
Joint Legal Custody
Yes
No
Joint Physical Custody
Yes
No
Primary Physical Custody
Yes
No
Primary Legal Custody
Yes
No
Standard Visitation Schedule
Yes
No
Custom Visitation Schedule
Yes
No
Child Support
Yes
No
Alimony
Yes
No
Guardianship
Yes
No
Conservatorship
Yes
No
Modification
Yes
No
You have been served and need to file a Response
Yes
No
Establish Paternity
Yes
No
Your Income: Fill out as accurately as possible.
How are you paid, weekly, bi-weekly or monthly
Weekly
Monthly
Bi-weekly
Monthly Gross Income
Are there any deductions from your paycheck
Yes
No
If so, list the type and amount
Are you in a union?
Yes
No
Monthly Expenses
Whenever child support can possibly be an issue, or when the court must decide issues of financial matters, they require a great deal of information on your finances. If you don't have a particular expense, mark the field with a "no". This way we don't have to ask you if you missed a question and slow down the preparation of your documents.
Rent
Mortgage
Maintenance & repair
Child Care
Dining out
Home telephone and cell phone
Clothing expenses
Entertainment, gifts & vacation
Auto expenses & transportation (insurance, gas, bus, etc.)
Savings and investments (monthly contributions)
Insurance (life, accident, etc. ONLY; do NOT include auto, home or health care)
Charitable contributions
Property Taxes (if not included in mortgage payment)
Insurance (Home or Rental)
Health care & medical costs not paid by insurance
Groceries & household supplies
Utilities (gas, water electric, trash)
Laundry and cleaning
Education
Your assets: Fill out as accurately as possible
Monthly child support for the child(ren) in this case
Spousal support for the family in this case
Do you pay child support for other children not involved in this case? If so, how many children and what is the monthly payment?
Spousal support for another family
Do you have other expenses (other than child support) for minor children who are from other relationships and are living with you? If so, what?
Please list any other expenses not listed above
Current situation
Are there any upcoming court dates?
Yes
No
Are there currently any court orders in place?
Yes
No
Are there any restraining orders between you and the other party?
Yes
No
Do you feel the other parent is unfit?
Yes
No
If so, why?
How long has it been since you've seen/visited with your kid(s)?
Does the other party withhold visitations?
Yes
No
Does the other party interfere with your parenting time?
Yes
No
Your assets: Fill out as accurately as possible
Real Estate
Vehicles
Recreational vehicles
Cash on hand
Bank Accounts
Value of furniture, household goods, jewelry, antiques,collectibles, art, tools, etc.
Personal Property
Stocks value
Bonds value
Mutual Funds value
Other
Summary
In summary, please explain what your final goal in this case is, and why it's in the best interest of the children involved:
We can only make you look as good as we can with the information you provide to us. If you don't, it wont be input into the paperwork and the judge wont have the opportunity to consider the information.
This is your opportunity to provide specific information regarding your case. Don't forget, the judge bases their decision on the information in the documents you file with the court. Please include any dates and specific timelines about the situation and explain why they’re important. If there have been any significant changes in your circumstances (lost job, child abuse, other party now in jail) please tell us about them so we can help to provide that information to the courts. We build your case based on information you give to us.
Terms & Conditions
I have read and agree to the
TERMS OF SERVICE
I acknowledge and understand that no attorney-client relationship was established:
(Required)
I filled in this contract requesting legal documents be prepared for me. I understand my case manager charges $25 / month to maintain my case. When I no longer need their services, I will email them to stop the monthly fee. This will acknowledge I received what I paid for. I understand there are no refunds or cancellations after email delivery of serviced product.
(Required)
Sign your name here
(Required)
Please fax us the most recent court orders, if any.
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