Secure Web Information Form Transfer
(SWIFT)
Welcome Desk



Directions:

  1) This is a single session data entry form. Complete and review all your entries before clicking "Submit Now."
  2) After reviewing your entries, click the "Submit Now" button at the bottom of the form to send your data.
  3) Contact and inform your attorney that you submitted the requested information.



IDENTIFICATION
Your Email (required)
Attorney Email (required)
Password (recommended)
Give this password to your attorney. Your information is always encrypted for privacy.
Automatic Encryption: (High Security)


MAIN MENU
 Enter Confidential-Master Information Form
 Enter Child Support Information
 Enter Financial Declaration Data
 Enter PropertyCalc Information



 General   Parent 1   Parent 2   Children 


Confidential-Master Information Form
To Return to Main Menu, Click Here
SINGLE SESSION -- ENTER ALL DATA ON ALL FORMS AT ONE TIME
After entering ALL data, you must click the "Submit Now" button
on the bottom of this form to send your data!

GENERAL INFORMATION *Press Tab Key to Move From Field to Field
1. Date of Marriage (if applicable)
2. Where Married - City and State (if applicable)
3. Date of Separation (if applicable)
4. Number of Children (if applicable)
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PARENT 1'S INFORMATION
   (if a Parentage case Father)
 *Press Tab Key to Move From Field to Field
NAME
5. Title of Parent 1 (i.e., Mr., Mrs., Dr..)
6. Parent 1's First Name
7. Parent 1's Middle Name
8. Parent 1's Last Name
9. Parent 1's Nick Name
TELEPHONE
10. Parent 1's Day Phone
11. Parent 1's Evening Phone
12. Parent 1's Cell Phone
13. Parent 1's Msg./Pager Phone
14. Parent 1's Fax Phone
EMAIL ADDRESS
15. Parent 1's Email Address
MAILING ADDRESS
16. Parent 1's Mailing Address
17. Parent 1's Mailing City
18. Parent 1's Mailing State
19. Parent 1's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
20. Parent 1's Residential Address
21. Parent 1's Res. City
22. Parent 1's Res. State
23. Parent 1's Res. Zip
24. Parent 1's Res. County
EMPLOYMENT
25. Parent 1's Employer Name
26. Parent 1's Employer Phone
27. Parent 1's Employer Address
28. Parent 1's Employer City
29. Parent 1's Employer State
30. Parent 1's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
31. Parent 1's Soc. Sec. Number
32. Parent 1's Driver's Lic/ID & State
33. Parent 1's Birthdate
34. Parent 1's Birth State
35. Parent 1's Birth Last Name
36. Parent 1's Race
37. Parent 1's County Where Married
38. Parent 1's State Where Married
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PARENT 2'S INFORMATION
   (if a Parentage case Mother)
*Press Tab Key to Move From Field to Field
NAME
39. Title of Parent 1 (i.e., Mr. Mrs., Dr.)
40. Parent 2's First Name
41. Parent 2's Middle Name
42. Parent 2's Last Name
43. Parent 2's Nick Name
TELEPHONE
44. Parent 2's Day Phone
45. Parent 2's Evening Phone
46. Parent 2's Cell Phone
47. Parent 2's Msg./Pager Phone
48. Parent 2's Fax Phone
EMAIL ADDRESS
49. Parent 2's Email Address
MAILING ADDRESS
50. Parent 2's Mailing Address
51. Parent 2's Mailing City
52. Parent 2's Mailing State
53. Parent 2's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
54. Parent 2's Residential Address
55. Parent 2's Res. City
56. Parent 2's Res. State
57. Parent 2's Res. Zip
58. Parent 2's Res. County
EMPLOYMENT
59. Parent 2's Employer Name
60. Parent 2's Employer Phone
61. Parent 2's Employer Address
62. Parent 2's Employer City
63. Parent 2's Employer State
64. Parent 2's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
65. Parent 2's Soc. Sec. Number
66. Parent 2's Driver's Lic/ID
67. Parent 2's Birthdate
68. Parent 2's Birth State
69. Parent 2's Birth Last Name
70. Parent 2's Race
71. Parent 2's County Where Married
72. Parent 2's State Where Married
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CHILDREN INFORMATION
OLDEST CHILD
73. Oldest Child's First Name
74. Oldest Child's Middle Name
75. Oldest Child's Last Name
76. Oldest Child's Age
77. Oldest Child's Sex
78. Oldest Child's Birthdate
79. Oldest Child's Soc. Sec. #
80. Oldest Child Resides with
81. Is Parent 1 Oldest Child's Parent?
82. Is Parent 2 Oldest Child's Parent?
83. Oldest Child's Race
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2ND CHILD
84. 2nd Child's First Name
85. 2nd Child's Middle Name
86. 2nd Child's Last Name
87. 2nd Child's Age
88. 2nd Child's Sex
89. 2nd Child's Birthdate
90. 2nd Child's Soc. Sec. #
91. 2nd Child Resides with
92. Is Parent 1 2nd Child's Parent?
93. Is Parent 2 2nd Child's Parent?
94. 2nd Child's Race
3RD CHILD
95. 3rd Child's First Name
96. 3rd Child's Middle Name
97. 3rd Child's Last Name
98. 3rd Child's Age
99. 3rd Child's Sex
100. 3rd Child's Birthdate
101. 3rd Child's Soc. Sec. #
102. 3rd Child Resides with
103. Is Parent 1 3rd Child's Parent?
104. Is Parent 2 3rd Child's Parent?
105. 3rd Child's Race
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4TH CHILD
106. 4th Child's First Name
107. 4th Child's Middle Name
108. 4th Child's Last Name
109. 4th Child's Age
110. 4th Child's Sex
111. 4th Child's Birthdate
112. 4th Child's Soc. Sec. #
113. 4th Child Resides with
114. Is Parent 1 4th Child's Parent?
115. Is Parent 2 4th Child's Parent?
116. 4th Child's Race
5TH CHILD
117. 5th Child's First Name
118. 5th Child's Middle Name
119. 5th Child's Last Name
120. 5th Child's Age
121. 5th Child's Sex
122. 5th Child's Birthdate
123. 5th Child's Soc. Sec. #
124. 5th Child Resides with
125. Is Parent 1 5th Child's Parent?
126. Is Parent 2 5th Child's Parent?
127. 5th Child's Race
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NOTE: You MUST click the "Submit Now" button on the bottom of this form to send your data! Be sure to complete all the sections of this form as requested by your attorney before submitting your data.
Next >> Child Support




INCOME DEDUCTIONS EXPENSES RESIDENTIAL


SupportCalc -- Child Support
To Return to Main Menu, Click Here
SINGLE SESSION -- ENTER ALL DATA ON ALL FORMS AT ONE TIME
After entering ALL data, you must click the "Submit Now" button
on the bottom of this form to send your data!


INCOME INFORMATION *Press Tab Key to Move From Field to Field
Parent 1Parent 2
128. Wages and Salaries
129. Interest Income
130. Dividend Income
131. Business Income
132. Spousal Maintenance Received
133. Other Income
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DEDUCTION INFORMATION Your attorney can calculate monthly taxes for you. Leave tax
information blank unless you have a specific
Parent 1 Parent 2
134. Income Taxes (*Optional)
135. FICA/Self Employment
Taxes (*Optional)
136. Normal Business Expenses
137. State Industrial Insur.
138. Mand. Union/Prof. Dues
139. Mandatory Pension Plan Payments
140. Voluntary Retirement Contributions
141. Spousal Maintenance Paid
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CHILDREN EXPENSE INFORMATION *Press Tab Key to Move From Field to Field
Parent 1 Parent 2
142. Children's Health Insurance Premiums
143. Children's Uninsured Health Expenses
144. Day Care Expenses
145. Education Expenses
146. Long Distance Transportation
Expenses
147. Other Special Expenses Parent 1 Parent 2
Describe  
Describe  
Describe  
148. Other Ordinary Expenses Parent 1
Parent 2
Describe  
Describe  
Describe  
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RESIDENTIAL INFORMATION *Press Tab Key to Move From Field to Field
With Parent 1 With Parent 2
149. Child 1's Overnights
150. Child 2's Overnights
151. Child 3's Overnights
152. Child 4's Overnights
153. Child 5's Overnights
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NOTE: You MUST click the "Submit Now" button on the bottom of this form to send your data! Be sure to complete all the sections of this form as requested by your attorney before submitting your data.
Next >> Financial Declaration






Financial Declaration
To Return to Main Menu, Click Here
SINGLE SESSION -- ENTER ALL DATA ON ALL FORMS AT ONE TIME
After entering ALL data, you must click the "Submit Now" button
on the bottom of this form to send your data!


GENERAL INFORMATION *Press Tab Key to Move From Field to Field
154. Your Full Name
155. Occupation
156. Highest Year of Education Completed
157. Number of Dependents
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EMPLOYMENT *Press Tab Key to Move From Field to Field
158. Are you presently employed?
If YES, complete CURRENT EMPLOYMENT
If NO, complete LAST EMPLOYMENT
CURRENT EMPLOYMENT
159. Begin Date of Employment
LAST EMPLOYMENT
160. Last Employment Date
161. Last Gross Monthly Earnings
162. Reason for Current Unemployment
Back to top.

GROSS MONTHLY INCOME
Parent 1Parent 2
163. Wages and Salaries
164. Interest Income
165. Dividend Income
166. Spousal Maintenance Received
167. Other Income
168. Year-To-Date Gross Income
BUSINESS INCOMEParent 1Parent 2
169. Business Income
170. Business Expenses
MISCELLANEOUS INCOME
171. Child support received
from other relationships		 Parent 1 Parent 2
Name:
Name:
172. Income of current spouse
Name:
Name:
173. Income of other adults in household
Name:
Name:
174. Income of children
Name:
Name:
175. Income from assistance programs
Name:
Name:
Back to top.

DEDUCTIONS Your attorney can calculate monthly taxes for you. Leave tax information blank unless you have a specific amount from a paystub.
Parent 1 Parent 2
176. Income Taxes (*Optional)
177. FICA/Self Employment Taxes (*Optional)
178. State Industrial Insur.
179. Mand. Union/Prof. Dues
180. Pension Plan Payments
181. Spousal Maintenance Paid
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YOUR ASSETS
182. Cash on Hand
183. On Deposit in Banks
184. Stocks and Bonds
185. Cash Value of Life Insurance
186. Other
Back to top.

YOUR MONTHLY EXPENSES
HOUSING
187. Rent, 1st mortgage or payments
188. Installment payments for other
mortgages or encumbrances
189. Taxes and insurance
if not in monthly payment
UTILITIES
190. Heat (gas and oil)
191. Electricity
192. Water, sewer, garbage
193. Telephone
194. Cable
195. Other:
FOOD AND SUPPLIES
196. Food for persons
197. Supplies (paper, tobacco, pets)
198. Meals eaten out
199. Other:
CHILDREN
200. Day Care/Babysitting
201. Clothing
202. Tuition (if any)
203. Other child related expenses
TRANSPORTATION
204. Vehicle payments or leases
205. Vehicle insurance and license
206. Vehicle gas, oil, ord. maint.
207. Parking
208. Other transportation expenses
HEALTH CARE
209. Insurance
210.Uninsured dental, orthodontic
medical, eye care expenses
211. Other uninsured health
care expenses
PERSONAL EXPENSES
212. Clothing
213. Hair care/personal care
214. Clubs and recreation
215. Education
216. Books, newspapers
magazines, photos
217. Gifts
218. Other:
MISCELLANEOUS EXPENSES
219. Life Insurance (if not
deducted from income)
220. Other:
221. Other:
Back to top.

YOUR INSTALLMENT DEBTS
Creditor/Description of Debt Balance Month of Last Payment

OTHER DEBTS AND MONTHLY EXPENSES NOT PREVIOUSLY LISTED
Creditor/Desc. of Debt Balance Month of Last Pymt Amt of Last Pymt
Back to top.

NOTE: You MUST click the "Submit Now" button on the bottom of this form to send your data! Be sure to complete all the sections of this form as requested by your attorney before submitting your data.
Next >> PropertyCalc






PropertyCalc
To Return to Main Menu, Click Here
SINGLE SESSION -- ENTER ALL DATA ON ALL FORMS AT ONE TIME
After entering ALL data, you must click the "Submit Now" button
on the bottom of this form to send your data!


PROPERTYCALC ASSETS AND LIENS
Category Description Current
Value		 Lien
Obligation		 Monthly
Payment		 Incurred By
Back to top.

PROPERTYCALC OTHER DEBTS
Category Description Current Debt
Amount		 Monthly
Payment		 Incurred By
Back to top.




Are you ready to send your information to your attorney?

     CheckList:
      1. You have entered you and your attorney's Email address accurately at the top of this form.
      2. Your entries are complete as requested by your attorney.
      3. You have printed this form for your own records.
      4. Inform your attorney after you click submit so they may know your information is ready for downloading.

      Remember, this is a single session form. Enter all your information in one session, then click submit.
      Alternatively, You can begin a second session only AFTER your attorney downloads this information.


Click "Submit Now" To Send Your Data!

 Form ID