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   Party 1   Party 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)
5. Number of Other Legal or Biological Children (if applicable)
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PARTY 1'S INFORMATION
   (if a Parentage case Father)
 *Press Tab Key to Move From Field to Field
NAME
6. Title of Party 1 (i.e., Mr., Mrs., Dr..)
7. Party 1's First Name
8. Party 1's Middle Name
9. Party 1's Last Name
10. Party 1's Nick Name
TELEPHONE
11. Party 1's Day Phone
12. Party 1's Evening Phone
13. Party 1's Cell Phone
14. Party 1's Msg./Pager Phone
15. Party 1's Fax Phone
EMAIL ADDRESS
16. Party 1's Email Address
MAILING ADDRESS
17. Party 1's Mailing Address
18. Party 1's Mailing City
19. Party 1's Mailing State
20. Party 1's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
21. Party 1's Residential Address
22. Party 1's Res. City
23. Party 1's Res. State
24. Party 1's Res. Zip
25. Party 1's Res. County
EMPLOYMENT
26. Party 1's Employer Name
27. Party 1's Employer Phone
28. Party 1's Employer Address
29. Party 1's Employer City
30. Party 1's Employer State
31. Party 1's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
32. Party 1's Soc. Sec. Number
33. Party 1's Driver's Lic/ID & State
34. Party 1's Birthdate
35. Party 1's Birth State
36. Party 1's Birth Last Name
37. Party 1's Race
38. Party 1's County Where Married
39. Party 1's State Where Married
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PARTY 2'S INFORMATION
   (if a Parentage case Mother)
*Press Tab Key to Move From Field to Field
NAME
40. Title of Party 1 (i.e., Mr. Mrs., Dr.)
41. Party 2's First Name
42. Party 2's Middle Name
43. Party 2's Last Name
44. Party 2's Nick Name
TELEPHONE
45. Party 2's Day Phone
46. Party 2's Evening Phone
47. Party 2's Cell Phone
48. Party 2's Msg./Pager Phone
49. Party 2's Fax Phone
EMAIL ADDRESS
50. Party 2's Email Address
MAILING ADDRESS
51. Party 2's Mailing Address
52. Party 2's Mailing City
53. Party 2's Mailing State
54. Party 2's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
55. Party 2's Residential Address
56. Party 2's Res. City
57. Party 2's Res. State
58. Party 2's Res. Zip
59. Party 2's Res. County
EMPLOYMENT
60. Party 2's Employer Name
61. Party 2's Employer Phone
62. Party 2's Employer Address
63. Party 2's Employer City
64. Party 2's Employer State
65. Party 2's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
66. Party 2's Soc. Sec. Number
67. Party 2's Driver's Lic/ID
68. Party 2's Birthdate
69. Party 2's Birth State
70. Party 2's Birth Last Name
71. Party 2's Race
72. Party 2's County Where Married
73. Party 2's State Where Married
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CHILDREN INFORMATION
OLDEST CHILD
74. Oldest Child's First Name
75. Oldest Child's Middle Name
76. Oldest Child's Last Name
77. Oldest Child's Age
78. Oldest Child's Sex
79. Oldest Child's Birthdate
80. Oldest Child's Soc. Sec. #
81. Oldest Child Resides with
82. Is Party 1 Oldest Child's Parent?
83. Is Party 2 Oldest Child's Parent?
84. Oldest Child's Race
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2ND CHILD
85. 2nd Child's First Name
86. 2nd Child's Middle Name
87. 2nd Child's Last Name
88. 2nd Child's Age
89. 2nd Child's Sex
90. 2nd Child's Birthdate
91. 2nd Child's Soc. Sec. #
92. 2nd Child Resides with
93. Is Party 1 2nd Child's Parent?
94. Is Party 2 2nd Child's Parent?
95. 2nd Child's Race
3RD CHILD
96. 3rd Child's First Name
97. 3rd Child's Middle Name
98. 3rd Child's Last Name
99. 3rd Child's Age
100. 3rd Child's Sex
101. 3rd Child's Birthdate
102. 3rd Child's Soc. Sec. #
103. 3rd Child Resides with
104. Is Party 1 3rd Child's Parent?
105. Is Party 2 3rd Child's Parent?
106. 3rd Child's Race
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4TH CHILD
107. 4th Child's First Name
108. 4th Child's Middle Name
109. 4th Child's Last Name
110. 4th Child's Age
111. 4th Child's Sex
112. 4th Child's Birthdate
113. 4th Child's Soc. Sec. #
114. 4th Child Resides with
115. Is Party 1 4th Child's Parent?
116. Is Party 2 4th Child's Parent?
117. 4th Child's Race
5TH CHILD
118. 5th Child's First Name
119. 5th Child's Middle Name
120. 5th Child's Last Name
121. 5th Child's Age
122. 5th Child's Sex
123. 5th Child's Birthdate
124. 5th Child's Soc. Sec. #
125. 5th Child Resides with
126. Is Party 1 5th Child's Parent?
127. Is Party 2 5th Child's Parent?
128. 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
Applicable only in cases involving children — consult with your attorney to verify
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
Party 1Party 2
129. Wages and Salaries
130. Interest Income
131. Dividend Income
132. Business Income
133. Spousal Maintenance Received
134. 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
Party 1 Party 2
135. Income Taxes (*Optional)
136. FICA/Self Employment
Taxes (*Optional)
137. Normal Business Expenses
138. State Insur. Premiums Acutally Paid.
139. Paid Family and Medical Leave Program.
140. Long-Term Services and Support Trusts Program.
141. Other Mandatory State Deductions.
142. State Industrial Insur.
143. Mand. Union/Prof. Dues
144. Mandatory Pension Plan Payments
145. Voluntary Retirement Contributions
146. Spousal Maintenance Paid
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CHILDREN EXPENSE INFORMATION *Press Tab Key to Move From Field to Field
Party 1 Party 2
147. Children's Health Insurance Premiums
148. Children's Uninsured Health Expenses
149. Day Care Expenses
150. Education Expenses
151. Long Distance Transportation
Expenses
152. Other Special Expenses Party 1 Party 2
Describe  
Describe  
Describe  
153. Other Ordinary Expenses Party 1
Party 2
Describe  
Describe  
Describe  
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RESIDENTIAL INFORMATION *Press Tab Key to Move From Field to Field
With Party 1 With Party 2
154. Child 1's Overnights
155. Child 2's Overnights
156. Child 3's Overnights
157. Child 4's Overnights
158. 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
159. Your Full Name
160. Occupation
161. Highest Year of Education Completed
162. Number of Dependents
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EMPLOYMENT *Press Tab Key to Move From Field to Field
163. Are you presently employed?
If YES, complete CURRENT EMPLOYMENT
If NO, complete LAST EMPLOYMENT
CURRENT EMPLOYMENT
164. Begin Date of Employment
LAST EMPLOYMENT
165. Last Employment Date
166. Last Gross Monthly Earnings
167. Reason for Current Unemployment
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GROSS MONTHLY INCOME
Party 1Party 2
168. Wages and Salaries
169. Interest Income
170. Dividend Income
171. Spousal Maintenance Received
172. Other Income
173. Year-To-Date Gross Income
BUSINESS INCOMEParty 1Party 2
174. Business Income
175. Business Expenses
MISCELLANEOUS INCOME
176. Child support received
from other relationships		 Party 1 Party 2
Name:
Name:
177. Income of current spouse
Name:
Name:
178. Income of other adults in household
Name:
Name:
179. Income of children
Name:
Name:
180. 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.
Party 1 Party 2
181. Income Taxes (*Optional)
182. FICA/Self Employment Taxes (*Optional)
183. State Industrial Insur.
184. Mand. Union/Prof. Dues
185. Pension Plan Payments
186. Spousal Maintenance Paid
Back to top.

YOUR ASSETS
187. Cash on Hand
188. On Deposit in Banks
189. Stocks and Bonds
190. Cash Value of Life Insurance
191. Other
Back to top.

YOUR MONTHLY EXPENSES
HOUSING
192. Rent, 1st mortgage or payments
193. Installment payments for other
mortgages or encumbrances
194. Taxes and insurance
if not in monthly payment
UTILITIES
195. Heat (gas and oil)
196. Electricity
197. Water, sewer, garbage
198. Telephone
199. Cable
200. Other:
FOOD AND SUPPLIES
201. Food for persons
202. Supplies (paper, tobacco, pets)
203. Meals eaten out
204. Other:
CHILDREN
205. Day Care/Babysitting
206. Clothing
207. Tuition (if any)
208. Other child related expenses
TRANSPORTATION
209. Vehicle payments or leases
210. Vehicle insurance and license
211. Vehicle gas, oil, ord. maint.
212. Parking
213. Other transportation expenses
HEALTH CARE
214. Insurance
215. Uninsured dental, orthodontic
medical, eye care expenses
216. Other uninsured health
care expenses
PERSONAL EXPENSES
217. Clothing
218. Hair care/personal care
219. Clubs and recreation
220. Education
221. Books, newspapers
magazines, photos
222. Gifts
223. Other:
MISCELLANEOUS EXPENSES
224. Life Insurance (if not
deducted from income)
225. Other:
226. 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!

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