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)
Extra Password (optional)
(Either leave blank, or give this password to your attorney.
In either case, 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   Wife   Husband   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)
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WIFE'S INFORMATION *Press Tab Key to Move From Field to Field
NAME
4. Title of Wife (i.e., Mr. Mrs., Dr.)
5. Wife First Name
6. Wife Middle Name
7. Wife Last Name
PHONE
8. Wife Day Phone
9. Wife Evening Phone
10. Wife Cell Phone
11. Wife Msg./Pager
12. Wife Fax Phone
EMAIL ADDRESS
13. Wife Email Address
RESIDENTIAL ADDRESS
14. Wife Residential Address
15. Wife Res. City
16. Wife Res. State
17. Wife Res. Zip
EMPLOYMENT
18. Wife Employer Name
19. Wife Employer Phone
20. Wife Employer Address
21. Wife Employer City
22. Wife Employer State
23. Wife Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
24. Wife Soc. Sec. Number
25. Wife Driver's Lic/ID
26. Wife Birthdate
27. Wife Birthplace
28. Wife Maiden Name
29.Wife Eye Color
30. Wife Hair Color
31. Wife Height
32. Wife Weight
33. Wife Race
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HUSBAND INFORMATION *Press Tab Key to Move From Field to Field
NAME
34. Title of Husband (i.e., Mr., Dr..)
35. Husband First Name
36. Husband Middle Name
37. Husband Last Name
TELEPHONE
38. Husband Day Phone
39. Husband Evening Phone
40. Husband Cell Phone
41. Husband Msg./Pager
42. Husband Fax Phone
EMAIL ADDRESS
43. Husband Email Address
RESIDENTIAL ADDRESS
44. Husband Residential Address
45. Husband Res. City
46. Husband Res. State
47. Husband Res. Zip
EMPLOYMENT
48. Husband Employer Name
49. Husband Employer Phone
50. Husband Employer Address
51. Husband Employer City
52. Husband Employer State
53. Husband Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
54. Husband Soc. Sec. Number
55. Husband Driver's Lic/ID & State
56. Husband Birthdate
57. Husband Birthplace
58. Husband Eye Color
59. Husband Hair Color
60. Husband Height
61. Husband Weight
62. Husband Race
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CHILDREN INFORMATION
OLDEST CHILD
100. Oldest Child's First Name
101. Oldest Child's Middle Initial
102. Oldest Child's Last Name
103. Oldest Child Lives with:
104. Oldest Child's Address
105. Oldest Child's City
106. Oldest Child's State
107. Oldest Child's Zip
108. Oldest Child's Race
109. Oldest Child's Sex
110. Oldest Child's Birthdate
111. Oldest Child's Soc. Sec. #
112. Oldest Child's Place of Birth
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2ND CHILD
113. 2ND Child's First Name
114. 2ND Child's Middle Initial
115. 2ND Child's Last Name
116. 2ND Child Lives with:
117. 2ND Child's Address
118. 2ND Child's City
119. 2ND Child's State
120. 2ND Child's Zip
121. 2ND Child's Race
122. 2ND Child's Sex
123. 2ND Child's Birthdate
124. 2ND Child's Soc. Sec. #
125. 2ND Child's Place of Birth
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3RD CHILD
126. 3RD Child's First Name
127. 3RD Child's Middle Initial
128. 3RD Child's Last Name
129. 3RD Child Lives with:
130. 3RD Child's Address
131. 3RD Child's City
132. 3RD Child's State
133. 3RD Child's Zip
134. 3RD Child's Race
135. 3RD Child's Sex
136. 3RD Child's Birthdate
137. 3RD Child's Soc. Sec. #
138. 3RD Child's Place of Birth
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4TH CHILD
139. 4th Child's First Name
140. 4th Child's Middle Initial
141. 4th Child's Last Name
142. 4th Child Lives with:
143. 4th Child's Address
144. 4th Child's City
145. 4th Child's State
146. 4th Child's Zip
147. 4th Child's Race
148. 4th Child's Sex
149. 4th Child's Birthdate
150. 4th Child's Soc. Sec. #
151. 4th Child's Place of Birth
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5TH CHILD
152. 5th Child's First Name
153. 5th Child's Middle Initial
154. 5th Child's Last Name
155. 5th Child Lives with:
156. 5th Child's Address
157. 5th Child's City
158. 5th Child's State
159. 5th Child's Zip
160. 5th Child's Race
161. 5th Child's Sex
162. 5th Child's Birthdate
163. 5th Child's Soc. Sec. #
164. 5th Child's Place of Birth
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6TH CHILD
165. 6th Child's First Name
166. 6th Child's Middle Initial
167. 6th Child's Last Name
168. 6th Child Lives with:
169. 6th Child's Address
170. 6th Child's City
171. 6th Child's State
172. 6th Child's Zip
173. 6th Child's Race
174. 6th Child's Sex
175. 6th Child's Birthdate
176. 6th Child's Soc. Sec. #
177. 6th Child's Place of Birth
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7TH CHILD
178. 7th Child's First Name
179. 7th Child's Middle Initial
180. 7th Child's Last Name
181. 7th Child Lives with:
182. 7th Child's Address
183. 7th Child's City
184. 7th Child's State
185. 7th Child's Zip
186. 7th Child's Race
187. 7th Child's Sex
188. 7th Child's Birthdate
189. 7th Child's Soc. Sec. #
190. 7th Child's Place of Birth
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8TH CHILD
191. 8th Child's First Name
192. 8th Child's Middle Initial
193. 8th Child's Last Name
194. 8th Child Lives with:
195. 8th Child's Address
196. 8th Child's City
197. 8th Child's State
198. 8th Child's Zip
199. 8th Child's Race
200. 8th Child's Sex
201. 8th Child's Birthdate
202. 8th Child's Soc. Sec. #
203. 8th Child's Place of Birth
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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
DefendantPlaintiff
225. Wages and Salaries
226. Net Business Income
227. Interest
228. Dividends
229. Rents
230. Royalties
231. Gifts
232. Unemployment Compensation
233. Alimony Received
234. Pensions and All Forms of Retirement
235. Annuity
236. Social Security or Disability/Retirement Benefits
237. Expense Account
238. Worker's Compensation
239. Income from an Interest in an Estate or Trust
240. Other Entitlements/Lump Sum Awards
241. Other Income
242. Other Income
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DEDUCTIONS *Press Tab Key to Move From Field to Field
DefendantPlaintiff
243. Monthly Union Dues Paid
244. Monthly Alimony (This Case Only)
245. Non-Voluntary Retirement Payments
246. Health Insurance Deduction
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CHILD CARE AND EXPENSES *Press Tab Key to Move From Field to Field
DefendantPlaintiff
247. Annual Child Care Expense (All Children)
248. Self-Employment Tax
249. Losses from Self Employment
250. Amounts Received from Pension or Annuity
251. Health Insurance Paid for the Children
252. Unreimbursed Medical Expenses Paid
253. Additional Expenses Paid for the Children
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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




General Employment Income Other Income Deductions Assets Expenses Debts


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
275. Your Full Name
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EMPLOYMENT *Press Tab Key to Move From Field to Field
276. Name of Employer
277. Address
278. City
279. State
280. Zip
281. Type of Work
282. Payroll Number
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GROSS PAY PER PAY PERIOD *Press Tab Key to Move From Field to Field
282. Pay Period
284. Amount Per Pay Period
PAYROLL DEDUCTION PER PAY PERIOD
285. Federal Withholding
286. FICA
287. Local Wage Tax
288. State Income Tax
289. Retirement
290. Savings Bonds
291. Union Dues
292. Life Insurance
293. Health Insurance
294. Other (Specify)
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OTHER INCOME
WeekMonthYear
295. Interest
296. Dividends
297. Pension
298. Annuity
299. Social Security
300. Rents
301. Royalties
302. Unemployment Compensation
303. Workman's Compensation
304. Employer Fringe Benefits
305. IRS Refund Last Year
306. Support Received
307. Public Welfare
308. Other
309. Other
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YOUR MONTHLY EXPENSES - Standard Expense Attachment
WeeklyMonthlyYearly
310. Mortgage (Including real estate taxes and
homeowner's insurance) or Rent
311. Health Insurance Premiums
UNREIMBURSED MEDICAL EXPENSES
312. Doctor
313. Dentist
314. Orthodontist
315. Hospital
316. Medicine
317. Special Needs (glasses, braces,
orthopedic devices, therapy)
318. Child Care
319. Private School
320. Parochial School
321. Loans/Debts
322. Loans/Debts
323. Alimony Payments
324. Other
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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 >> PropertyCalc




Assets and Liens Other Debts


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 Value Ownership
(H) Husband
(W) Wife
(J) Joint
350.
351.
352.
353.
354.
355.
356.
357.
358.
359.
360.
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PROPERTYCALC OTHER DEBTS
Category Description Current Debt
Amount		 Name of Creditors Names of Debtors
361.
362.
363.
364.
365.
366.
367.
368.
369.
370.
371.
372.
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Are you ready to send your information to your attorney?

     Check List:
      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