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
Date of Marriage (if applicable)
Where Married - County and State (if applicable)
Date of Separation (if applicable)
Number of Children (if applicable)
Back to top.

PARENT 1'S INFORMATION
   (if a Parentage case Father)

*Press Tab Key to Move From Field to Field
NAME
Title of Parent 1 (i.e., Mr., Mrs., Dr..)
Parent 1's First Name
Parent 1's Middle Name
Parent 1's Last Name
Parent 1's Nick Name
TELEPHONE
Parent 1's Day Phone
Parent 1's Evening Phone
Parent 1's Cell Phone
Parent 1's Msg./Pager Phone
Parent 1's Fax Phone
EMAIL ADDRESS
Parent 1's Email Address
MAILING ADDRESS
Parent 1's Mailing Address
Parent 1's Mailing City
Parent 1's Mailing State
Parent 1's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
Parent 1's Residential Address
Parent 1's Res. City
Parent 1's Res. State
Parent 1's Res. Zip
Parent 1's Res. County
EMPLOYMENT
Parent 1's Employer Name
Parent 1's Employer Phone
Parent 1's Employer Address
Parent 1's Employer City
Parent 1's Employer State
Parent 1's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
Parent 1's Soc. Sec. Number
Parent 1's Driver's Lic/ID & State
Parent 1's Birthdate
Parent 1's Birth State
Parent 1's Birth Last Name
Parent 1's Race
Parent 1's County Where Married
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
Title of Parent 2 (i.e., Mr. Mrs., Dr.)
Parent 2's First Name
Parent 2's Middle Name
Parent 2's Last Name
Parent 2's Nick Name
TELEPHONE
Parent 2's Day Phone
Parent 2's Evening Phone
Parent 2's Cell Phone
Parent 2's Msg./Pager Phone
Parent 2's Fax Phone
EMAIL ADDRESS
Parent 2's Email Address
MAILING ADDRESS
Parent 2's Mailing Address
Parent 2's Mailing City
Parent 2's Mailing State
Parent 2's Mailing Zip
RESIDENTIAL ADDRESS Leave blank if you wish to use your mailing address as your residential address.
Parent 2's Residential Address
Parent 2's Res. City
Parent 2's Res. State
Parent 2's Res. Zip
Parent 2's Res. County
EMPLOYMENT
Parent 2's Employer Name
Parent 2's Employer Phone
Parent 2's Employer Address
Parent 2's Employer City
Parent 2's Employer State
Parent 2's Employer Zip
VITAL STATISTICS/CONFIDENTIAL IDENTIFICATION INFORMATION
Parent 2's Soc. Sec. Number
Parent 2's Driver's Lic/ID
Parent 2's Birthdate
Parent 2's Birth State
Parent 2's Birth Last Name
Parent 2's Race
Parent 2's County Where Married
Parent 2's State Where Married
Back to top.

CHILDREN INFORMATION
OLDEST CHILD
Oldest Child's First Name
Oldest Child's Middle Name
Oldest Child's Last Name
Oldest Child's Age
Oldest Child's Sex
Oldest Child's Birthdate
Oldest Child's Soc. Sec. #
Oldest Child Resides with
Is Parent 1 Oldest Child's Parent?
Is Parent 2 Oldest Child's Parent?
Oldest Child's Race
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2ND CHILD
2nd Child's First Name
2nd Child's Middle Name
2nd Child's Last Name
2nd Child's Age
2nd Child's Sex
2nd Child's Birthdate
2nd Child's Soc. Sec. #
2nd Child Resides with
Is Parent 1 2nd Child's Parent?
Is Parent 2 2nd Child's Parent?
2nd Child's Race
3RD CHILD
3rd Child's First Name
3rd Child's Middle Name
3rd Child's Last Name
3rd Child's Age
3rd Child's Sex
3rd Child's Birthdate
3rd Child's Soc. Sec. #
3rd Child Resides with
Is Parent 1 3rd Child's Parent?
Is Parent 2 3rd Child's Parent?
3rd Child's Race
Back to top.
4TH CHILD
4th Child's First Name
4th Child's Middle Name
4th Child's Last Name
4th Child's Age
4th Child's Sex
4th Child's Birthdate
4th Child's Soc. Sec. #
4th Child Resides with
Is Parent 1 4th Child's Parent?
Is Parent 2 4th Child's Parent?
4th Child's Race
5TH CHILD
5th Child's First Name
5th Child's Middle Name
5th Child's Last Name
5th Child's Age
5th Child's Sex
5th Child's Birthdate
5th Child's Soc. Sec. #
5th Child Resides with
Is Parent 1 5th Child's Parent?
Is Parent 2 5th Child's Parent?
5th Child's Race
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 >> 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
Wages and Salaries
Interest Income
Dividend Income
Business Income
Spousal Maintenance Received
Other Income
Back to top.

DEDUCTION INFORMATION Your attorney can calculate monthly taxes for you. Leave tax
information blank unless you have a specific
Parent 1 Parent 2
Income Taxes (*Optional)
FICA/Self Employment
Taxes (*Optional)
Normal Business Expenses
State Industrial Insur.
Mand. Union/Prof. Dues
Mandatory Pension Plan Payments
Voluntary Retirement Contributions
Spousal Maintenance Paid
Back to top.

CHILDREN EXPENSE INFORMATION *Press Tab Key to Move From Field to Field
Parent 1 Parent 2
Children's Health Insurance Premiums
Children's Uninsured Health Expenses
Day Care Expenses
Education Expenses
Long Distance Transportation
Expenses
Other Special Expenses Parent 1 Parent 2
Describe  
Describe  
Describe  
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
Child 1's Overnights
Child 2's Overnights
Child 3's Overnights
Child 4's Overnights
Child 5's Overnights
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 >> 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
Your Full Name
Occupation
Highest Year of Education Completed
Number of Dependents
Back to top.

EMPLOYMENT *Press Tab Key to Move From Field to Field
Are you presently employed?
If YES, complete CURRENT EMPLOYMENT
If NO, complete LAST EMPLOYMENT
CURRENT EMPLOYMENT
Begin Date of Employment
LAST EMPLOYMENT
Last Employment Date
Last Gross Monthly Earnings
Reason for Current Unemployment
Back to top.

GROSS MONTHLY INCOME
Parent 1Parent 2
Wages and Salaries
Interest Income
Dividend Income
Spousal Maintenance Received
Other Income
Year-To-Date Gross Income
BUSINESS INCOMEParent 1Parent 2
Business Income
Business Expenses
MISCELLANEOUS INCOME
Child support received
from other relationships
Parent 1 Parent 2
Name:
Name:
Income of current spouse
Name:
Name:
Income of other adults in household
Name:
Name:
Income of children
Name:
Name:
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
Income Taxes (*Optional)
FICA/Self Employment Taxes (*Optional)
State Industrial Insur.
Mand. Union/Prof. Dues
Pension Plan Payments
Spousal Maintenance Paid
Back to top.

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

YOUR MONTHLY EXPENSES
HOUSING
Rent, 1st mortgage or payments
Installment payments for other
mortgages or encumbrances
Taxes and insurance
if not in monthly payment
UTILITIES
Heat (gas and oil)
Electricity
Water, sewer, garbage
Telephone
Cable
Other:
FOOD AND SUPPLIES
Food for persons
Supplies (paper, tobacco, pets)
Meals eaten out
Other:
CHILDREN
Day Care/Babysitting
Clothing
Tuition (if any)
Other child related expenses
TRANSPORTATION
Vehicle payments or leases
Vehicle insurance and license
Vehicle gas, oil, ord. maint.
Parking
Other transportation expenses
HEALTH CARE
Insurance
Uninsured dental, orthodontic
medical, eye care expenses
Other uninsured health
care expenses
PERSONAL EXPENSES
Clothing
Hair care/personal care
Clubs and recreation
Education
Books, newspapers
magazines, photos
Gifts
Other:
MISCELLANEOUS EXPENSES
Life Insurance (if not
deducted from income)
Other:
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