High Net Worth Consent Order Form

Welcome

Please use this simple form to provide us with all the details to assist us in drafting your HNW Consent Order accurately. If you and your spouse have reached agreement through a mediator (or solicitor), you are welcome to upload details of it

Some of the sections may not apply to you so you should either leave them blank or enter ‘not applicable.’

It takes most customers between 10 and 15 minutes to complete the data capture. You will find it easier to complete if you have access to the following:

Mortgage details
Bank accounts and/or investments
Pension details
Pay slips

Personal Details

Prefix

First Name

Middle Name

Last Name

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Date Of Birth *

Phone

Email Address

Spouse Details

Spouse Prefix

Spouse First Name

Spouse Middle Name

Spouse Last Name

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Date Of Birth *

Phone

Email Address

Marriage & Separation Details

Date Of Marriage (If Applicable)

Date Of Separation

Are you in a new relationship?YesNo

Is your spouse / partner in a new relationship?YesNo

Dependent(s) Information

Do you have any children under 18 and/or dependent upon you?YesNo

Prefix

First Name

Middle Name

Last Name

Date Of Birth (child One)

Does This Child Live At The Same Address As You?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Add another child?YesNo

Prefix

First Name

Middle Name

Last Name

Date Of Birth (child Two)

Does This Child Live At The Same Address As You?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Add another child?YesNo

Prefix

First Name

Middle Name

Last Name

Date Of Birth (child Three)

Does This Child Live At The Same Address As You?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Add another child?YesNo

Prefix

First Name

Middle Name

Last Name

Date Of Birth (child Four)

Does This Child Live At The Same Address As You?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Financial Details

Your Net Monthly Income

GBP

Your Spouse's Net Monthly Income

GBP

Do you receive or pay any child maintenance?YesNoPlease tick the appropriate box

Does your spouse / partner receive or pay any child maintenance?YesNoPlease tick the appropriate box

If Yes, how much per month? (£)

Agreed duration of payments (Months)

Do you receive or pay any spousal maintenance?YesNoPlease tick the appropriate box

Does your spouse / partner receive or pay any spousal maintenance?YesNoPlease tick the appropriate box

If Yes, how much per month? (£)

Agreed duration of payments (Months)

Family Home & Property Division

Current Market Value (£)

Balance Outstanding (£)

Equity (£)

Mortgage Provider

Account Number

Ownership Split Agreement

Who will live in the family home?PetitionerSpouse / PartnerTo Be Sold

Do you want to add details of an additional property that forms part of your agreement?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Current Market Value (£)

Balance Outstanding (£)

Equity (£)

Mortgage Provider

Account Number

Ownership Split Agreement

Do you want to add details of an additional property that forms part of your agreement?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Current Market Value (£)

Balance Outstanding (£)

Equity (£)

Ownership Split Agreement

Do you want to add details of an additional property that forms part of your agreement?YesNo

Street Address

Apartment, suite, etc

City / Town

County

Post Code

Current Market Value (£)

Balance Outstanding (£)

Equity (£)

Ownership Split Agreement

Bank Accounts & Savings

Do you and your spouse have joint bank accounts?YesNo

Do you and your spouse have any joint investments or savings?YesNo

Banking Details

Investments & Savings Details

Do you or your spouse hold any life insurance, health insurance, or other policies together?YesNo

Do you or your spouse have pensions that form part of the agreement?YesNo

Policy Details

Pension Details

Do you or your spouse own a business or business assets?YesNo

35. Do you or your spouse own stocks, shares, or other significant assets?YesNo

Business Asset Details

Stocks & Shares Details

Are there any shared debts or loans?YesNo

Shared Liabilities Details

Who will be responsible for legal costs?PetitionerSpouse / PartnerShared

Additional Information

Upload Section

Mediation Agreement (if applicable)

No file chosen

Please upload either a scanned copy of your mediator agreement or a good quality photo.

Financial Disclosure (if available)

No file chosen

Please upload either a scanned copy of your Financial Disclosure or a good quality photo.

Save and come back later

High Net Worth Consent Order Form

Please use a desk top computer or laptop to fill in the questionnaire. The multiple mobile phone makers, browser and mobile service providers can cause issues which we are unable to provide help with.

Company

Services

Contact Details

Express Divorce