BLACK, HEDIN, BALLARD, McDONALD, P.C.

P.O. Box 4007, Mt. Vernon, IL 62864 Telephone: 618-242-3310 | Fax: 618-242-3735

Forms

Financial Affidavit Complete this Financial Affidavit and return it to me with a recent pay stub, W2, tax return, or other evidence of income. Handwrite costs using monthly figures where appropriate. If you have a question or explanation for a particular item, handwrite that information. Feel free to even add a new category or to modify an existing category to better suit your situation.  With each figure be able to explain how you arrived at that number.

Signature lines  This file contains signature variations for most eventualities.  Nothing will be filed without your knowledge and confirmation.

Legal Representation Agreement  This agreement defines expectations and costs commensurate with our professional relationship.  If there is an issue regarding Attorney’s fees or if it becomes appropriate to ask the opposing party to pay towards your Attorney’s fees, this agreement is necessary.

Pre-Mediation Questionnaire  Disputed custody or visitation issues must be mediated.  This questionnaire is to be completed by each party prior to referral to mediation to give the mediator an overview of your situation and your requests.  Once completed, return it to me, it is filed under seal and neither party will see the other’s questionnaire

Children First Program Divorcing parents are required to attend a Children First Seminar and provide a Certificate of Completion. This class can also be completed online at children1stfoundation.org.

Notice of Intent to Exercise Parenting Time Use this form to be clear and provide proof that specific visitation time has been requested.  Keep a copy for yourself and mail/email the Notice to the other parent.  This is helpful to clearly confirm, for example, selected summer Parenting Time.