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Questionnaire For Clean Break Order

This questionnaire will take about 15 minutes to complete. Please allow yourself enough time to finish it before starting. Part applications will not be accepted.

Before you begin have all your financial details to hand. We will use the information you provide to advise you fully and to complete your application to the court for a consent order.

You have a duty to the court to give a full, frank and clear disclosure of all your financial and other relevant circumstances. A failure to give full and accurate disclosure may result in any order the court makes being set aside.

If you are found to have been deliberately untruthful, criminal proceedings may be brought against you for fraud under the Fraud Act 2006.

Requirements

  • You must have no children
  • You must have no assets to share (money, property, investments, or pensions)
  • You and your ex both agree to the clean break agreement and will both sign it
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Before you begin

We want to get your consent order completed and approved by the court as quickly as possible. The court will only approve your consent order if they have the information from the following questions. Please help us prepare your consent order as quickly as possible by answering the following questions for you and your spouse. This is a fully transparent process, so both parties have visibility of each other declared assets before signing the documents for the court's approval. Even though it's a fully transparent process, we understand that some couples want to complete their own questionnaire. We can provide this service and collate your information before drafting the documents for an additional chargeable service of £95. Email client@easyonlinedivorce.co.uk to arrange this service.
Did you read before you begin?
Please tell us the name of the court dealing with your divorce. (You can find this in any email or letter you have received from the court).
Please enter the case number of your divorce.
Please select which this application is in relation to:
Did you or your spouse ask for your address to be confidential on the divorce application?
IMPORTANT: You must tell us if you or your spouse asked the court to keep your address confidential. NOT SURE? Confidentiality was selected if the applicant's address was not on the divorce application. PLEASE NOTE: The Statement of Information includes your and your spouse's addresses as standard. If you or your spouse asked the court to keep your address confidential in your divorce application and you want it to remain confidential, or if you now want to keep your address confidential, you can add a confidentiality service for £95, where we will submit a separate document to the court that keeps your address confidential.
Click or drag a file to this area to upload.
We need to send the court a copy of your conditional order or your final order if you have completed your divorce. Please upload it here. If you have divorced under the old system, please attach your decree nisi or decree absolute.
Date of marriage or formation of civil partnership
Date you started living together (if before date of marriage)
What date did you separate?
Please provide an estimate if you can't remember the exact date.
Do you know the date of your conditional order (decree nisi)
Do you know the date of your final order (decree absolute)

Applicant's Details

Your Name
Please enter your name exactly as it appears on your divorce application.
Your Address
Your Date of Birth

Respondent Details

Respondent's Name
Please write their name exactly as it appears on your divorce application.
Respondent's Address
Respondent's Date of Birth

Financial Disclosure - Applicant

For the court to grant a clean break, you must tell them the total amount that you and your ex-spouse have in property, savings, debt and pensions - even though you are not sharing any of these things. Enter 0 if you do not have anything in one or more of the following categories.
To work this number out, take away the mortgage & other charges from the property's market value.
Add all of your savings and investments together as one sum.
You can get this from your pension company. The number you need is known as the 'Pot Value', 'Total Value' or CETV (Cash Equivalent Transfer Value). You don't need to include state pensions.
Most people don't have this. Also known as a PPF, if you've never heard of it you probably don't have one.

Financial Disclosure - Respondent

Please provide the following information from the respondent. The court will not approve a clean break order without this information. If they don't have an asset or liability, enter 0 so the court can see that you have disclosed everything.
To work this number out, take away the mortgage & other charges from the property's market value.
Add all of their savings and investments together as one sum.
They can get this from their pension company. The number you need is known as the 'Pot Value', 'Total Value' or CETV (Cash Equivalent Transfer Value). You don't need to include state pensions.
Most people don't have this. Also known as a PPF, if they've never heard of it, they probably don't have one.

Monthly Income

Please enter your take home pay after tax and national insurance
Please enter the total amount of benefits you receive each month including child benefit
Please enter the total amount of pension you receive each month
Please enter the total amount of income you receive each month from other sources such as savings or investments.
Please enter the respondent's take home pay after tax and national insurance
Please enter the total amount of benefits the respondent receives each month including child benefit
Please enter the total amount of pension the respondent receives each month
Please enter the total amount of income the respondent receives each month from other sources such as savings or investments.

Relationships

Please select the box which applies to your current relationship status and the respondent's relationship status
At the present time, please select which of the following applies to you
At the present time, please select which of the following applies to the Respondent

Reaching Your Agreement

How was your financial agreement reached?
Are you happy with the way the assets have been split and are you aware that you cannot make a future claim against the respondent once the order has been approved?
Is the respondent happy with the way the assets have been split and are they aware that they cannot make a future claim against you once the order has been approved?
Is the split of assets broadly equal between you both?
Our clean break service is for couples who have reached a fair agreement. If your agreement isn’t fair and there is a significant imbalance of assets without good reason, the court will likely reject the application and request a statement from you asking why you believe your agreement to be fair. If you present an unfair agreement and insist that we submitted to the court and they refuses it, we have a statement service where we will prepare your statements and deal with the court on your behalf. The cost should you need this service is £295. Please note that this service does not guarantee the court will approve your consent order. It also does not cover rewriting the consent order should the court require you to amend your agreement.
Please use this section to add any information that helps the court see that your request for a clean break is fair. For example, prior financial settlements such as selling the former family home and splitting the proceeds, or explaining why there is a large disparity in assets between you and the respondent.
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