ONLINE ORDER

If you are an existing Lexington Pension client, we suggest that you log in prior to starting this form. Logging in saves you time. There is no need to complete your information, we already have that. As you enter the opposing attorney's last name, if he or she is in our database, a dropdown box will appear. Just choose the appropriate name and the information will be autofilled. You will also be able to save this form on our website. If you do not know your username or password, please call us at 718-697-0100, or email us at lexinfo@lexpen.com

Order Details

Please start below and go to the next steps as you start adding the information.


Select Order Type
Select the Order type to begin filling out the form
Party You Represent
Please select which party you represent
Select client Type
Please select if your client is the Petitioner or the Respondent
Case Heading
(e.g. Mary Jones v. Harry Jones)

Case Jurisdiction
Please select the case jurisdiction state
Share information with opposing party?
May we share information with the opposing party?
Payment Percentage
Please advise what percentage of the total cost will be your client's responsibility
Are you representing yourself?
Please select the appropriate response

Primary Attorney Information

Please add the main Attorney Information here


Attorney Last Name
Enter Attorney's last Name
Attorney First Name
Enter Attorney's first Name
Attorney Email Address
Enter Attorney's Email Address
Attorney Firm Name
The firm Attorney works for
Address
Attorney's Mailing Address
City
Address City
State
Address State
Zipcode
Address Zipcode
County
Address County
Telephone Number
Attorney's Telephone Number
Fax Number
Attorney's Fax Number

Opposing Attorney Information

Please add the Opposing Attorney Information here
If you are logged in, type a couple letters of the Attorney's last name and we will see if we can pull the rest of the information for you.


Attorney Last Name
Enter Attorney's last Name
Attorney First Name
Enter Attorney's first Name
Attorney Email Address
Enter Attorney's Email Address
Attorney Firm Name
The firm Attorney works for
Address
Attorney's Mailing Address
City
Address City
State
Address State
Zipcode
Address Zipcode
County
Address County
Telephone Number
Attorney's Telephone Number
Fax Number
Attorney's Fax Number

Court Information

Please enter the County, Court and Judge Information here


County
Enter County Name
Court Name
Enter Court Name
Court Address
Enter Court Address
Index/Docket Number
Enter Index Or Docket Number
Judge Name
Enter Judge Name

Participant/Employee Spouse Information

Please enter the details in the section Below


Name
Enter Name of the Participant
Sex
Please select one
Date of Birth
DOB of the participant
Address
Address of the Participant
Social Security Number
Participant's Social Security

Alternate Payee/Spouse or Former Spouse

Please enter the details in the section Below


Name
Enter Name of Alternate Payee
Sex
Please select one
Date of Birth
DOB of Alternate Payee
Address
Address of Alternate Payee
Social Security Number
Alternate Payee's Social Security

Case Specific Information

Please enter the details in the section Below


Date of Marriage
Enter Date of Marriage
Date of Action for Divorce
(date action for divorce was actually commenced in your jurisdiction)
Marital Asset Cutoff Date
(date that the sharing of marital assets ceased, i.e. Summons Date; Separation Date; or Divorce Date, or other date as agreed upon by the parties as appropriate in your jurisdiction)
Date of Divorce
(if the parties are already divorced)

Pension Plan Information

Please enter the details in the section Below


Employer's Name
Please Enter employer's Name
Pension Plan Name
Please Enter Pension Plan Name
Type of Plan
Please Enter type of the pension plan
Date of Hire
Please Enter Date of Hire
Plan Participation Date
(if different from Date of Hire)
Current Employment Status
If Retired : Retirement Date
What was the date of retirement
If Retired : Annual Benefit
What is the annual gross Benefit?
If Retired : Form of Benefit
What is the form of benefit?
Do you anticipate that there will be multiple Valuations/QDROs needed?
(For example, many employees participate in defined benefit plans, as well as, 401(k) plans. Most Plans require separate QDROs for each Plan.If there are additional plans, we will contact you to obtain the specific plan information)
Name of Additional Plans
If you answered Yes to the above question, please list the names of the additional plans
Special Instructions
Special Instructions or comments regarding the Present Value Analysis or Distributive Award via a QDRO
Comments

Payment Method

Please select how you would like to pay for this order.


CREDIT CARD
You will be directed to our payment page to pay for this order

CHECK
Please note that all payments have to be recieved in full before we can start processing your order.