3258 (Rev. 08/08) JOINT AFFIDAVIT (SIMPLIFIED DISSOLUTION OF MARRIAGE) UNITED STATES OF AMERICA STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT COUNTY OF DU PAGE IN RE THE MARRIAGE OF CO-PETITIONER CASE NUMBER vs CO-PETITIONER File Stamp Here JOINT AFFIDAVIT REGARDING SEPARATION OF THE PARTIES DIVISION OF PROPERTY AND WAIVER OF BIFURCATED HEARING Co-Petitioners, being first sworn on their oaths, depose and state as follows: 1. That irreconcilable differences have caused the irretrievable breakdown of their marriage. 2. That all efforts at reconciliation of the differences between the parties have heretofore failed and future attempts at reconciliation would be impractical and not in the best interest of the parties 3. That the parties have lived separate and apart for a continuous period of more than six (6) months prior to the date of this affidavit, having separated on or about (month, day, year) and have remained living separate for all times thereafter. 4. (a) That each of the parties hereto expressly waive the requirement that the continuous period of living separate and apart be in excess of two (2) years in order for the Court to enter a Dissolution of Marriage based upon irreconcilable differences which have cause the irretrievable breakdown of their marriage: and (b) Each of the parties further stipulates that the requirement shall be reduced to a period of only in excess of six (6) months rather than in excess of two (2) years as provided by Section 401(a)(2) of the Illinois Marriage and Dissolution of Marriage Act. 5. That the marital property belonging to the parties has been divided according to the terms of the written agreement of the parties filed with the Petition for Dissolution of Marriage in this cause, and that the parties have executed all documents required to carry out the agreement. 6. That the parties waive any right either may have to a bifurcated hearing of this cause. 7. That each of the parties represents that the signing of this Affidavit is their individual sole, voluntary act. Co-Petitioner (print name) Co-Petitioner (print name) Co-Petitioner Signature Co-Petitioner Signature CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com 3258 (Rev. 08/08) JOINT AFFIDAVIT (SIMPLIFIED DISSOLUTION OF MARRIAGE) STATE OF ILLINOIS VERIFICATION ) ) SS COUNTY OF DU PAGE ) I, , being first duly sworn upon oath, depose and say that I have read the foregoing Joint Affidavit, understand the contents thereof, and believe the same to be true and correct to the best of my knowledge. Co-Petitioner 's Signature Signed and sworn to before me Date Notary Public STATE OF ILLINOIS ) ) SS COUNTY OF DU PAGE ) I, , being first duly sworn upon oath, depose and say that I have read the foregoing Joint Affidavit, understand the contents thereof, and believe the same to be true and correct to the best of my knowledge. Co-Petitioner 's Signature Signed and sworn to before me Date Notary Public CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT © WHEATON, ILLINOIS 60187-0707 Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com