Person Filing: Mailing Address: City, State, Zip: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO In re the marriage of Petitioner (My spouse) Case Number: Respondent (Me) I STATE THE FOLLOWING UNDER OATH: The Parties and the Marriage: RESPONSE TO PETITION FOR LEGAL SEPARATION WITHOUT CHILDREN My Spouse's Name: Street Address: City, State, Zip: Birthdate: Phone Number: Job title: Number of months/years in a row to date my spouse has lived in Arizona: If not living in Arizona now, my spouse [ ] lived [ ] did not live in Arizona at some point during our marriage. My Name: Street Address: City, State, Zip: Birthdate: Phone Number: Job title: Number of months/years in a row to date I have lived in Arizona: If not living in Arizona now, I [ ] lived [ ] did not live in Arizona at some point during our marriage. The Marriage: Date of Marriage: City and state or country where we were married: Conciliation: [ ] Yes [ ] No: The conciliation provisions have been met or do not apply. Covenant Marriage: [ ] Yes [ ] No: We have a covenant marriage. If yes, a copy of our marriage license is attached. Whether I Object to a Decree of Legal Separation: [] I want a legal separation. [] I do not want a legal separation, but I do want a divorce. [] I do not want a legal separation or divorce because the marriage is not irretrievably broken. American LegalNet, Inc. www.FormsWorkFlow.com Page 1 of 5 Revised April 2016 © 2016 Coconino County Law Library Military Service: I am not in military service. Residency: [ ] Yes [ ] No: I and/or my spouse lived in Arizona, or my spouse was stationed in Arizona while a member of the Armed Forces, on the date my spouse filed the Petition. Minor Children: [ ] Yes [ ] No: We have biological or adopted children together, and/or the wife is pregnant by the husband. General Denial: I deny anything stated in the Petition that I have not specifically admitted or qualified. I ASK THE COURT TO ORDER THE FOLLOWING: Legal Separation: [] [] [] Order that my spouse and I be legally separated. Direct that the Petition be changed to a Petition for Divorce. [ ] Yes [ ] No: My spouse and/or I have lived in Arizona for at least 90 days. Dismiss this case because: [] My spouse and I have a covenant marriage. [] The Petition claims our marriage is irretrievably broken, but it is not. [] Neither I nor my spouse lived in Arizona on the date my spouse filed the Petition. Spousal Support: [] OR Neither party is entitled to spousal support. Award [ ] me or [ ] the other party $ per month in spousal support from the other party beginning the first day of the month after the Decree is signed because he/she: [] Lacks sufficient property to provide for his or her reasonable needs [] Is unable to support himself or herself through appropriate employment [] Is the custodian of at least one child whose age or condition is such that the person should not be required to seek employment outside the home [] Lacks earning ability in the labor market adequate to support himself or herself [] Contributed to the educational opportunities of the other spouse [] Had a marriage of long duration and is now of an age that precludes the possibility of gaining employment adequate to support himself or herself Order that payments be made by the first day of each month thereafter and continue until the receiving party is remarried or deceased or until , whichever is sooner. Order that payments be made through the Support Payment Clearinghouse by automatic wage assignment. If there are temporary spousal maintenance orders, order a judgment for arrearages when the judge signs the Decree. Page 2 of 5 Revised April 2016 American LegalNet, Inc. www.FormsWorkFlow.com I agree with the spousal support the other party asked for in the Petition. [] [] © 2016 Coconino County Law Library Property and Debts: [] OR Order property and debts divided as follows. Community Property: Real Estate: Address: Legal Description: Address: Legal Description: Bank Accounts: Enter the name on the account and the account description (for example, "savings"). $ $ $ $ Motor Vehicles: Make: Model: Lienholder: Last Four Digits of VIN: Make: Model: Lienholder: Last Four Digits of VIN: Employment Benefits: Examples: 401K, retirement accounts, pensions. Enter name on the account and the fund name. $ [] [] [] [] [] [] [] [] [] [] Value $ Me [] My spouse [] I agree with the division of property and debts the other party asked for in the Petition. $ [] [] $ [] [] $ $ $ $ [] [] [] [] [] [] [] [] Other Community Property: [] My spouse and I have already divided all remaining property, and I ask the court to confirm that division, except as follows. Page 3 of 5 Revised April 2016 American LegalNet, Inc. www.FormsWorkFlow.com © 2016 Coconino County Law Library Value Household Furniture and Appliances: $ $ $ $ Other: $ $ $ $ Community Debts: Enter the name on the account, creditor, and description (for example, "credit card"). $ $ $ $ Separate Property: $ $ $ $ Separate Debts: $ $ $ $ Me [] [] [] [] [] [] [] [] My spouse [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] [] Each party shall pay all debts unknown to the other party. Each party shall pay his or her debts forward from the date the Petition was served on Respondent. This Decree can be used as a transfer of title and can be recorded. Parties shall sign all documents necessary to complete all transfers of title ordered in this Decree, such as for motor vehicles, houses, and bank accounts. The parties shall transfer all real and personal property to the other party as ordered within 10 calendar days after the judge signs the Decree. Summary of the Differences Between What I Say About Property and/or Debts and What the Other Party Said In the Petition About Property and Debts: Page 4 of 5 Revised April 2016 American LegalNet, Inc. www.FormsWorkFlow.com © 2016 Coconino County Law Library I Request the Following Other Orders: I request any other orders that the court deems appropriate. CERTIFICATE OF SERVICE: I will mail or hand-deliver a copy of this Response to Petitioner on the day I file it. Sign in front of a notary, or in front of the Court Clerk when you start your case. The person signing must bring photo ID. Notaries are at most banks or listed in the Yellow Pages. Notaries usually charge a fee. Signature: State of Arizona County of Subscribed and sworn before me this date: Seal: ) ) ) by: Notary Public: Notary Ex