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251 Superior Court of Arizona in Maricopa County Page 1 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM Person Filing: Address (if not protected): City, State, Zip Code: Telephone: Email Address: ATLAS Number: Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY Case Number: Petitioner / Party A ATLAS Number: (if applicable) PETITION FOR LEGAL SEPARATION WITH MINOR CHILDREN Respondent / Party B STATEMENTS MADE TO THE COURT, UNDER OATH OR AFFIRMATION: GENERAL INFORMATION: 1. INFORMATION ABOUT ME: Name: Address Date of Birth Job Title: I have lived in Arizona for years and/or months 2. INFORMATION ABOUT MY SPOUSE: Name: Address Date of Birth Job Title: My Spouse has lived in Arizona for years and/or months 3. INFORMATION ABOUT OUR MARRIAGE: Date of Marriage: City and state, or country where we were married: American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 2 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM The following statements MUST BE TRUE for you to use this document and to qualify for legal separation in Arizona AND you must check appropriate boxes to indicate which statements are true or your case may not proceed. We do not have a covenant marriage. Our marriage is irretrievably broken (our marriage is over) OR I desire or my Spouse desires to live separate and apart. The conciliation requirements under Arizona law either do not apply or have been met. This Court has jurisdiction to decide legal decision-making (legal custody) concerning the minor childr(en) common to the parties because the minor child(ren) has lived with Party A or Party B in Arizona for at least the past 6 months. 4. CHILDREN OF THE PARTIES WHO ARE LESS THAN 18 YEARS OLD (check one box): There are no children under the age of 18 either born to, or adopted by, the parties. (NOTE: IF YOU CHECKED THIS BOX, STOP. YOU SHOULD BE USING THE PETITION PACKET TO GET A LEGAL SEPARATION WITHOUT CHILDREN.) The following child(ren) is (are) under age 18 and were born to or adopted by my spouse and me: Check the box if the child was born BEFORE the marriage. (Attach extra pages if necessary). Birthdate: Address: Length of Time at Address: Child was born before the marriage Birthdate: Address: Length of Time at Address: Child was born before the marriage Birthdate: Address: Length of Time at Address: Child was born before the marriage Birthdate: Address: Length of Time at Address: Child was born before the marriage American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 3 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM 5. RESIDENCY REQUIREMENT. When I file this document with the Court, either I or my spouse live OR are stationed while a member of the Armed Forces, in Arizona. (WARNING: If this statement is not true, you cannot file for legal separation until it becomes true.) 6. DOMESTIC VIOLENCE. (If you intend to ask for joint legal decision-making authority (joint legal custody) e in your marriage A.R.S. 247 25-403.03. Check one box: Domestic violence has NOT occurred during this marriage. Yes, there HAS been domestic violence during this marriage, and NO legal decision-making (joint legal custody) should be awarded to the parent who committed the violence. Domestic violence has occurred during this marriage, but it was committed by both parents or it is otherwise still in the best interests of the minor child(ren) to grant sole or joint legal decision-making (sole or joint legal custody) to a parent who has committed domestic violence because (Write your explanation on the following lines): 7. PREGNANCY. Party A is OR is not pregnant, Party B is OR is not pregnant. If either party is pregnant, complete the following: The baby is due on (date), (and, check one box below): Party A and Party B are the parents of the child, OR Party A is not a parent of the child, OR. Party B is not a parent of the child. 8. SPOUSAL MAINTENANCE (ALIMONY). (Check the box that applies to you. At least one reason must apply to get spousal maintenance): Neither party is entitled to Spousal Maintenance (alimony), OR Party A OR Party B is entitled to Spousal Maintenance because: (Check all the box(es) below that apply. At least one reason must apply to get spousal maintenance.) Person lacks sufficient property to provide for his or her reasonable needs; Person is unable to support himself or herself through appropriate employment; American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 4 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM Person is the custodian of a child(ren) whose age or condition is such that the person should not be required to seek employment outside the home; Person lacks earning ability in the labor market adequate to support himself or herself; Person made a significant financial or other contribution to the education, training, vocational skills, career, or earning ability of the other spouse; Person had a marriage of long duration, and is now of an age that precludes the possibility of gaining employment adequate to be self-sufficient; and/or benefit of the other spouse. 9.CHILD SUPPORT. There is an Order for Child Support, dated from (name of court) . To my knowledge there is no child support order for the minor child(ren) and the Court should order child support in this case along with legal decision-making (legal custody), and parenting time. Party A Party B made voluntary / direct support payments that need to be taken into account, if past support is requested. Party A Party B owes past support for the period between: the date this Petition was filed and the date current child support is ordered. OR the date the parties started living apart, but not more than three years before the date this Petition was filed and the date current child support is ordered. Title IV-D program or Temporary Assistance for Needy Families (TANF) Programs: Does not apply. Party A Party B is applying for or currently receiving TANF or services from the Arizona Title IV-D program. NOTE: If one or both of the parties is or will be receiving TANF or Title IV-D support, you must obtain the Attorney General or county attorney approval by signature on the Final decree BEFORE you file it. (Rule 45(c)(3)) 10. OTHER EXPENSES. The parties should be ordered to divide between them any uninsured medical, dental, or health expenses, reasonably incurred for the minor child(ren), in proportion to their respective incomes. American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 5 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM 11. INFORMATION ABOUT PROPERTY AND DEBTS: A. COMMUNITY PROPERTY (Property acquired during the marriage). (Check one box) My spouse and I did not acquire community property during the marriage, OR My spouse and I acquired community property during our marriage, and we should divide it as follows: (List the property and the value of the property, and check the box to tell the Court who should get the property.) WARNING: You must be specific. You must describe the property that should go to you and then check the box, and describe the property that should go to your spouse, and check the box. For example, under household furnishings yo u could say, blue and white living room sofa, and then check the box to say whether it should go to you or to your spouse. Never list an item and then check both Party A box and Party B box. DESCRIPTION OF PROPERTY / Party A Party B Value VALUE OF PROPERTY: Real estate at: $ Legal Description: (Quote Deed) Party A Party B Value Real estate at: $ Legal Description: (Quote Deed) Continues on attached page. Party A Party B Value Household furniture and appliances: $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com Case No. 251 Superior Court of Arizona in Maricopa County Page 6 of 13 DRLSC10f 010119 ALL RIGHTS RESERVED COM $ $ $ $ Party A Party B Value Household furnishings: $ $ $ $ $ $ Party A Party B Value Other items: $ $ $ $ Party A Party B Value Pension/retirement fund/profit sharing / st