Name of Person Filing Document: Your Address: Your City, State, Zip Code: Your Telephone Number: ATLAS #: (if applicable) Self or Attorney for Representing Petitioner or Respondent FOR CLERK’S USE ONLY SUPERIOR COURT OF ARIZONA MARICOPA COUNTY Case Number: (Name of Petitioner) RESPONSE TO PETITION FOR LEGAL SEPARATION WITHOUT MINOR CHILDREN (Name of Respondent) STATEMENTS MADE TO THE COURT, UNDER OATH: GENERAL INFORMATION 1. ABOUT MY SPOUSE, THE PETITIONER Name: Address: Date of Birth: Occupation: Starting with today, number of months/years in a row, my spouse has lived in Arizona: 2. ABOUT ME, THE RESPONDENT Name: Address: Date of Birth: Occupation: Starting with today, number of months/years in a row, I have lived in Arizona: 3. ABOUT OUR MARRIAGE Date of Marriage: City and state or country where we were married: 4. ABOUT THE LEGAL SEPARATION I want to be legally separated from my spouse, OR I do not want to be legally separated from my spouse because my marriage is over and I want to be divorced. ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED DRLSA31f Page 1 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. INFORMATION ABOUT PROPERTY AND DEBTS Instructions: You must be specific. You must describe the property and debt that should go to you or be paid by you and then check the box. You must then describe the property and debt that should go to or be paid by your spouse, and check the box. For example, under household furnishings you 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 check both the Petitioner and the Respondent box. 5.a. COMMUNITY PROPERTY: (check one box) My spouse and I did not acquire any community property during the marriage, OR My spouse and I acquired community property during our marriage, and we should divide it as follows: Description of property My Spouse Petitioner Me Value Respondent Real estate at: Legal Description: $ Real estate at: Legal Description: $ Household furniture and appliances: $ $ $ $ $ Household furnishings: $ $ $ $ $ Other items: $ $ $ DESCRIPTION OF PROPERTY/ Pension/retirement fund/profit sharing/stock plan/401K: $ $ Case No. ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED DRLSA31f Page 2 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com My Spouse Me Petitioner Motor vehicles: Make: Model: VIN Number: Lien Holder: Respondent Value $ Make: Model: VIN Number: Lien Holder: 5.b. $ SEPARATE PROPERTY. (Check all boxes that apply.) I do not have any property that I brought into the marriage or separate property. My spouse, the Petitioner does not have any property that he or she brought into the marriage or separate property. I have property that I brought into the marriage or I have separate property. I want this property awarded to me as described it below. My spouse, the Petitioner, has property that he or she brought into the marriage or has separate property. I want this property awarded to my spouse as described below. Separate Property: (List the property and the value of the property, and check the box to tell the Court who should get the property.) Description of Property My Spouse Me Petitioner Value Respondent $ $ $ 6.a. COMMUNITY DEBTS: (check one box) My spouse and I did not incur any community debts during the marriage, OR We should divide the responsibility for the debts incurred during the marriage as follows: Description of debt/ My Spouse Me Petitioner Amount Respondent $ $ $ $ $ $ 6.b. SEPARATE DEBTS. (Check all boxes that apply.) My spouse and I do not have any debts that were incurred prior to the marriage or separate debt, OR I have separate debt or debt that I incurred prior to the marriage that should be paid by me as described below: Case No. ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED DRLSA31f Page 3 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com My spouse has separate debt or debt that he or she incurred prior to the marriage that should be paid by my spouse as described below: Description of debt/ My Spouse Me Petitioner Respondent Amount $ $ $ $ 7. TAX RETURNS: (Check this box if this is what you want). After the Judge or Commissioner signs the Decree of Legal Separation, we will pay federal and state taxes as follows: For previous years the parties will file joint federal and state income tax returns. In addition, for previous calendar years, both parties will pay and hold the other harmless from 1/2 of all additional income taxes if any and other costs, and each will share equally in any refunds. For this calendar year (the year that the Decree is signed) and all future calendar years, each party will file Joint Tax Returns or Separate Tax Returns. 8. SPOUSAL MAINTENANCE (ALIMONY) (check the box that applies to you): Neither party is entitled to Spousal Maintenance/support (alimony), OR Petitioner OR Respondent is entitled to Spousal Maintenance/support because: (Check one or more of the box(es) below that apply. At least one reason must apply to get spousal maintenance/support.) Person lacks sufficient property to provide for his or her reasonable needs; Person is unable to support himself/herself through appropriate employment; 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; and, Person contributed to the educational opportunities of the other spouse or had a marriage of long duration and is now of an age that precludes the possibility of gaining employment adequate to support himself/herself. 9. PREGNANCY Wife is not pregnant, OR Wife is pregnant (date), (and, check one box below): The baby is due on The Petitioner and Respondent are the parents of the child, OR Petitioner is not the parent of the child, OR Respondent is not the parent of the child. WARNING. If wife is pregnant and the Petitioner and the Respondent are the parents of the child, STOP. YOU MUST FILE THE PAPERS FOR LEGAL SEPARATION WITH MINOR CHILDREN. ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED DRLSA31f Page 4 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. 10. SUMMARY OF WHAT I ASKED FOR THAT IS DIFFERENT FROM WHAT MY SPOUSE ASKED FOR IN THE PETITION: (Here summarize what is different between you want and what your spouse asked for.) 11. CONCILIATION. 12. GENERAL DENIAL: I deny anything stated in the Petition that I have not specifically admitted, True or False. (Check one box.) The conciliation requirements under Arizona law either do not apply or have been met. (This must be a true statement or you cannot file for Legal Separation.) qualified, or denied. REQUESTS TO THE COURT: A. LEGALLY SEPARATE OR CHANGE TO DIVORCE: B. SPOUSAL MAINTENANCE/SUPPORT (ALIMONY): Legally separate the parties or Change this case to a divorce case because my marriage is over and either I or my spouse have lived in Arizona for the last 90 days. Order spousal maintenance/support to be paid by Petitioner, or Respondent through the Clerk of the Court/Clearinghouse in the amount of ______________ per month, and the statutory fee, beginning with the first day of the month after the judge or commissioner signs the Decree of Legal Separation and continuing until the person receiving the spousal maintenance/support is deceased, or for months. C. COMMUNITY PROPERTY: Make a fair division of all community property as requested in this Response. D. COMMUNITY DEBTS: E. SEPARATE PROPERTY AND DEBT: F. OTHER ORDERS I AM REQUESTING (Explain request here): Order each party to pay community debts as requested in this Response, and to pay any other community debts unknown to the other party. Order each party to pay and hold the other party harmless from debts incurred by him or her since the parties separation on (date): ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED Award each party his/her separate property and debt. DRLSA31f Page 5 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com Case No. OATH OR AFFIRMATION AND VERIFICATION I swear or affirm that the information on this document is true and correct under penalty of perjury. Signature Date Sworn to or Affirmed before me this: by (date) My Commission Expires: Deputy Clerk or Notary Public Copy of the foregoing mailed to the other party or his or her attorney on at month/day/year the following address: ©Superior Court of Arizona in Maricopa County October 31, 2007 ALL RIGHTS RESERVED DRLSA31f Page 6 of 6 Use only most current version American LegalNet, Inc. www.FormsWorkflow.com