Reset For Clerk's Use Only Print Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ ATLAS Number (if applicable):_______________________________________ Representing: Self, Without a Lawyer OR Attorney for: Petitioner Respondent SUPERIOR COURT OF ARIZONA MOHAVE COUNTY _________________________________________ (Name of Petitioner) AND _________________________________________ (Name of Respondent) Case Number:______________________________ PETITION FOR DISSOLUTION OF A NON-COVENANT MARRIAGE (DIVORCE) WITH CHILDREN STATEMENTS MADE TO THE COURT, UNDER OATH: NOTE: *Social Security Number can be omitted if using Confidential Sensitive Data Form 1. INFORMATION ABOUT ME, THE PETITIONER: Name: __________________________________________________________________________________ Address: Date of Birth__________________________ Social Security #___________________ (*Can be omitted if using the Confidential Sensitive Data Form) Job Title: ________________________________________________________________________________ Starting with today, I the Petitioner have lived in Arizona for _________ years and/or ___________ months in a row. 2. INFORMATION ABOUT MY SPOUSE, THE RESPONDENT: Name: __________________________________________________________________________________ Address: _____________________________________________Date of Birth_________________________ Social Security #___________________ (*Can be omitted if using the Confidential Sensitive Data Form) Job Title: ________________________________________________________________________________ Starting with today, I the Respondent have lived in Arizona for __________ years and/or ___________months in a row. 3. INFORMATION ABOUT MY MARRIAGE: Date of Marriage:__________________________ City and state or country where we were married: We do not have a covenant marriage. We do have a covenant marriage. (Warning: If you have a covenant marriage, you cannot use this form. If you have questions about whether you have a covenant marriage, review your marriage license, review the checklist in this packet, and see a lawyer for help.) 4. 90 DAY REQUIREMENT: I OR my spouse have lived, or have been stationed while a member of the Armed Forces, in Arizona for at least 90 days before I filed this action. (WARNING: If this statement is not true, you cannot file your case in Arizona.) Revised: 7/22/2015 Page 1of 8 American LegalNet, Inc. www.FormsWorkFlow.com Case No.____________________________________ 5. DOMESTIC VIOLENCE: (Check the box that is true if you intend to ask for joint legal decision making): Domestic violence has not occurred during this marriage or Domestic violence has occurred, but the domestic violence has not been significant. 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 DIVORCE WITHOUT CHILDREN. The following child(ren) are under age 18 and were born to or adopted by my spouse and me: (Attach extra pages if necessary). 6. Child's Name: Address: Social Security #_____________________(*Can be omitted if using the Confidential Sensitive Data Form) Length of Time at Address: Child's Name: Address: Social Security #:_____________________(*Can be omitted if using the Confidential Sensitive Data Form) Length of Time at Address: Child's Name: Address: Social Security #:_____________________(*Can be omitted if using the Confidential Sensitive Data Form) Length of Time at Address: Child's Name: Address: Social Security #:_____________________(*Can be omitted if using the Confidential Sensitive Data Form) Length of Time at Address: 7. PREGNANCY and PATERNITY: (check one box) Petitioner/Respondent is not pregnant, OR Petitioner is pregnant Respondent is pregnant The baby is due on (date), (and, check one box below): 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 A child or children was/were born before the marriage. The Petitioner OR Respondent is the father of that child/ those children named below: ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ ______________________________________ 8.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: Revised: 7/22/2015 Page 2 of 8 American LegalNet, Inc. www.FormsWorkFlow.com Case No.____________________________________ Petitioner Respondent Real estate located at: $_____________ Legal Description: ________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Petitioner Respondent Real estate located at: $_____________ Legal Description: ________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ Household furniture and appliances: ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Household furnishings: ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Other items: ________________________________ ________________________________ ________________________________ ________________________________ Pension/retirement fund/profit sharing/stock plan/401K: Petitioner Respondent ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ Motor vehicles: Make__________________________ Model _______