Reset Name of Person Filing: ________________________________________ Mailing Address: ________________________________________ City, State, Zip Code: ________________________________________ Day/Evening Phone Number: ________________________________________ ATLAS Number (if applicable):_______________________________________ Attorney Bar Number (if applicable):__________________________________ Representing: Self, Without a Lawyer OR Attorney for: Petitioner Respondent Print For Clerk's Use Only SUPERIOR COURT OF ARIZONA MOHAVE COUNTY ____________________________________ (Name of Petitioner) AND ____________________________________ (Name of Respondent) Case Number: _____________________________ PETITION FOR DISSOLUTION OF NON-COVENANT MARRIAGE (DIVORCE) WITHOUT CHILDREN STATEMENTS 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: ____________________________________________________ Date of Birth_______________ Address: _____________________________________________________________________________ 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: ___________________________________________________ Date of Birth _______________ Address: _____________________________________________________________________________ Social Security # _______________(*Can be omitted if using the Confidential Sensitive Data Form) Job Title: _____________________________________________________________________________ Starting with today, he/she the Respondent has 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 or not, review your marriage license, and/or ask 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: 4/21/15 Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No._______________________________ 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 did acquire community property during our marriage, and we should divide it as follows: Real estate located at: _______________________________________ Legal Description: Petitioner Respondent Value $ Real estate located at: _______________________________________ Legal Description: Petitioner Respondent Value $ Household furniture and appliances: Petitioner Respondent Value $ $ $ $ $ $ Value $ $ $ $ $ $ Value $ $ $ $ $ Household furnishings: Petitioner Respondent Other items: Petitioner Respondent Pension/Retirement fund/profit sharing/stock plan/401K: Petitioner Respondent Value $ $ $ Motor vehicles: Make: Model: VIN: Lien Holder: Revised: 4/21/15 Petitioner Respondent Value $ Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No.______________________________ Motor vehicles: Make: Model: VIN: Lien Holder: Petitioner Respondent Value $ 5.b. SEPARATE PROPERTY. (Check all boxes that apply.) I do not have any property, or separate property, that I brought into the marriage. My spouse, the Respondent, does not have any property, or separate property, that he/she brought into the marriage. I do have property, or separate property, that I brought into the marriage. I want this property awarded to me as described below. My spouse, the Respondent, does have property, or separate property, that he/she brought into the marriage. 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 Separate Property Petitioner Respondent Value $ $ $ 6.a. COMMUNITY DEBTS: (check one box) My spouse and I did not incur any community debts during the marriage, OR My spouse and I did incur community debts during the marriage and we should divide the responsibility for these debts as follows: DESCRIPTION OF DEBT Petitioner Respondent Amount Owed $ $ $ $ $ 6.b. SEPARATE DEBTS. (Check all boxes that apply.) My spouse and I do not have any debt, or separate debt, that were incurred prior to the marriage, I do have debt, or separate debt, that I incurred prior to the marriage, that should be paid by me as described below. My spouse does have debt, or separate debt, that he/she incurred prior to the marriage, that should be paid by my spouse as described below. DESCRIPTION OF DEBT Petitioner Respondent Amount Owed $ $ $ Revised: 4/21/15 Page 3 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Case No.________________________________ 7. TAX RETURNS: (Check this box if this is what you want.) After the judge or commissioner signs the Decree of Dissolution of Marriage (Divorce), the parties will pay federal and state taxes as follows, subject to IRS Rules and Regulations. For previous years (the years the parties were married, not including the year the Decree was signed),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, half of all additional income taxes and other costs, if any, and each will share equally in any refunds. For the calendar year (the year that the Decree is signed) and all future calendar years, each party will file separate federal and state income tax returns. Each party will give the other party all necessary documentation to do so. 8. SPOUSAL MAINTENANCE/SUPPORT (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