Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY ______________________________________ Case No. _________________ Petitioner/Plaintiff and PETITION FOR DISSOLUTION OF MARRIAGE (DIVORCE) WITH CHILDREN ______________________________________ Respondent/Defendant STATEMENTS MADE TO THE COURT, UNDER OATH 1. ABOUT ME, THE PETITIONER Name: ________________________________________________ Address: _______________________________________________ Date of Birth: __________________________ Occupation: ___________________________ Length of time I have lived in this state: _______________________ 2. ABOUT, MY SPOUSE, THE RESPONDENT Name: ________________________________________________ Address: _______________________________________________ Date of Birth: __________________________ Occupation: ___________________________ Length of time my spouse has lived in this state: _______________________ 3. ABOUT OUR MARRIAGE Date of Marriage: ________________________ City and state or country where we were married: _____________________________ 4. 90-DAY REQUIREMENT Either I and/or my spouse, has lived or been stationed, while a member of the Armed Forces, in Arizona for at least 90 days before I filed this petition. (WARNING TO PETITIONER: IF THIS STATEMENT IS NOT TRUE, YOU CANNOT FILE FOR DISSOLUTION UNTIL IT BECOMES TRUE). 1 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com 5. COMMUNITY PROPERTY (PROPERTY ACQUIRED DURING THE MARRIAGE) - check one box My spouse and I did not acquire any community property during the marriage. My spouse and I did acquire community property during our marriage, and it should be divided as follows: 6. DESCRIPTION AND VALUE OF THE PROPERTY Property in each party’s possession PETITIONER RESPONDENT Real estate at: Legal Description: _____________________________ _____________________________________________ Real estate at: Legal Description: _____________________________ _____________________________________________ Household furniture and appliances: Household furnishings: Other items Pension/Retirement Fund/Profit Sharing/Stock Plan/401K: Motor vehicles: Make: VIN: Make: VIN: Model: Lien Holder: Model: Lien Holder: _______________ 2 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com 7. SEPARATE PROPERTY (PROPERTY ACQUIRED BEFORE THE MARRIAGE) - check one box My spouse and I do not have any property either of us brought into the marriage. My spouse and I do have property that either of us brought into the marriage and it should be awarded as follows: Description and Value of Property ___________________________________________________ 8. COMMUNITY DEBTS (DEBTS INCURRED DURING THE MARRIAGE) - check one box My spouse and I did not incur any community debts during the marriage. My spouse and I did incur community debts during the marriage and responsibility for these debts should be divided as follows: Description and Amount of Debt 9. PETITIONER RESPONDENT SEPARATE DEBTS (DEBTS INCURRED BEFORE THE MARRIAGE) - check one box My spouse and I do not have any debts that were incurred before the marriage. My spouse and I do have separate debts that were incurred before the marriage and the responsibility for these debts should be divided as follows: Description and Amount of Debt 10. PETITIONER RESPONDENT PETITIONER RESPONDENT TAX RETURNS - check one box After the Judge or Commissioner signs the Decree of Dissolution of Marriage (Divorce), my spouse and I will pay federal and state taxes as follows: For previous years (the years we were married but not including the year the Decree was signed), my spouse and I will file joint federal and state income tax returns. In addition, for these previous years, my spouse and I will pay and hold the other harmless from ½ of all additional income taxes, if any, and all other costs, and we will share equally in any refunds. For the calendar year that the decree was signed, my spouse and I will file separate federal and state income tax returns and each will give the other party all necessary documentation to do so. Other - describe any other tax arrangements you wish the Court to award 3 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com 11. SPOUSAL MAINTENANCE (ALIMONY) - check the box that applies to you Neither party is entitled to spousal maintenance (alimony). Petitioner OR Respondent is entitled to spousal maintenance because: (check ANY boxes that apply. At least one 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 Person is the custodian of a child or children whose age or condition is such that 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 contributed to the educational opportunities 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 support himself or herself INFORMATION ABOUT OUR CHILDREN LESS THAN 18 YEARS OF AGE: 12. DOMESTIC VIOLENCE - check the box that is true if you or your spouse intends to ask for joint custody Domestic violence has has not occurred during this marriage. 13. 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 PACKET ENTITLED “PETITION FOR DISSOLUTION OF MARRIAGE (DIVORCE) WITHOUT CHILDREN” The following child(ren) are under age 18 and was/were born to or adopted by my spouse and I: (Attach extra pages if necessary). Name Birth date Address Name Birth date Address 14. 15. Name _______________________________ Birth date _____________________________ Address ______________________________ ______________________________ Name _______________________________ Birth date _____________________________ Address ______________________________ ______________________________ PREGNANCY Wife is not pregnant OR Wife is pregnant and the baby is due on My spouse and I are the parents of the child, OR I am not the parent of the child, OR My spouse is not the parent of the child. and, (check one box below) CHILDREN LESS THAN 18 YEARS OLD WHO WERE BORN DURING THE MARRIAGE FOR WHOM EITHER ME OR MY SPOUSE IS NOT THE PARENT: (if applicable) Name Birth date Address Name _______________________________ Birth date _____________________________ Address ______________________________ ______________________________ 4 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com 16. WRITTEN CUSTODY AGREEMENT - check only if true My spouse and I have a written agreement signed by both of us about the custody, visitation, and child support for our child(ren). I have attached a copy of this agreement. 17. CHILD SUPPORT JURISDICTION -This Court has jurisdiction under A.R.S. § 25-623 to order the other party to pay child support because: That person is a resident of Arizona I believe I will personally serve that person in Arizona That person agrees to have the case heard here and will file written court papers in this case That person resided with the child in this state That person resided in this state and provided pre-birth expenses or support for the child The child resides in this state as the result of the acts or directives of that person That person had sexual intercourse in this state and the child may have been conceived by that act of intercourse That person signed a birth certificate that is filed in this state That person did other acts which substantially connect that person with this state 18. OTHER STATEMENTS MADE TO THE COURT UNDER OATH - To obtain a divorce, you must be able to tell the Court that each of the following statements is true. If any of the statements is not true you cannot file for divorce until all the statements are true. TRUE My marriage is irretrievably broken and there is no reasonable prospect of reconciliation. TRUE My marriage is not a covenant marriage. TRUE The conciliation requirements under Arizona law either do not apply or have been met. TRUE This court has jurisdiction to decide child custody matters under Arizona law. REQUESTS I MAKE TO THE COURT 1. DISSOLUTION (DIVORCE): Dissolve the marriage and return each party to the status of a single person. 2. NAMES: Restore wife husband to her or his former name of _________________________________. Note: If you are not the person who is requesting to have your former name restored, the Court must have a written request from the party who wants his or her name restored. 3. SPOUSAL MAINTENANCE (ALIMONY): Neither party is entitled to spousal maintenance. Order spousal maintenance to be paid by: Petitioner Respondent to Petitioner Respondent in the amount of _________ per month beginning on the first day of the month after the Judge or Commissioner signs the Decree of Dissolution of Marriage or the first day of the month following the service of the Petition for Dissolution of Marriage, and continuing until the person receiving the spousal maintenance is remarried or deceased, or for _________ months, whichever occurs first. Payments to be made directly to the person receiving the spousal maintenance, or payments, plus the statutory handling fee, to be paid through The Support Payment Clearinghouse, PO Box 52107, Phoenix, Arizona 850727107. 5 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com Make a fair division of all community property as requested above in this 4. COMMUNITY PROPERTY: Petition. 5. COMMUNITY DEBTS: Order each party to pay community debts as requested above in this Petition, 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 separated on (date:) 6. SEPARATE PROPERTY: Petition. 7. SEPARATE DEBTS: Order each party to pay his or her separate debts as requested above in this Petition. 8. CHILD CUSTODY AND PARENTING TIME (VISITATION): Award custody and parenting time of the children common to the parties and less than 18 years old as follows: Award each party his or her separate property as requested above in this SOLE CUSTODY of the minor child(ren) awarded to: parenting time as follows: Petitioner OR Respondent, subject to Reasonable parenting time to the parent not having custody OR Supervised parenting time between the child(ren) and the Petitioner OR Respondent is in the best interest of the child(ren) because __________________ ___________________________________________________________________ __________________________________________________________ __ The cost of supervised parenting time will be paid by the parent being supervised; the parent having custody; shared equally by the parties. OR No parenting time to the parent not having custody is in the best interest of the child(ren) because ____________________________________________________ ___________________________________________________________________ JOINT CUSTODY: 9. Petitioner and Respondent agree to act as joint custodians of the child(ren) as set forth in the Joint Custody Agreement or Parenting Plan signed by the parties, and attached to this Petition. CHILD SUPPORT: Order that child support shall be paid by: Petitioner Respondent to Petitioner Respondent in a reasonable amount as determined by the court under the Arizona Child Support Guidelines (Child Support Order to be attached to Decree). Support payments to begin on the first day of the month after the Judge or Commissioner signs the Decree of Dissolution of Marriage or on the first day of the month after service of the Petition with all payments, plus the statutory handling fee, to be paid through The Support Payment Clearinghouse, PO Box 52107, Phoenix, Arizona 85072-7107 to be paid by automatic wage assignment. 6 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com 10. INSURANCE AND HEALTH CARE EXPENSES FOR CHILDREN: Order that Petitioner Respondent shall pay for health, medical, and dental insurance coverage for the child(ren) common to the parties and less than the age of 18 years old. Petitioner and Respondent will pay for all reasonable unreimbursed medical, dental, heath-related expenses incurred for the child(ren) in proportion to their respective incomes as described on the Parents' Worksheet, which shall be submitted with the Decree. 11. TAX EXEMPTION: The parties shall claim as income tax dependency exemptions on federal and state income tax returns as follows: Parent entitled to claim Name of child Current tax year Later tax years _________ Petitioner Respondent _________ Petitioner Respondent _________ Petitioner Respondent _________ Petitioner Respondent _ 12. OTHER ORDERS THAT I AM REQUESTING: (explain request here) ______________________________ _______________________________ _______________________________________________ __ ______________________________________________________________________________________ ______________________________________________________________________________________ OATH AND VERIFICATION OF PETITIONER: STATE OF ARIZONA County of Pima ) ) ss. ) I, _____________________________, the Petitioner, being duly sworn and under oath, state that I have read this Petition. All the statements in the Petition are true, correct and complete to the best of my knowledge and belief. SIGNED: day of Subscribed and sworn to before me this ___________________________________________ Petitioner , 20 ____ by . (Petitioner’s Name) _____________________________________________ Notary Public My Commission Expires: _______________________________ 7 dwcpetition-petition – dissolution of marriage.form Revised 07.23.09 American LegalNet, Inc. www.FormsWorkFlow.com