Name: Mailing Address: Daytime Telephone Representing Self, Without a Lawyer For Clerk's Use Only IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY In re the marriage of 1300DO ATLAS # Petitioner and PETITION FOR LEGAL SEPARATION OF A NON-COVENANT MARRIAGE WITH MINOR CHILDREN [ ] and Request for Order of Paternity Respondent STATEMENTS TO THE COURT, UNDER OATH 1. INFORMATION ABOUT ME, THE PETITIONER Name: Address: Occupation: How long I, the Petitioner, have lived in Arizona: years months. [ ] The Petitioner is enlisted in the military, and [ ] has OR [ ] has not been deployed for at least one day during the past 6 months. 2. INFORMATION ABOUT MY SPOUSE, THE RESPONDENT Name: Address: Occupation: How long my spouse, the Respondent, has lived in Arizona: years months. [ ] The Respondent is enlisted in the military, and [ ] has OR [ ] has not been deployed for at least one day during the past 6 months. 3. INFORMATION ABOUT OUR MARRIAGE Date of Marriage: [] 4. City and state or country where married: Date of Birth: Date of Birth: We do not have a covenant marriage 90-DAY RESIDENCY REQUIREMENT [ ] I have, and/or [ ] my spouse has, lived or been stationed while a member of the Armed Forces, in Arizona for at least 90 days before my spouse filed this action. (IF THIS STATEMENT IS NOT TRUE, YOU CANNOT FILE FOR DIVORCE UNTIL IT BECOMES TRUE.) Superior Court of Arizona in Yavapai County January 2013 Page 1 of 11 DRLSC10f American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION ABOUT PROPERTY AND DEBTS: 5a. PROPERTY ACQUIRED DURING THE MARRIAGE: [] [] My spouse and I did not acquire any community property during the marriage. 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 you believe should get the property.) HUSBAND WIFE SELL & SPLIT [] DESCRIPTION OF PROPERTY/ VALUE OF PROPERTY: [] Real estate address: Legal Description: [] [] Real estate address: Legal Description: [] [] [] [] Household furniture and appliances: [ [ [ [ [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] ] ] ] ] [ [ [ [ [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] ] ] ] ] [ [ [ [ [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] ] ] ] ] [] Household furnishings: [] [] [] [] [] [] [] [] [] Superior Court of Arizona in Yavapai County January 2013 Page 2 of 11 DRLSC10f American LegalNet, Inc. www.FormsWorkFlow.com HUSBAND [ [ [ [ [ [ [ [] Other items: [ [ [ [ [] Pension/retirement fund/profit sharing/ stock plan/401K: [ [ [ [ [] Motor vehicles: Make Model VIN Lien Holder Make Model VIN Lien Holder 5b. ] ] ] ] ] ] ] ] ] ] ] ] ] ] ] WIFE [ [ [ [ [ [ [ ] ] ] ] ] ] ] SELL & SPLIT [] [] [] [] [] [] [] [ [ [ [ ] ] ] ] [ [ [ [ ] ] ] ] [ [ [ [ ] ] ] ] [] [] [] [] [] [] PROPERTY ACQUIRED BEFORE MARRIAGE (Separate Property) (Check all boxes that apply.) [] [] [] [] I do not have any property that I brought into the marriage. My spouse does not have any property that he or she brought into the marriage. I have property that I brought into the marriage. I want this property awarded to me as described it below. My spouse has property that he or she brought into the marriage. I want this property awarded to my spouse as described below. Page 3 of 11 DRLSC10f American LegalNet, Inc. www.FormsWorkFlow.com Superior Court of Arizona in Yavapai County January 2013 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/ VALUE OF PROPERTY: HUSBAND [ [ [ [ 6a. ] ] ] ] WIFE [ [ [ [ ] ] ] ] DEBTS INCURRED DURING THE MARRIAGE: [ ] My spouse and I did not incur any community debts during the marriage. [ ] We should divide the responsibility for the debts incurred during the marriage as follows: DESCRIPTION OF DEBT/ AMOUNT OF DEBT: HUSBAND [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] WIFE [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] 6b. SEPARATE DEBTS. (Check all boxes that apply.) [ ] My spouse and I do not have any debts that were incurred prior to the marriage, OR [ ] I have separate debt that I incurred prior to the marriage that should be paid by me as described below: [] My spouse has separate debt that he or she or incurred prior to the marriage that should be paid by my spouse as described below: HUSBAND [ [ [ [ [ ] ] ] ] ] WIFE [ [ [ [ [ ] ] ] ] ] DESCRIPTION OF DEBT/ AMOUNT OF DEBT: 7. TAX RETURNS: After the Judge or Commissioner signs the Decree of Dissolution of Marriage (Divorce), we will pay federal and state taxes as follows: Superior Court of Arizona in Yavapai County January 2013 Page 4 of 11 DRLSC10f American LegalNet, Inc. www.FormsWorkFlow.com [] For previous years (the years we were married, not including the year the Decree is signed), the parties will file joint federal and state income tax returns. For previous calendar years, both parties will pay and hold the other harmless from half of all additional income taxes if any and other costs, 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 (ALIMONY) (check the box that applies to you): [] [] [] [] [] [] [] Neither party is entitled to Spousal Maintenance (alimony), OR Petitioner OR [ ] Respondent is entitled to Spousal Maintenance because: (Check one or more of 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; Person is the legal decision-maker for 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 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 or herself. AND Spousal maintenance shall be modifiable in accordance with Arizona law, OR The parties acknowledge that the circumstances of their futures are unknown, but each desires that this maintenance award not be modifiable in the future for any reason. Therefore, it is ordered at