Name: Mailing Address: Daytime Telephone Representing Self, Without a Lawyer IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY Regarding the matter of DO RESPONSE TO PETITION FOR ANNULMENT OF MARRIAGE Petitioner and WITHOUT MINOR CHILDREN [639] Respondent STATEMENTS TO THE COURT, UNDER OATH 1. 2. INFORMATION ABOUT MY PURPORTED SPOUSE, THE PETITIONER Name: Date of Birth Address: Occupation How long your purported spouse, the Petitioner, has lived in Arizona: INFORMATION ABOUT ME, THE RESPONDENT Name: Address: Occupation: How long you, the Respondent, have lived in Arizona: yrs. mos. Date of Birth yrs. mos. 3. INFORMATION ABOUT OUR MARRIAGE Date of Marriage: City and state or country where married: 4. 90-DAY RESIDENCY REQUIREMENT [ ] I have, and/or [ ] my purported spouse has been domiciled (lived), or stationed while a member of the Armed Forces, in Arizona for at least 90 days before my purported spouse filed this action. (IF THIS STATEMENT IS NOT TRUE, THE PETITIONER CANNOT PROCEED. YOU SHOULD FILE A MOTION TO DISMISS. THE PETITIONER CAN THEN RE-FILE THE WHEN THE STATEMENT IS TRUE.) INFORMATION ABOUT PROPERTY AND DEBTS: 5a. PROPERTY ACQUIRED DURING THE PURPORTED MARRIAGE (Check one box.) [ ] My purported spouse and I did not acquire any property during the marriage. Superior Court of Arizona in Yavapai County September 2007 1 DRA31f American LegalNet, Inc. www.FormsWorkflow.com [ ] My purported spouse and I acquired property during our marriage. It should be divided as follows: DESCRIPTION OF PROPERTY PETITIONER [ [ [ [ 5b. RESPONDENT ] ] ] ] [ [ [ [ ] ] ] ] PROPERTY ACQUIRED BEFORE PURPORTED MARRIAGE (Check all boxes that apply.) [ [ [ [ ] ] ] ] I do not have any property that I brought into the marriage. My purported spouse does not have any property that he or she brought into the marriage. I have property that I brought into the marriage. My purported spouse has property that he or she brought into the marriage. 5c. SUMMARY OF WHAT I, THE RESPONDENT, ASK FOR REGARDING PROPERTY THAT IS DIFFERENT FROM WHAT MY PURPORTED SPOUSE ASKED FOR IN THE PETITION. 6a. DEBTS INCURRED DURING THE PURPORTED MARRIAGE: (Check one box.) [ ] [ ] My purported spouse and I did not incur any debts during the purported marriage. My purported spouse and I incurred debts during the purported marriage. We should divide the responsibility for these debts as follows: DESCRIPTION OF DEBT/ AMOUNT OF DEBT: PETITIONER [ [ [ [ 6b. ] ] ] ] RESPONDENT [ [ [ [ ] ] ] ] SEPARATE DEBTS. (Check all boxes that apply.) [ ] [ ] I don’t have any debts that were incurred prior to the purported marriage, My purported spouse doesn’t have any debts that were incurred prior to the purported marriage. [ ] I incurred separate debts prior to the purported marriage that should be paid as described below: [ ] My purported spouse incurred separate debt prior to the purported marriage that should be paid as described below: DESCRIPTION OF DEBT/ AMOUNT OF DEBT: 2 WIFE [ ] [ ] [ ] Superior Court of Arizona in Yavapai County September 2007 HUSBAND [ ] [ ] [ ] DRA31f American LegalNet, Inc. www.FormsWorkflow.com 6c. SUMMARY OF WHAT I, THE RESPONDENT, ASK FOR REGARDING DEBT THAT IS DIFFERENT FROM WHAT MY PURPORTED SPOUSE ASKED FOR IN THE PETITION. 7. CHILDREN AND PREGNANCY (check all that apply) [ ] [ ] [ ] No children have been born of the purported marriage. Purported wife is not pregnant OR Purported wife is pregnant: Due date father of the expected child(ren). AND purported husband is not the OTHER STATEMENTS TO THE COURT UNDER OATH: (Check any boxes that apply) You must tell the Court the truth. Lying to the Court is a crime and the Court can punish you for lying. [ ] I do not agree that there is a legal impediment that makes the marriage void because: [ ] [ ] I do not agree with the Petitioner’s plan for division of property. I do not agree with the Petitioner’s plan for division of debts. REQUESTS TO THE COURT: (Check the boxes you want.) A. REGARDING ANNULMENT: [ ] Annul the parties' purported marriage. [ ] Dismiss this case because there is no legal impediment. B. PROPERTY: [ ] Make a fair division of all property as requested in this Response. C. DEBTS: [ ] Order each party to pay debts as requested in this Response, and to pay any other 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 . D. OTHER ORDERS I AM REQUESTING (Explain request here): I swear or affirm that the statements in this Response are true, correct, and complete to the best of my knowledge and belief. I make this statement under penalty of prosecution for perjury if it is determined that I did not tell the truth. Signature Copy [ ] mailed [ ] hand-delivered [ ] faxed to: On , 20 By: Superior Court of Arizona in Yavapai County September 2007 3 DRA31f American LegalNet, Inc. www.FormsWorkflow.com