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 DISSOLUTION OF NONCOVENANT MARRIAGE Petitioner and WITHOUT MINOR CHILDREN Respondent STATEMENTS TO THE COURT, UNDER OATH GENERAL INFORMATION: 1. 2. 3. INFORMATION ABOUT MY SPOUSE, THE PETITIONER Date of Birth: Name: Address: Occupation: yrs. How long your spouse, the Petitioner, has lived in Arizona: mos. INFORMATION ABOUT ME, THE RESPONDENT Name: Address: Occupation: How long you, the Respondent, have lived in Arizona: mos. Date of Birth: yrs. INFORMATION ABOUT OUR MARRIAGE City and state or country where married: Date of Marriage: [ ] We do not have a covenant marriage. 4. 90-DAY RESIDENCY REQUIREMENT [ ] I have, and/or [ ] my spouse has been domiciled (lived), or 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, THE PETITIONER CANNOT PROCEED. YOU SHOULD FILE A MOTION TO DISMISS. THE PETITIONER CAN THEN RE-FILE THE DIVORCE PAPERS WHEN THE STATEMENT IS TRUE.) Superior Court of Arizona in Yavapai County September 2007 Page 1 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com INFORMATION ABOUT PROPERTY AND DEBTS: 5a. PROPERTY ACQUIRED DURING THE MARRIAGE: (check one box) [ ] My spouse and I did not acquire any community property during the marriage. Go on to 5b. [ ] 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 should get the property.) DESCRIPTION OF PROPERTY/ VALUE OF PROPERTY: [ ] HUSBAND Real estate address: WIFE SELL & SPLIT [ ] [ ] [ ] [ ] [ ] [ ] Legal Description: Real estate address: Legal Description: [ ] [ ] [ ] Household furniture and appliances: (attach additional list if necessary) [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ [ [ [ ] ] ] ] Household furnishings: (attach additional list if necessary) [ ] [ ] [ ] [ ] [ [ [ [ ] ] ] ] [ [ [ [ ] ] ] ] Other items: [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] [ ] Pension/retirement fund/profit sharing/ stock plan/401K: Superior Court of Arizona in Yavapai County September 2007 Page 2 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com HUSBAND [ ] Motor vehicles: Make WIFE SELL & SPLIT [ ] [ ] [ ] [ ] [ ] [ ] Model VIN Lien Holder Make Model VIN Lien Holder 5b. 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 below: [ ] My spouse has property that he or 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 PROPERTY/ HUSBAND VALUE OF PROPERTY: (attach additional list if necessary) WIFE [ ] [ ] [ ] [ ] [ ] [ ] 5c. SUMMARY OF WHAT I, THE RESPONDENT, ASK FOR ON PROPERTY THAT IS DIFFERENT FROM WHAT MY SPOUSE ASKED FOR IN THE PETITION: (Summarize what is different between your plan for division of property and what your spouse asked for in the Petition.) 6a. DEBTS INCURRED DURING THE MARRIAGE: (check one box) [ ] [ ] 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: Superior Court of Arizona in Yavapai County September 2007 Page 3 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com DESCRIPTION OF DEBT/ HUSBAND AMOUNT OF DEBT: (attach additional list if necessary) 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: DESCRIPTION OF DEBT/ HUSBAND AMOUNT OF DEBT: (attach additional list if necessary) WIFE [ ] [ ] [ ] [ ] 6c. SUMMARY OF WHAT I, THE RESPONDENT, ASK FOR ON DEBTS THAT IS DIFFERENT FROM WHAT MY SPOUSE ASKED FOR IN THE PETITION: (Summarize what is different between your plan for division of debt and what your spouse asked for in the Petition.) 7. TAX RETURNS: After the Judge signs the Decree of Dissolution of Marriage (Divorce), we will pay federal and state taxes as follows: [ ] [ ] 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. [ ] 8a. For previous years (the years we were married, not including the year the Decree was signed), the parties will file joint federal and state income tax returns. 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. 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; Superior Court of Arizona in Yavapai County September 2007 Page 4 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com [ ] [ ] Person is unable to support himself or herself through appropriate employment; Person is the custodian of 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 this time that this spousal maintenance award shall not be modifiable for any reason. 8b. SUMMARY OF WHAT I WANT REGARDING SPOUSAL MAINTENANCE THAT IS DIFFERENT FROM WHAT MY SPOUSE ASKED FOR IN THE PETITION: 9. PREGNANCY: (check one) [ ] Wife is not pregnant, OR [ ] Wife is pregnant: Due date AND, (check one box below): [ ] Petitioner is not the parent of the child, OR [ ] Respondent is not the parent of the child. OTHER STATEMENTS TO THE COURT UNDER OATH: Check what your position is on each statement, and explain your answer when asked to do so: 10. STATUS OF MARRIAGE AND CONCILIATION: (Check only one box). [ ] My marriage is irretrievably broken and there is no reasonable prospect of reconciliation. The conciliation requirements under Arizona law, A.R.S. 25-381.09 either do not apply or have been met, OR [ ] My marriage is not irretrievably broken and there are reasonable prospects of reconciliation. The conciliation requirements under Arizona law, A.R.S. 25-381.09 either apply or have not been met. Explain to the court why you disagree: [ ] I AM FILING A PETITION FOR CONCILIATION. Superior Court of Arizona in Yavapai County September 2007 Page 5 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com 11. GENERAL DENIAL: I deny anything stated in the Petition that I have not specifically admitted, qualified or denied. REQUESTS TO THE COURT: (Check the boxes you want.) A. REGARDING DISSOLUTION (DIVORCE): [ ] [ ] B. Dissolve the parties' marriage and return each party to the status of a single person; Dismiss this case and refuse to dissolve the marriage due to my answers about domicile for 90 days; NAMES: Restore [ ] wife [ ] husband to her or his former name of WARNING: 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 to change the name. C. SPOUSAL MAINTENANCE (ALIMONY): [ ] Neither party shall pay spousal maintenance (alimony) to the other party, OR [ ] Petitioner OR [ ] Respondent is ordered to pay the other party the sum of per month spousal maintenance BEGINNING $ AFTER THE Decree is signed. Each payment shall be made by the first day of each month thereafter and shall continue until [ ] the receiving party is remarried or deceased, OR [ ] until (date) . All payments shall be made through the Clerk of the Court by automatic wage assignment until all required payments have been made under the Decree. Payments made shall be included in receiving spouse's taxable income and are tax deductible from the paying spouse's income as required by law. [ ] In accordance with the parties' agreements, [ ] The spousal maintenance award shall be modifiable in accordance with Arizona law, OR [ ] The spousal maintenance award shall NOT be modifiable for any reason. D. COMMUNITY PROPERTY: [ ] E. Make a fair division of all community property as requested in this Response. COMMUNITY DEBTS: [ ] Order each party to pay community debts as requested in the 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 separation on . Superior Court of Arizona in Yavapai County September 2007 Page 6 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com F. SEPARATE PROPERTY: [ ] Award each party his or her separate property. G. WRITTEN AGREEMENTS: [ ] My spouse and I have written agreements that are attached and incorporated into this Petition about . H. OTHER ORDERS I AM REQUESTING: (explain request here) OATH AND VERIFICATION STATE OF County of ) ) ss I, the Respondent, being duly sworn and under oath, state that I have read this Response. All the statements in the Response are true, correct, and complete to the best of my knowledge and belief. Signature SUBSCRIBED AND SWORN to before me this day of by . My Commission Expires: , 20 NOTARY PUBLIC Copy [ ] mailed [ ] hand-delivered [ ] faxed this date to the person named below and at the address/fax below: Date Superior Court of Arizona in Yavapai County September 2007 By: Page 7 of 7 DRDA31f American LegalNet, Inc. www.FormsWorkFlow.com ,