FL-103 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO. : E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: DOMESTIC PARTNERSHIP OF PETITIONER: RESPONDENT: MARRIAGE OF PETITION FOR Dissolution of Legal Separation of Nullity of Domestic Partnership Domestic Partnership Domestic Partnership AMENDED Marriage Marriage Marriage CASE NUMBER: NOTICE: If petitioner and respondent are of the same sex, use this form. If petitioner and respondent are of the opposite sex and are not also domestic partners, use form FL-100. 1. STATISTICAL FACTS a. (1) Registration date of domestic partnership with the California Secretary of State or other state equivalent: (2) Date of separation: Years Months (3) Time from date of registration of domestic partnership to date of separation (specify): (2) Date of separation: b. (1) Date of marriage: (3) Time from date of marriage to date of separation (specify): Years Months 2. RESIDENCE (check all that apply) Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California a. to dissolve our partnership here. b. Our domestic partnership was established in a place other than California. Petitioner Respondent has been a resident of the state of California for at least six months and of this county for at least three months immediately preceding the filing of this Petition. We are the same sex and are married. We are the opposite sex and are married. We are also domestic partners. Petitioner Respondent has been a resident of the state of California for at least six months and of this county for at least three months immediately preceding the filing of this Petition. d. We are the same sex and were married in California but are not residents of California. Neither of us lives in a state or nation that will dissolve the marriage. This case is filed in the county in which we married. Petitioner's residence (state or nation): Respondent's residence (state or nation): 3. DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born or adopted prior to or during this domestic partnership or marriage) a. There are no minor children. The minor children are b. Birthdate Age Sex Child's name c. Continued on Attachment 3b. c. If there are minor children of the petitioner and respondent, a completed Declaration Under Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) (form FL-105) must be attached. NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case other than a form used to collect child or partner support. Page 1 of 2 Form Adopted for Mandatory Use Judicial Council of California FL-103 [Rev. January 1, 2013] PETITION--DOMESTIC PARTNERSHIP/MARRIAGE (Family Law) Family Code, §§ 297, 299, 2320, 2330 www.courts.ca.gov American LegalNet, Inc. www.FormsWorkFlow.com FL-103 Petitioner: Respondent: CASE NUMBER: 4. DECLARATION REGARDING SEPARATE PROPERTY AS CURRENTLY KNOWN a. There are no such assets or debts subject to disposition by the court in this proceeding. Attachment 4b All such assets and debts listed are listed in Property Declaration (form FL-160) b. and should be confirmed as petitioner's or respondent's separate property as indicated in form FL-160 or Attachment 4b. 5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND DEBTS AS CURRENTLY KNOWN a. There are no such assets or debts subject to disposition by the court in this proceeding. b. All such assets and debts are listed in Property Declaration (form FL-160) Attachment 5b and should be divided between petitioner and respondent as indicated in form FL-160 or Attachment 5b. 6. Petitioner requests a. dissolution of the domestic partnership marriage based on irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).) (2) (1) legal separation of the domestic partnership marriage based on b. irreconcilable differences. (Fam. Code, § 2310(a).) incurable insanity. (Fam. Code, § 2310(b).) (1) (2) nullity of void domestic partnership marriage based on c. (2) incest. (Fam. Code, § 2200.) bigamy. (Fam. Code, § 2201.) (1) d. nullity of voidable domestic partnership marriage based on unsound mind. (Fam. Code, § 2210(c).) (3) petitioner's age at time of registration of domestic (1) partnership or marriage. (Fam. Code, § 2210(a).) (4) fraud. (Fam. Code, § 2210(d).) force. (Fam. Code, § 2210(e).) (5) prior existing marriage or domestic partnership. (2) physical incapacity. (Fam. Code, § 2210(f).) (6) (Fam. Code, § 2210(b).) 7. Petitioner requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows: Petitioner Respondent Joint Other a. Legal custody of children to .................................................................................... b. Physical custody of children to ............................................................................... c. Child visitation granted to ....................................................................................... As requested in form: FL-311 FL-312 FL-341(C) FL-341(D) FL-341(E) Attachment 7c. Determination of parentage of any children born to the petitioner and respondent prior to the domestic partnership or marriage. e. Attorney fees and costs payable by ........................................................................ f. Partner or spousal support payable to .................................................................... g. Terminate the court's jurisdiction (ability) to award partner or spousal support to respondent. h. Determine property rights. Restore petitioner's former name (specify): i. Other (specify): j. Continued on Attachment 7j. 8. Child support: If there are minor children who were born to or adopted by the petitioner and respondent before or during this domestic partnership or marriage, the court will make orders for the support of the children on request and submission of financial forms by the requesting party. An earnings assignment may be issued without further notice. Any party required to pay support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent. 9. I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS, AND I UNDERSTAND THAT THEY APPLY TO ME WHEN T