JDF 1321 R 5 /1 8 MOTION TO CONVERT DECREE OF LEGAL SEPARATION TO DECREE OF DISSOLUTION OF MARRIAGE District Court County, Colorado Court Address: In re the Marriage of: Petitioner: and Co - Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom MOTION TO CONVERT DE CREE OF LEGAL SEPARA TION TO DECREE OF DISSOLU TION OF MARRIAGE The Petitioner Co - Petitioner/Respondent (check one) moves this Court to convert the Decree of Legal Separation to a Decree of Dissolution of Marriage pursuant to 24714 - 10 - 120(2), C.R.S. In support of this Motion, I state the following: 1. The Court entered a De cree of Legal Separation in this case on ( date). 2. At least six months have passed since the entry of the Decree of Legal Separation . 3. Notice has been provided to the other party as set forth in the Certificate of Service (below). Therefore, I request that the Decree of Legal Separation be converted to a Decree of Dissolution of Marriage. T he Petitioner Co - Petitioner/Respondent wishes to have the prior full name of restored . The restoration of the prior name will not defraud any creditors or injure third parties. By checking thi s box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. SIGNATURE ( Printed name of Petitioner Co - Petitioner/Respo n dent) Signature of Petitio ner Co - Petitioner/Respondent Date Address City State Zip Code (Area Code) Home Telephone Number Area Code) Work Telephone Number CERTIFICATE OF SERVICE I certify that on (date), the original was filed with the Court; and, a true and accurate copy of the MOTION TO CONVERT DECREE OF LEGAL SEPARATION TO DECREE OF DISSOLUTION was served on the other party by: Hand Delivery or Faxed to thi s number or by placing it in the United States mail, postage pre - paid, and addressed to the following: To: (Your signature) American LegalNet, Inc. www.FormsWorkFlow.com