JDF 1252 R 2 - 1 8 RESPONSE TO THE PETITION FOR DISSOLUTION OR LEGAL SE PARATION OF CIVIL UNION Page 1 of 2 District Court County, Colorado Court Address: In re the Civil Union 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 RESPONSE TO THE PETITION FOR: DISSOLUTION OF CIVIL UNION OR LEGAL SEPARATION OF CIVIL UNION The Relief requested in the Petition should should not be granted for the following reasons: The c ivil u nion is not irretrievably broken. The information in the Petition is incorrect. The following information is the correct information: I ask that the Court enter orders regarding the status of the c ivil u nion , bes t interests of the child(ren), maintenance (partner support ) child support, division of property and debts, attorney fees and costs, if appropriate, restoration of the previous name of a party, and any other necessary orders as follows: The Respond ent requests that the Court restore his/her prior full name to: By checking this box, I am acknowledgi ng 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. VERIFICATION I declare under penalty of perjury under the law of Colorad o that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other locati on, and state OR country Printed name of Respondent Signature of Respondent City State Zip Code (Area Code) Home Telephone Number (Area Code) Work Telephone Number Attorney Signature (if any) American LegalNet, Inc. www.FormsWorkFlow.com JDF 1 252 R 2 - 1 8 RESPONSE TO THE PETITION FOR DISSOLUTION OR LEGAL SEPARATION OF CIVIL UNION PAGE 2 OF 2 CERTI FICATE OF SERVICE I certify that on (date) a true and accurate copy of this Response was served on the other party by: Hand Delivery E - filed Faxed to this number or by placing it in the United States mail, pos tage pre - paid, and addressed to the following: Signature American LegalNet, Inc. www.FormsWorkFlow.com