IN THE SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA FAMILY DIVISION Petitioner: _______________________________ and Respondent: _____________________________ Civil Action File No: PETITION FOR DIVORCE I, _______________________________________, representing myself, state that: 1. Subject Matter Jurisdiction: I am the Petitioner in this action, and (Check (a) or (b)) a) □ I have been a resident of the State of Georgia for more than six (6) months prior to filing this action. b) □ I am not a resident of the State of Georgia, but my spouse has been a resident of the State of Georgia and a resident of Fulton County for at least six (6) months prior to my filing of this action. 2. Venue: My spouse’s name is _____________________________ . He/She is the Respondent in this action. (Check (a), (b), (c), (d) or (e)) a) □The Respondent is a resident of Fulton County and is subject to the jurisdiction of this Court. (Check (1), (2), (3) or (4)) 1) □The Respondent has consented to the Jurisdiction of this Court and has acknowledged service of process and jurisdiction of this Court. (Check the box below if you and your spouse have a separation agreement that you want to have made a part of your divorce decree.) □ Attached to this Complaint for Divorce is a Separation Agreement which my spouse and I desire to be incorporated into our final judgment and decree for divorce. 2) □The Respondent may be served at Respondent's residence address of . ______________________________________________________________________________________________________________________________________________________ 3) □The Respondent may be served at Respondent's work address of _______________________________________________________________ . □The Respondent works in ____________ County and shall be served by second original. 4) □The Respondent's whereabouts are unknown to me as shown by my Affidavit of Due Diligence attached hereto and incorporated by reference, marked Exhibit A. The Respondent shall be served by publication as is provided by law in the case Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 1 of 7 American LegalNet, Inc. www.FormsWorkflow.com of those who cannot be found within the State pursuant to O.C.G.A. § 9-114(f)(1). The clerk shall mail a copy of the Notice, Order for Service by Publication, Petition for Divorce to the last known address of Respondent which is ________ ____________________________________________________ within 15 days of filing of the Order of Service by Publication. b) □The Respondent is a resident of ________________County, but Respondent and I lived together in Fulton County at the time we separated, Respondent has only moved from Fulton County within the past six months from the date of this filing, and I am a resident of Fulton County. The Respondent shall be served by second original at his/her home/work address of . c) □The Respondent is a resident of________________ County, and I live in Fulton County. The Respondent has consented to the jurisdiction of this Court and has acknowledged service of process and venue of this Court. (Check the box below if you and your spouse have a separation agreement that you want to have made a part of your divorce decree.) □ Attached to this Complaint for Divorce is a Separation Agreement which my spouse and I desire to be incorporated into our final judgment and decree for divorce. d) □The Respondent is not a resident of the State of Georgia, but I am resident of Fulton County and (Check (1), (2) or (3). 1) □The Respondent was formerly a resident of the State of Georgia and presently is a resident of the State of ______________ . Respondent may be served by second original pursuant to the Long Arm Statute, O.C.G.A. § 9-10-91 (5). Respondent may be served at Respondent's residence address of____________ . 2) □The Respondent's whereabouts are unknown to me as shown by my Affidavit of Due Diligence attached hereto and incorporated by reference, marked Exhibit A. The Respondent shall be served by publication as is provided by law in the case of those who cannot be found within the State pursuant to O.C.G.A. § 9-114(f)(1). The clerk shall mail a copy of the Notice, Order for Service by Publication, and Petition for Divorce to the last known address of Respondent which is _____ within 15 days of the filing of the Order for Service by Publication. 3) □The Respondent has consented to the Jurisdiction of this Court and has acknowledged service of process and jurisdiction of this Court. (Check the box below if you and your spouse have a separation agreement that you want to have made a part of your divorce decree.) □ Attached to this Complaint for Divorce is a Separation Agreement which my spouse and I desire to be incorporated into our final judgment and decree for divorce. e) □I am a resident of Fulton County and the Respondent’s whereabouts are unknown to me s shown by my Affidavit of Due Diligence attached hereto and incorporated by reference, marked Exhibit A. The Respondent shall be served by publication as is provided by law in the case of those who cannot be found within the State pursuant to O.C.G.A. § 9-114(f)(1). The clerk shall mail a copy of the Notice, Order for Service by Publication, and Petition for Divorce to the last known address of Respondent which is _______________ within 15 days of the filing of the Order of Service by Publication. Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 2 of 7 American LegalNet, Inc. www.FormsWorkflow.com 3. Date of Marriage: (Check (a) or (b)) a) □The Respondent and I were lawfully married on ______________________ . b) □The Respondent and I are common law married having entered into a common law marriage before January 1, 1997 as of ________________________ . 4. Date of Separation: Respondent and I separated on _________________________ and have remained in a bona fide state of separation since that date. 5. Children: (Check (a) or (b)) a) □ There are no minor children of this marriage. b) □Respondent and I are the parents of _____ minor children: Name of child 6. 7. Sex(M/F) Date of Birth Resides with mother/father/other Custody/Visitation: (If there are minor children check (a), (b) or (c)) a) □ I am entitled to the temporary and permanent sole legal and physical custody of these children. b) □ I am entitled to joint legal and physical custody of these children. c) □I am entitled to reasonable visitation with these children. Children’s Place of Residence (If there are minor children, please complete) The minor children of the parties currently reside at __________________________ with __________________________ . During the past five years, the minor children have lived at the addresses below with the following persons: Address Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Resided with Page 3 of 7 American LegalNet, Inc. www.FormsWorkflow.com 8. a) b) Other Custody Actions: (If there are minor children, check (a) or (b)) □I have not participated as a party, or witness, or in any capacity in any other litigation concerning the custody of the minor children in this or any other state. I do not know of any custody proceeding concerning the minor children which may be pending in a Court in this or any other state. □The minor children have been involved in the following custody actions. County/State Court Type of custody action Date Filed Status _______________ _______________ _______________ _______________ _______________ ________________ ________________ ________________ ________________ ________________ ____________ ____________ ____________ ____________ ____________ _______ _______ _______ _______ _______ 9. Other Persons with Claims to Children: (If there are minor children, check (a) or (b)) a) □I know of no other person, not a party to this proceeding, who has physical custody of the children or claims to have custody or visitation rights with respect to the minor children. b) □The following persons who are not a party to this proceeding have custody or visitation rights with the minor children: Claim Name ________________________________ _____________________________ ________________________________ _____________________________ 10. Child Support: (Complete if there are minor children. Check (a) or (b).) a) □ I am employed by ___________________________________ earning ______________ per month. The Respondent is an able bodied person capable of earning sufficient money to support the minor children. Respondent is employed by ________________________________ earning _________________ per month and I am in need of financial assistance from Respondent for the support of the minor children. I □ have □ have not completed the Child Support Worksheet and Schedules pursuant to the Georgia Child Support Guidelines which became effective January 1, 2007. b) 11. □ The issues of child support cannot be decided in this action because Georgia does not have personal jurisdiction over my spouse. Health Insurance for Minor Children: (Complete if there are minor children. Check (a), (b) or (c)) a) □Respondent should be ordered to maintain a policy for dental, medical, and hospitalization insurance for the minor children. (Check (1), (2) or (3)) □ 1) Respondent should be responsible for uncovered costs □ 2) The Parties should share the uncovered costs □ 3) Petitioner should be responsible for uncovered costs b) □Respondent and I should share the costs of dental, medical, and hospitalization insurance for the minor children. (Check (1), (2) or (3) □ 1) Respondent should be responsible for uncovered costs □ 2) The Parties should share the uncovered costs □ 3) Petitioner should be responsible for uncovered costs Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 4 of 7 American LegalNet, Inc. www.FormsWorkflow.com □The issue of health insurance for the children cannot be decided in this action because Georgia does not have jurisdiction over my spouse. c) 12. Life Insurance for the Minor Children: (Check if there are minor children, and you want your spouse to have life insurance for the minor children. Check (a) or (b)) a) □ Respondent should be ordered to maintain life insurance for the benefit of the minor children. b) 13. □ The issue of obtaining life insurance cannot be decided in this action because Georgia does not have personal jurisdiction over my spouse. Alimony: I am/am not seeking alimony because ______________________________________ □The issue of alimony cannot be decided in this action because Georgia does not have personal jurisdiction over my spouse 14. Marital Property: (Check (a), (b),(c) or (d)) a) □ Respondent and I have no marital property. b) □Respondent and I have already divided our marital property to our mutual satisfaction. c) □Respondent and I have the following marital property that I have checked, and I am seeking an equitable division of this property: ___house located at _______________________________________________ ___pension/retirement account (mine____________, spouse’s______________ ___motor vehicles (model/year_______________________________________ ___furniture (list or attach list) ________________________________________ ___bank accounts and investments (list or attach list)_____________________ ___other (list or attach list)__________________________________________ d) □ The issue of the division of marital property cannot be decided in this action because Georgia does not have personal jurisdiction over my spouse. 15. Joint Debts: Check (a), (b) or (c): a) □ Respondent and I have no outstanding joint debts b) □ Respondent and I have the following outstanding joint debts and he/she should be (solely liable for payment of these debts/ jointly liable for payment of these debts/responsible for payment of the debts that I checked.) Creditor Balance ___________________________________________ ____________________________ ___________________________________________ ____________________________ ___________________________________________ ____________________________ c) □The issue of the division of joint debts cannot be decided in this action because Georgia does not have personal jurisdiction over my spouse. 16. Restore Former Name: My former name is__________________________ and I request that it be restored to me. 17. Grounds for Divorce. My grounds for an absolute divorce are: (Check the grounds that you can prove at trial:) a) □The marriage is irretrievably broken. My Spouse and I can no longer live together. There is no hope of that the two of us will get back together. Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 5 of 7 American LegalNet, Inc. www.FormsWorkflow.com b) □Cruel treatment. My spouse committed the following acts of cruel treatment to me such that I am afraid that he/she will hurt me in the future: c) □Adultery. My spouse has had sexual intercourse outside of the marriage. d) □Desertion. On or about ________________________ , my spouse, without just cause or reason, intentionally abandoned and deserted me for a period of at least one year as follows: e) □ Intermarriage. My spouse and I are related as follows: f) □ Mental incapacity. I did not have the mental capacity to enter into a marriage when we married because _______________________________________________________ g) □Impotency. My spouse was impotent at the time of our marriage, and I was not aware of this. h) □Force, menace, duress, fraud in obtaining the marriage. I entered into this marriage against my will as a result of ______________________________________________ i) □Pregnancy of the wife at the time of the marriage unknown to the husband. I did not know that my spouse was pregnant by another man when we got married j) □Conviction of party for an offense involving moral turpitude. On or about __________________________ my spouse was sentenced to serve at least two years in the penitentiary for the following: k) □Habitual intoxication. My spouse is repeatedly intoxicated. l) □Incurable mental illness. My spouse has been adjudged mentally ill by a court of competent jurisdiction. My spouse has been confined in an institution for the mentally ill for a period of at least two years immediately preceding this action. My spouse's mental illness has been determined to be incurable by competent examiners, and I have attached a certified statement that it is this person's opinion that my spouse is hopelessly and incurably mentally ill. m) □Habitual Drug Addiction: My spouse is addicted to drugs as follows: ___________ FOR THESE REASONS, I request (check all that apply) a) b) c) d) □ That a Rule Nisi be issued directing the Respondent to show cause why my prayers should not be granted; □Temporary and Permanent Custody of the minor children; □Joint custody of the minor children; □Visitation with the minor children; Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 6 of 7 American LegalNet, Inc. www.FormsWorkflow.com e) f) g) h) i) j) k) l) m) n) o) p) q) □C h i l d S u p p o r t ; □Medical, Dental and Hospitalization insurance for the children; □Life Insurance for the benefit of the minor children; □A l i m o n y ; □An award of the marital property listed in paragraph (14c); □Respondent to pay the joint debts listed in paragraph (I5b); □That all issues of child support, health insurance for the minor children, life insurance for the minor children, alimony, division of property and debts be held in abeyance until such time as this court has personal jurisdiction over my spouse; □A change back to my former name □A restraining order to restrain and enjoin the Respondent from harassing, molesting or threatening me in any way whatsoever; □A total divorce, a vinculo matrimonii, from Respondent; □Respondent be served with a copy of my Complaint for Divorce; □That the Separation Agreement attached to this petition be made the Order of this Court; and □Any other appropriate relief. This the _____________ day of ______________________________ , _____. [date] [month] [year] Respectfully submitted, __________________________________________________ PRO SE Petitioner’s name (print or type):_________________________ Petitioner’s address:__________________________________ Petitioner’s telephone number: (____)____________________ Sign your name here Petition for Divorce Form © 2007 Fulton County Superior Court Family Division Page 7 of 7 American LegalNet, Inc. www.FormsWorkflow.com