IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS IN RE THE MARRIAGE OF: (Type or Print Petitioner’s Name) Petitioner; vs. (Type or Print Respondent’s Name) Respondent. ¦ ¦ ¦ ¦ ¦ ¦ ¦ Gen. No. JOINT PETITION FOR SIMPLIFIED DISSOLUTION OF MARRIAGE Now comes Petitioner, , without counsel, and Respondent , (Type or Print Petitioner’s Name) (Type or Print Respondent’s Name) without counsel, and hereby petition this Honorable Court for a dissolution of the marriage between Petitioner and Respondent. In support of this petition for dissolution of marriage, the parties state as follows: 1. The Petitioner is presently Petitioner resides at years of age; Petitioner’s occupation is (Street Address) (City) , Illinois; ; and 9 has 9 has not resided in the State of Illinois for at least ninety (90) days immediately (Check One) preceding the filing of this Petition for Dissolution of Marriage. 2. The Respondent is presently Respondent resides at years of age; Respondent’s occupation is ; ; Illinois (Street Address) (City) and 9 has 9 has not resided in the State of Illinois for at least ninety (90) days immediately (Check One) preceding the filing of this Petition for Dissolution of Marriage. 3. The Petitioner and Respondent have been married for less than eight (8) years prior to the filing of , ; and the marriage was registered in this petition; they were married on (Month) (County) 4. County, (Day) (Year) . (State) No children were born to the Petitioner and Respondent during their relationship; no children were adopted by the parties; and , to her knowledge, is not pregnant. (Type or Print Wife’s Name) 5. The parties have lived separate and apart for a continuous period in excess of six (6) months and irreconcilable differences have caused the irretrievable breakdown of their marriage; efforts at reconciliation have failed and future attempts at reconciliation would be impracticable and not in the best interests of the parties. The parties have signed an affidavit waiving the requirements for a continuous period of living separate and apart in excess of two (2) years. The parties have lived separate and apart since , . (Month) (Day) (Year.) PAGE 1 OF 3 171-213c 11/98 American LegalNet, Inc. www.FormsWorkflow.com 6. Neither party is dependent on the other for spousal support (also known as alimony or maintenance), or each party is willing to waive the right to spousal support. Both parties understand that consulting with attorneys may help determine eligibility for spousal support. Both Petitioner and Respondent waive any rights to maintenance. 7. Neither Petitioner nor Respondent has any interest in real property (real estate). 8. The parties have disclosed to each other all assets and their tax returns for all years of the marriage. 9. Neither party has a gross annualized income in excess of $20,000.00. Petitioner’s gross annual . Respondents’s gross annual income from all sources is income from all sources is $ . The total annual income of the parties is less than $35,000.00. $ 10. The total fair market value of all marital property, after deducting all encumbrances, is less than $10,000.00. The parties have executed a written agreement dividing all assets in excess of $100.00 in value and allocating responsibility for debts and liabilities between themselves parties. A copy of the written agreement, signed by both parties, is filed with this petition. 11. (Optional) ‘s former/maiden name was (Type or Print Wife’s Name) . (Type or Print Wife’s Maiden OR Former Name) WHEREFORE, the parties pray as follows: A. That the parties be awarded a Judgment of Dissolution of Marriage dissolving the bonds of matrimony existing between them. B. That the written agreement of the parties dividing marital assets, debts, liabilities, a copy of which is filed with this petition, be incorporated into the final order and judgment of this Court granting the petition for dissolution of marriage. C. (Optional) That be restored to her former/maiden (Type or Print Wife’s Name) name . (Type or Print Wife’s Maiden OR Former Name) D. That this Court grant the parties such other and further relief as may be just. (Petitioner’s Signature) Petitioner (Respondent’s Signature) Respondent PAGE 2 OF 3 171-213d 11/98 American LegalNet, Inc. www.FormsWorkflow.com VERIFICATION STATE OF ILLINOIS ¦ ¦ SS COUNTY OF LAKE ¦ (Type or Print Petitioner’s Name) , Petitioner, being first duly sworn upon oath, deposes and says that he/she has read the foregoing Joint Petition for Simplified Dissolution of Marriage, understands the contents thereof, and believes the same to be true and correct to the best of his/her knowledge and belief. (Petitioner’s Signature) Petitioner Subscribed and sworn to before me, a Notary Public, this day of , . (Year) NOTARY PUBLIC STATE OF ILLINOIS ¦ ¦ SS COUNTY OF LAKE ¦ , Defendant, being first duly sworn upon oath, deposes and says (Type or Print Respondent’s Name that he/she has read the foregoing Joint Petition for Simplified Dissolution of Marriage, understand the contents thereof, and believes the same to be true and correct to the best of his/her knowledge and belief. (Respondent’s Signature) Respondent Subscribed and sworn to before me, a Notary Public, this day of , . (Year) NOTARY PUBLIC PAGE 3 OF 3 171-213e 11/98 American LegalNet, Inc. www.FormsWorkflow.com