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. JUDGMENT FOR DISSOLUTION OF MARRIAGE This cause having come on for hearing on the Joint Petition for Simplified Dissolution of Marriage filed by the parties hereto; the Court having examined and considered the Petition, the Affidavit of the parties, and all other pleadings and exhibits filed in this matter; the Court having heard the testimony presented herein; and the Court being otherwise fully advised in the premises, finds as follows: 1. This Court has jurisdiction over the subject matter and the parties hereto. 2. and/or now, and for ninety (90) days (Type or Print Petitioner’s Name and/or Respondent’s Name, or Both Names) continuously and immediately preceding this date, have been residents of the State of Illinois. 3. The parties have been married for less than eight (8) years prior to the filing of this petition; the , parties were married on (Month) (Day) ; and the marriage was registered in (Year) County, (County) . (State) 4. The parties have lived separate and apart for a continuous period in excess of six (6) months; irreconcilable differences have caused the irretrievable breakdown of the marriage; efforts at reconciliation have failed; and further efforts at reconciliation would not be in the best interests of the parties. 5. The parties have each signed an affidavit waiving the requirement for a continuous period living separate and apart in excess of two (2) years. 6. The parties have each signed a waiver of any right to a bifurcated hearing in this cause. 7. No children were born to or adopted by the parties during their relationship and to the best of her knowledge is not pregnant at this time. (Type or Print Wife’s Name) 8. Both the Petitioner and Respondent have waived any right to maintenance. 9. Neither Petitioner nor Respondent has any interest in real property. The parties have disclosed to each other all assets and their tax returns for all years of the marriage. Neither party has a gross annualized income of $20,000.00; and the total annual income of the parties is less the $35,000.00. PAGE 1 OF 2 171-213f 11/98 2002 © American LegalNet, Inc. 10. The total fair market value of all marital property owned by the parties, after deducting all encumbrances, is less than $10,000.00. The parties have executed a written agreement, which the Court finds is not unconscionable, dividing assets in excess of $100.00 in value and allocating responsibility for all debts and liabilities between themselves. A copy of the written agreement, signed by both parties, was filed with the petition in this cause and is hereby incorporated by reference as if fully set forth herein. ‘s former/maiden name was 11. (Optional) (Type or Print Wife’s Name) . (Type or Print Wife’s Maiden OR Former Name) WHEREFORE, IT IS HEREBY ORDERED, ADJUDGED AND DECREED: A. The present marriage between the parties is hereby dissolved, and Petitioner and Respondent are each hereby awarded a Judgment of Dissolution of Marriage dissolving their present bonds of matrimony. B. This Court adopts as a part of this Judgment, as if it were fully set forth herein, the agreement of the parties concerning the distribution of assets, debts and liabilities. Petitioner and Respondent each is hereby ordered to dispose of all claims each may have against the other, and to dispose of all assets, debts and liabilities, in accordance with and pursuant to the agreement entered into by the parties and presented to this Court. Petitioner and Respondent are each ordered to timely execute any and all titles, certificates and other documents of any kind or nature whatsoever, necessary to carry out the terms and condition of this Judgment of Dissolution of Marriage as to the division of assets, debts and liabilities ordered herein. C. Each of the parties is hereby denied maintenance for now and for all times hereafter. D. (Optional) is hereby restored to her former/maiden name, (Type or Print Wife’s Name) . (Type or Print Wife’s Maiden OR Former Name) E. Except for the provisions contained in this Judgment of Dissolution of Marriage, each of the parties is hereby barred and foreclosed from making any and all claims against the other whether for alimony or maintenance, homestead rights, dower rights, rights of inheritance or any and all other property rights, whether real, personal or mixed, which either of them may now have or may hereafter acquire arising out of the marital relationship heretofore existing between them. F. This Court retains jurisdiction of this cause for the purpose of enforcing the provisions of this Judgment of Dissolution of Marriage. ENTERED: JUDGE APPROVED AS TO FORM AND CONTENT: Petitioner (Petitioner’s Signature) Respondent (Respondent’s Signature) PAGE 2 OF 2 171-213g 11/98 2002 © American LegalNet, Inc.