IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT LAKE COUNTY, ILLINOIS In Re Marriage of ) ) ) ) ) ) ) ) Respondent ) Petitioner and Gen. No. JUDGMENT OF DISSOLUTION OF MARRIAGE This matter coming on to be heard on the Petition for Dissolution of Marriage filed on , proper notice having been given, the following persons present in open court, , the court being fully advised, FINDS as follows: 1. This Court has personal and subject matter jurisdiction over this marriage. 2. The Petitioner was a resident of the State of Illinois at the time the Petition for Dissolution of Marriage was commenced and maintained his/her residence in the State of Illinois for ninety (90) days prior to either the filing date of the petition or the date of these proceedings. (mmddyyyy). 3. The Petitioner and Respondent were married on The marriage took and the marriage is registered in that state and county. place in City/County and State 4. Children (Check all that apply): a. The following child(ren) were born to or adopted by the Petitioner and Respondent during the marriage: Date of Birth (mmddyyyy) Name Currently Living With (Attach additional pages as needed) b. The Petitioner and Respondent have no children together. or c. That the Petitioner d. That the Respondent is / is / is not currently pregnant. or is not currently pregnant. e. It is in the best interests of the child(ren) that (check one): (1) Sole custody of the minor child(ren) be awarded to the Petitioner / Respondent. (2) Joint custody of the minor child(ren) be awarded to the parties with Petitioner / Respondent as the residential parent pursuant to the terms of the attached Joint Parenting Agreement. Page 1 of 4 174-CSR210 (R 04/06) American LegalNet, Inc. www.FormsWorkflow.com (3) Other: 5. Grounds for Dissolution of Marriage (Check one) a. Irreconcilable Differences (separated in excess of 2 years) From on or about __ , the Petitioner and Respondent have lived separate and mmddyyyy apart from each other for a continuous period in excess of 2 years and irreconcilable differences have caused the irretrievable breakdown of the marriage. Efforts at reconciliation have failed or future attempts at reconciliation would be impracticable and not in the best interests of the family. b. Irreconcilable Differences (separated in excess of 6 months with 2 year waiver) From on or about , the Petitioner and Respondent have lived separate and mmddyyyy apart from each other for a continuous period in excess of 6 months and we have signed written waivers of the 2 year period of separation. Irreconcilable differences have caused the irretrievable breakdown of the marriage. Efforts at reconciliation have failed or future attempts at reconciliation would be impracticable and not in the best interests of the family. c. Physical or Mental Cruelty That without cause or provocation on the part of the Petitioner, the Respondent during the marriage has been guilty of extreme and repeated physical and/or mental cruelty. d. Other Grounds per 750 ILCS 5/401 (Please specify) unemployed / employed and has an approximate take-home pay of $ 6. Petitioner is payable weekly, bi-weekly, semi-monthly, monthly / status of employment is unknown. 7. Respondent is unemployed / employed and has an approximate take-home pay of $ payable weekly, bi-weekly, semi-monthly, monthly / status of employment is unknown. 8. The Petitioner has proven the material allegations of the Petition for Dissolution of Marriage by substantial competent and relevant evidence and a Judgment for Dissolution of Marriage should be granted. IT IS THEREFORE ORDERED: (Check all that apply) A. The parties are awarded a Judgment of Dissolution of Marriage, and the bonds of matrimony existing between the Petitioner and the Respondent are hereby dissolved. B. Child Custody/Visitation/Support (1) That sole custody of the minor child(ren) is awarded to the Petitioner / Respondent. (2) The Petitioner and Respondent are awarded joint legal custody of the minor child(ren), with the Petitioner / Respondent to be the residential custodian pursuant to the terms of the attached Joint Parenting Agreement. (3) The Petitioner / Respondent shall have reasonable and liberal visitation with the minor child(ren) by agreement of the parties. (4) The Petitioner / Respondent shall have specific visitation pursuant to the accompanying order for Visitation/Parenting Time. Page 2 of 4 174-CSR210 (R 04/06) American LegalNet, Inc. www.FormsWorkflow.com (5) The Petitioner / Respondent shall pay child support in the amount of $ payable weekly, bi-weekly, semi-monthly or monthly. This sum is in compliance with the statutory guidelines. This sum is a deviation upward downward from the statutory guidelines because . This is a minimum amount since the current income of the payor is unknown. (6) Child support payment shall commence on , 20 . The child support payments shall be paid directly to Recipient by Money Order, Cashier’s Check, or Personal Check as agreed by the parties below. Parties agree to payment of child support directly to the recipient. Petitioner Date Respondent Date or The child support payments shall be paid through the State Disbursement Unit (SDU), P. O. Box 5400, Carol Stream, IL 60197. C. Division of Property (1) The parties have previously divided all of their joint and personal property and the division shall be binding upon both of them. Each party shall retain the personal property currently in their possession. (2) The Petitioner shall receive the following property as his/her sole and individual property: . (3) The Respondent shall receive the following property as his/her sole and individual property: . (4) Other: . D. Division of Debts (1) There are no outstanding joint debts. Each party shall be solely responsible for his/her individual debts incurred since separation and hold the other harmless. (2) The Petitioner shall be responsible for the following debts and hold the Respondent harmless: . Page 3 of 4 174-CSR210 (R 04/06) American LegalNet, Inc. www.FormsWorkflow.com (3) The Respondent shall be responsible for the following debts and hold the Petitioner harmless: . (4) Other: . E. Maintenance (1) The Petitioner / Respondent is awarded amount of $ paid reviewable / weekly, permanent maintenance in the bi-weekly, semi-monthly or The maintenance payment shall commence on , 20 monthly. . The obligation to pay maintenance shall be reviewed on or before proper notice and motion of either party. upon The obligation to pay maintenance shall terminate on unless terminated sooner pursuant to 750 ILCS 5/510c because of the death of either party, or the remarriage of the person receiving maintenance, or the cohabitation by the person receiving maintenance with another person on a resident continuing conjugal basis. Tax Consequences: Maintenance is includable in the income of the recipient and deductible from the income of the payor for purposes of federal and state income tax. (2) The Petitioner / Respondent waives his/her rights to receive maintenance, and the Petitioner / Respondent is barred from receiving any maintenance. (3) Both parties are self-supporting and knowingly and voluntarily waive their right to receive maintenance from the other. (4) The issue of maintenance is reserved. (5) Other: . F. Miscellaneous Provisions (1) The Petitioner / Respondent may resume her former name of . Former Name (2) The Court retains jurisdiction of this cause for the purpose of enforcing all of the terms of this Judgment for Dissolution of Marriage. Dated this ______ day of ______________, 20___. Enter: ____________________________________ Judge Page 4 of 4 174-CSR210 (R 04/06) American LegalNet, Inc. www.FormsWorkflow.com