IN THE CIRCUIT COURT OF THE FOURTEENTH JUDICIAL CIRCUIT ROCK ISLAND COUNTY, ILLINOIS IN RE THE MARRIAGE OF: __________________________ PLAINTIFF; NO. V S. __________________________________ DEFENDANT. JOINT PETITION FOR SIMPLIFI ED DISSOLUTION OF MARRIAGE Now come Plaintiff,_______________________, without counsel, and Plaintiffs name Defendant,__________________, without counsel, and hereby petition this Honorable Court Defendants name for a dissolution of the marriage between Plaintiff and Defendant. In s upport of this petition for dissolution of marriage, the parties state as follows: 1. The Plaintiff is presently____ years of age; Plaintiffs occupation is _________________; Plaintiff resides at ______________________ _____________________, Illinois; (Street Address) (City) and has has not resided in the State of Illinoi s for at least ninety (90) days (check one) immediately preceding the filing of this Petition for Dissolution of Marriage. 2. The Defendant is presently___ years of age; Defendants occupation is ______________; Defendant resides at ____________________ ______________________, Illinois; (Street Address) (City) and has has not resided in the State of Illinois fo r at least ninety (90) days (check one) immediately preceding the filing of this Petition for Dissolution of Marriage. 3. The Plaintiff and Defendant have been married for less than eight (8) years prior to the filing of this Petition; They were married on ___________, 19__; and the marriage (month)(day) (yr) was registered in ___________________ County, ______________________. (County) (State) 4. No children were born to the Plaintiff and Defendant during the ir relationship; no children were born to the Plaintiff and Defendant during their r elationship; no children were adopted by the parties; and _________________, to her knowledge, is not pregnant. (Wifes 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 would be impracticable and not in the best interests American LegalNet, Inc. www.USCourtForms.com>>>> 2 of the parties. The parties have signed an affidavit waiv ing the requirement for a continuous period living separate and apart in excess of tw o (2) years. The parties have lived separate and apart since ________________, 19____. (Month and Day) (Yr.) 6. Neither party is dependent on the other party 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 plaintiff and Defendant waive any rights to maintenance. 7. Neither Plaintiff nor Defendant 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; the Plaintiffs gross annual income from all sources is $__________; the Defendants gross annual income from all sources is $__________; and 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 and the parties have executed a wr itten agreement dividing all assets in excess of $100.00 in value and allocati ng responsibility for debts and liabilities between the 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 Wifes Name). _________________________________. (Type or Print Wifes Maiden OR Former Name) WHEREFORE, the parties pray as follows: A. That the parties be awarded a Judgment of Dissolution of Marriage dissol ving the bonds of matrimony existing between them. B. That the written agreement of the parties dividing marital assets, debts and liabilities, a copy of which is filed with this petition, be incorporate d into the final order and judgment of this Court granting the petition for dissolution o f marriage. C. (Optional) That ____________________ be restored to her former/maiden anme, (Type or Print Wifes Name) ________________________________. ((Type or Print Wifes Maiden OR Former Name) D. That this Court grant the parties such other and further relief as may b e just. ____________________________ _________________ ___________ (Plaintiffs Signature) (Defendants Sig nature) PLAINTIFF D EFENDANT American LegalNet, Inc. www.USCourtForms.com>>>> 3 VERIFICATION STATE OF ILLINOIS COUNTY OF ROCK ISLAND _____________________________________, Plaintiff, being first duly sworn upon oath, (Type or Print Plaintiffs Name) Depose and say that I have read the foregoing Joint Petition for Simplified Dissolution of Marriage, understand the contents thereof, and believe the same to be true and correct to the best of my knowledge and belief. _______________________________________ (Plaintiffs Signature) PLAINTIFF Subscribed and sworn to before me, a Notary Public, this ____day of ____________, 20____. _______________________________________ NOTARY PUBLIC ________________________________________________________________________ ______ STATE OF ILLINOIS COUNTY OF ROCK ISLAND ______________________________________, Defendant, being first duly sworn upon oath (Type or Print Defendants Name) Depose and say that I have read the foregoing Joint Petition for Simplified Dissolution of Marriage, understand the contents thereof, and believe the same to be true and correct to the best of my knowledge and belief. _______________________________________ (Defendants Signature) DEFENDANT Subscribed and sworn to before me, a Notary Public, this ____day of ____ _______, 20____. _______________________________________ NOTARY PUBLIC American LegalNet, Inc. www.USCourtForms.com