This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. DV-J 104. Page 1 of 4 ( STATE OF ILLINOIS , JUDGMENT OF DISSOLUTION OF MARRIAGE / CIVIL UNION (DIVORCE NO CHILDREN) For Court Use Only CIRCUIT COURT COUNTY Instructions Enter your name as Petitioner . P etitioner ( First, middle, last name ) Enter the name of your spouse/partner as Respondent. v. Enter the Case Number given by the Circuit Clerk. Respondent ( First, middle, last name ) Case Number DO NOT complete this section. The judge will complete it at the court date . A court date was held on the Petition for Dissolution of Marriage /Civil Union filed by the Petitioner. The court heard the testimony of Petitioner Respondent and considered all of the evidence and the relevant parts of the Illinois Marriage and Dissolution of Marriage Act DO NOT complete 1a and 1b. The judge will complete them at the court date. (750 ILCS 5/101 et seq . ). The Court makes the following findings of fact: 1. Present in Court DO NOT complete 2a and 2b. The judge will complete them at the court date . a. Petitioner appeared: Yes No represented by Attorney: b. Respondent appeared: Yes No In 2c, check the box that applies to the Respondent. If the Respondent is on active duty, you cannot get a divorce unless the Respondent files an appearance. represented by Attorney: 2. Jurisdiction a. This court has jurisdiction of the subject matter and Petitioner Respondent b. Respondent is in default: Yes No c. Respondent is currently on active duty as a member of the Armed Forces of the United States of America: Yes No Unknown DO NOT complete 3 . The judge will complete it at the court date. The term 223Parties224 refers to the Petitioner and the Respondent. 3. Agreement Parties are in agreement with the terms of this Judgment : Yes No 4 . Residency Requirement a . Petitioner has been living in Illinois at least 90 days immediately preceding the filing of In 4a, check the box that applies to you. the Petition or immediately preceding the making of these findings: Yes No b. Respondent has been living in Illinois at least 90 days immediately preceding the filing In 4b, check the box that applies to the Respondent. of the Petition or immediately preceding the making of these findings: Yes No 5 . Information about the: Marriage Civil Union In 5, check whether it is a marriage or civil union. a. Parties were married/ united on: Date b. Parties were married/ united in : In 5a, enter the date you were married/united. County State Country In 5b , enter place the union took place. American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: Page 2 of 4 6. Grounds for Dissolution Irreconcilable differences have caused the irretrievable breakdown of the marriage or civil union and efforts at reconciliation have failed or future attempts at reconciliation would be impracticable and not in the best interests of the family. DO NOT complete section 8a. The judge will complete it at the court date. 7 . There are no children born or adopted of this marriage/civil union and neither party is pregnant. 8 . Real Estate In 8b, enter the address of the real estate. a. Parties have an interest in real estate, which was obtained during the marriage/civil union: Yes No In 8c, check the box that applies. If you have a legal description of the real estate, attach it to this Judgment . b. The address of the real estate is: Street , Apt # City State ZIP c. A l egal description of the real estate is attached to this Judgment : In 8d, check yes if either of you owned real estate before you were married/united. Complete and attach the Non-Marital Real Estate form. Yes No d. Plaintiff or Respondent has an interest in non - marital real estate: Yes No I have listed non-marital real estate on the attached Non-Marital Real Estate form. 9 . Maintenance/Spousal Support DO NOT complete sections 9a and 9b. The judge will complete them at the court date. a. These parties have waived the right to maintenance/spousal support: Petitioner Respondent b. This party is entitled to maintenance/spousal support: Petitioner Respondent Neither party THEREFORE, IT IS ORDERED, ADJUDGED AND DECREED AS FOLLOWS: A. The parties are awarded a Judgment of Dissolution of Marriage/Civil Union and the bonds of matrimony/civil union existing between Petitioner and Respondent are hereby dissolved. In B, DO NOT check any boxes. The judge will check boxes at the court date. B. Debts and Liabilities Each party will be responsible for 50% of each joint debt. (unless listed in the chart below) Each party will be responsible for all of the debts in their own name. (unless listed in the chart below) These debts shall be paid by the parties as follows: Chart: DO fill in the name of creditor and amount owed for debts after the date of marriage/civil union in the chart. DO NOT check who is to pay the debt. Debt (Name of Creditor) Amount Owed To be paid by : Petitioner Respondent Both Equally 1. $ 2. $ 3. $ 4. $ If you need more room to list debts check 223Yes.224 Complete and attach the Additional Debts & Liabilities form. 5. $ 6 . $ 7 . $ 8 . $ There is an Additional Debt s & Liabilities form attached: Yes No American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: Page 3 of 4 Parties shall indemnify and hold the other party harmless for the debts they are assigned. DO NOT complete C. The judge will complete it at the court date . C . Pension and Retirement Accounts Ea ch party is awarded the pension and retirement accounts in his/her own name. Petitioner is awarded % of the marital /civil union portion of Respondent222s pension/retirement accounts. Respondent is awarded % of the marital /civil union portion of Petitioner222s pension/retirement accounts. Petitioner Respondent shall prepare a Qualified Domestic Relations Order . Other orders: DO NOT complete D. The judge will complete it at the court date . D . Real Estate (223marital real estate224 is an interest in real estate obtained during the marriage or civil union.) Petitioner Respondent is awarded the marital real estate and shall pay the other party $ for his/her interest in the real estate. The marital real estate shall be sold. The net proceeds of the sale (sale price minus costs of sale) shall be divided with Petitioner to receive % Respondent to receive % Until the marital real estate is sold , mortgage payments will be paid by Petitioner % Respondent % Until the marital real estate is sold, insurance will be paid by Petitioner % Respondent % Until the marital real estate is sold, cost of maintenance will be paid by Petitioner % Respondent % Petitioner Respondent is entitled to claim mortgage payments for federal and state tax purposes. Petitioner Respondent is entitled to claim property tax payments for federal and state tax purposes. Petitioner Respondent shall refinance the debt on the real estate to remove the other party from the obligation by: Date Petitioner Respondent shall sign a quitclaim deed transferring his/her interest to the other party by: Date Other orders: In E, DO NOT check any boxes. The judge will check boxes at the court date . E . Personal Property and Bank Accounts Parties shall keep the property and bank accounts in his/her own name or possession. Personal property of the marriage/civil union shall be divided as follows: Chart: DO list the personal property obtained during the marriage/civil union in the chart. DO NOT check who gets the property. Personal Property and Bank Accounts ( Be specific in your description of each piece of property) Property goes to: Petitioner Respondent 1. 2. 3. 4. American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: Page 4 of 4 5. 6 . 7 . If you need more room to list property check 223Yes.224 Complete and attach the Additional Personal Property & Bank Accounts form. 8 . There is an Additional Personal Property & Bank Accounts form attached: Yes No Any personal property exchange required by this order shall take place within 30 days of the date of this Judgment . Other orders: DO NOT complete F. The