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Verified Petition For Dissolution Of Marriage Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
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Tags: Verified Petition For Dissolution Of Marriage, Indiana Statewide, Family Law (Pro-Se)
STATE OF INDIANA
COUNTY OF
)
IN THE
) SS:
)
CASE NO.
SUPERIOR/CIRCUIT COURT
IN RE THE MARRIAGE OF:
Petitioner,
V.
Respondent.
VERIFIED PETITION FOR DISSOLUTION OF MARRIAGE
(AND REQUEST FOR PROVISIONAL ORDERS)
The Petitioner, ____________________________________________________________, now states:
1.
Petitioner and Respondent were married on _________________, and separated on
_________________.
2.
___________________________________________________________ has been a continuous
resident of ________________ County for the last 3 months.
3.
___________________________________________________________ has been a continuous
resident of the State of Indiana for the last 6 months.
4.
There are no children of the marriage and the Wife is not pregnant.
5.
Debts and property:
There _______ real estate
There are no debts / personal property to divide.
Petitioner wishes the Court to divide the following debts / personal property:
a.
b.
c.
d.
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
6.
Neither party is a member of the military.
7.
This marriage has suffered an irretrievable breakdown and should be dissolved.
Page 1 of 2
Form PS-31152-12
Revised by State Court Administration 10/10
American LegalNet, Inc.
www.FormsWorkFlow.com
8.
Change of name:
Wife would like her former name of
____________________________________________________________ restored to her.
Wife does not want to change her name.
I request that this Court issue its order dissolving the marriage of the parties, and for all other just
and proper relief and until this matter is finalized, I request the following provisional orders:
I do not request any provisional orders;
Temporary possession of the marital residence;
Temporary division of debts;
Temporary division of property;
Spousal maintenance;
Restraining the parties from transferring, encumbering, concealing, or in any way disposing
of any of the property of the part;
Other: ___________________________________________________________
I affirm under the penalties of perjury that the foregoing representations are true.
_____________________________________
Signature
Page 2 of 2
Form PS-31152-12
Revised by State Court Administration 10/10
American LegalNet, Inc.
www.FormsWorkFlow.com
