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Verified Petition For Dissolution Of Marriage And Request For Provisional Orders Form. This is a Indiana form and can be use in Family Law (Pro-Se) Statewide.
Tags: Verified Petition For Dissolution Of Marriage And Request For Provisional Orders, Indiana Statewide, Family Law (Pro-Se)
STATE OF INDIANA
COUNTY OF (Select One)
)
IN THE (Select One)
) 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.
(Select One)
______________________________ 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 __________ children of the marriage; namely:
Name
Date of birth
______________________________
_________________
______________________________
_________________
______________________________
_________________
______________________________
_________________
5.
That ______________________________ is fit and proper person to have custody of the minor
children.
6.
Debts and property:
There are no debts / personal property to divide.
Form #PS-31152-2
Approved by State Court Administration 02/10
Page 5 of 19
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Petitioner wishes the Court to divide the following debts / personal property:
a.
_________________________________________________________________
b.
_________________________________________________________________
c.
_________________________________________________________________
d.
_________________________________________________________________
7.
______________________________ is not pregnant.
8.
Neither party is a member of the military.
9.
This marriage has suffered an irretrievable breakdown and should be dissolved.
10.
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:
Temporary custody of the minor child(ren);
Temporary child support for minor child(ren);
Temporary parenting time (visitation) for the non-custodial parent;
Temporary possession of the marital residence;
Temporary division of debts;
Temporary division of property;
Spousal maintenance;
Restraining the parties from removing the child(ren) from the state without the permission of
the court or all parties;
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
CERTIFICATE OF SERVICE
I hereby certify that I sent a copy of this Petition by first class mail to the opposing attorney, or
the opposing party if the opposing party is not represented by an attorney, on _________________.
___________________________________
Signature
Form #PS-31152-2
Approved by State Court Administration 02/10
Page 6 of 19
American LegalNet, Inc.
www.FormsWorkFlow.com
)
IN THE (Select One)
) SS:
)
CASE NO.
STATE OF INDIANA
COUNTY OF (Select One)
SUPERIOR/CIRCUIT COURT
IN RE THE MARRIAGE OF:
Petitioner,
V.
Respondent.
NOTICE OF PROVISIONAL HEARING
A Verified Petition for Dissolution of Marriage and Request for Provisional Orders has been
filed in this Court. The Court now sets this matter for a Provisional Hearing on _________________ at
___________ A.M./P.M. The Parties may present evidence on their behalf. Failure to appear may
result in matters being decided in your absence.
So ordered this ______day of ________________________, 20____.
_____________________________
Date
_____________________________________
Judge
Distribution:
Form #PS-31152-2
Approved by State Court Administration 02/10
Page 7 of 19
American LegalNet, Inc.
www.FormsWorkFlow.com