AOC-245 Rev. 4-09 Page 1 of 2 Doc. Code: FC Case No._____________________ Court________________________ Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS Chapter 403 [ ] Child support ordered Dissolution of Marriage finDings of fact anD conclusions of law County_______________________ Judge________________________ IN RE THE MARRIAGE OF: Date of Hearing_______________________________ ________________________________________________________________________________________________ Petitioner/Joint Petitioner ________________________________________________________________________________________________ Respondent/Joint Petitioner This cause, having been heard on oral testimony in open court, pursuant to notice, the Commissioner finds: FINDINGS OF FACT 1. 2. 3. 4. 5. Date of Marriage ___________________________________ Place of Marriage _________________________ Ages of Parties: Petitioner ______________________________ Respondent ___________________________ Occupation(s) of Parties: Petitioner _____________________________ Respondent _____________________ Addresses of Parties: Petitioner ______________________________ Respondent _______________________ Petition states ground for Dissolution of Marriage _________________________________________________ Date summoned _________________________________________. Notice of Responsive Entry of Appearance _____________________Pleading _________________ Hearing given ______________ Previous marriages: Petitioner ____________________________ Respondent __________________________ How terminated: Petitioner _____________________________ Respondent ____________________________ 7. At the time action commenced, one of parties resided in state for 180 days next preceding filing of petition. _____________________ proved by ____________________________________________________________. 8. 9. 10. Military Status proved _________________________________ Date of Parties separated and lived apart 60 days ____________________ Separation _______________________ Conciliation efforts: ___________________________________________________________________________ Marriage is irretrievably broken ________________________________________________________________ 11. Is there a written agreement ________________________ Is agreement unconscionable ________________ American LegalNet, Inc. www.FormsWorkFlow.com AOC-245 Rev. 4-09 Page 2 of 2 12. Doc. Code: FC Children: Name(s) Age(s) Address(es) ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 13. Best interest of children to be served by awarding custody to ______________________________________ Reasonable child support to be paid by _________________________ in the amount of ________________ If Child support is ordered, the Petitioner's social security number is ___________________ & Respondent's social security number is ________________________. (MANDATORY) JUDGE/COMMISSIONER: IF CHILD SUPPORT IS ORDERED PLEASE CHECK BOX AT TOP OF PAGE 1. As no good cause has been shown, $______________________ shall be withheld per [ [ ] week, [ ] month, ] pay period from petitioner's/respondent's wages and made payable to ___________________________. Visitation ____________________________________________________________________________________ 14. Marital Property_______________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________ 15. Contribution of each party to acquisition: Petitioner ____________________________________________________________________________________ Respondent __________________________________________________________________________________ 16. Reasonable Maintenance to ______________________________________________ Amount ______________ Duration _____________________________________________________________________________________ Party receiving maintenance: Lacks sufficient property, including marital property apportioned to him to provide for his reasonable needs. ____________________ Is unable to support himself through appropriate employment or is the custodian of a child whose condition or circumstances make it appropriate that the custodian not be required to seek employment outside the home. ____________________ CONCLUSIONS OF LAW From the foregoing it is concluded as a matter of law that the parties are properly before the Court, that it has been established that the marriage is irretrievably broken, and that judgment should be entered accordingly, and it is so recommended (including): _______________________________________________________________. Dated: _________________________, 2_______ ______________________________________ Judge/Commissioner American LegalNet, Inc. www.FormsWorkFlow.com