DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 1 of 27State of Minnesota District CourtCounty of: Select County Judicial District: Court File Number: Case Type: Dissolution without Children In Re the Marriage of: Name of Petitioner A (first, middle, last)and Name of Petitioner B (first, middle, last)Joint Petition, Agreement, and Judgment and Decree for Marriage Dissolution Without Children1. Information about Petitioner A:Full Name: First Middle LastAddress: Street Address Apt. No. City County State Zip Code Date of Birth:Petitioner A's former or other names or write "None"": First Middle Last First Middle LastPetitioner A's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition.2. Information about Petitioner B:Full Name: First Middle LastAddress: Street Address Apt. No. American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 2 of 27 City County State Zip Code Date of Birth:Petitioner B's former or other names or write "None"": First Middle Last First Middle LastPetitioner B's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition.3. Children "Minor" children are under age 18, or under age 20 but still in high school.a. Do Petitioner's have minor children together? YES NOb. Do Petitioners have any adult dependent children who are not able to support themselves because of a physical or mental condition? YES NOc. Has either Petitioner given birth during the marriage to a child who is not a child of the other spouse? YES NOd. Is either spouse pregnant? YES NO UNKNOWN4. Our Marriage Petitioners were married on (month, day, year) in the City of , County of, State of , Country of.5. 180 Day Requirementa. Petitioner A has been living in Minnesota for the past six (6) months: YES NOb. Petitioner B has been living in Minnesota for the past six (6) months: YES NOc. Petitioners were married in Minnesota, but neither Petitioner A nor Petitioner B reside in Minnesota, nor reside in a jurisdiction that will maintain an action for dissolution because of the sex or sexual orientation of the Petitioners. YES NO6. Armed Forcesa. Petitioner A is an active duty member of the armed forces: YES NOb. Petitioner B is an active duty member of the armed forces: YES NO7. Marriage Cannot be SavedThere has been an irretrievable breakdown of our marriage relationship. American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 3 of 278. Physical Living SituationDo the Petitioner A and Petitioner B live together at this time? YES NO9. Other ProceedingsHas a separate court case for marriage dissolution, legal separation, or annulment already been started by Petitioner A or Petitioner B in Minnesota or elsewhere? YES NO10. Protection or Harassment Ordera. An Order for Protection or a Harassment/Restraining Order in effect regarding Petitioner A and Petitioner B: YES NO11. Public AssistanceIf either party is receiving public assistance from the State of Minnesota or applies for it after this proceeding is started, notice of this marriage dissolution action must be given to the county's collections and support office. See Minn. Stat. 518A.44.a. Petitioner A receives public assistance from the State of Minnesota: YES NOb. Petitioner B receives public assistance from the State of Minnesota: YES NO12. Petitioner A's Employmenta. Petitioner A is employed: YES NOb. Petitioner A is self-employed: YES NOc. Petitioner A works at least 40 hours per week: YES NOd. Current Employment: (If Petitioner A has more than two jobs at this time, use an attachment for the additional jobs. Name of Petitioner A's Employer (If self-employed, list name and business address) Employer's Street Address City State Zip Code Name of Petitioner A's Employer (If self-employed, list name and business address) Employer's Street Address City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 4 of 27 Questions about Current Jobs Is Petitioner A paid by the hour or salaried? What is the average number of hours the Petitioner A works per week? How much overtime pay does Petitioner A receive per week on average? 1st Job Does Petitioner A receive bonuses? hourly salary hourly salary 2nd Job hours hours $ $ Yes No 1st Job Yes No 2nd Job If Yes, how much was received in bonuses last year? $ How much does Petitioner A expect to receive this year? $ If Yes, how much was received in bonuses last year? $ How much does Petitioner A expect to receive this year? $13. Petitioner A's IncomeSource of Income Amount Per Month (or zero) before deductions/taxesSelf Employment Income per month.Self Employment income means gross receipts minus costs of goods sold, minus ordinary and necessary business expenses. Job with per month.Monthly income from a job = Hourly wage x Hours worked per week x 4.33 (weeks per month) Second job with per month. Third job with per month.Commissions from all jobs per month.Divide the total amount you expect this year by 12 to get a monthly average.Unemployment benefits per month.Social Security Retirement, Survivors or Disability Income (RSDI) (do not include SSI) per month.Investment and Rental Income per month.Annuity Payments per month.Pension or Disability from work or military per month.Worker's Compensation per month. American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 5 of 27Court-ordered spousal maintenance you receive per month. Other income per month.Add all of the above: Total monthly income per month. $0.00 Enter the amount of child support Petitioner A is court-ordered to pay for any non-joint children per month.Enter the amount of spousal maintenance Petitioner A is court-ordered to pay to your current or former spouse per month.14. Petitioner B's Employmenta. Is Petitioner B employed? YES NOb. Is Petitioner B self-employed? YES NOc. Is Petitioner B working at least 40 hours per week? YES NOd. Current Employment: (If Petitioner B has more than two jobs at this time, use an attachment for the additional jobs. Name of Petitioner B's Employer (If self-employed, list name and business address) Employer's Street Address City State Zip Code Name of Petitioner B's Employer (If self-employed, list name and business address) Employer's Street Address City State Zip Code American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 6 of 27 Questions about Current Jobs Is Petitioner B paid by the hour or salaried? What is the average number of hours the Petitioner B works per week? How much overtime pay does Petitioner B receive per week on average? 1st Job Does Petitioner B receive bonuses? hourly salary hourly salary 2nd Job hours hours $ $ Yes No 1st Job Yes No 2nd Job If Yes, how much was received in bonuses last year? $ How much does Petitioner B expect to receive this year? $ If Yes, how much was received in bonuses last year? $ How much does Petitioner B expect to receive this year? $15. Petitioner B's IncomeSource of Income Amount Per Month (or zero) before deductions/taxesSelf Employment Income per month.Self Employment income means gross receipts minus costs of goods sold, minus ordinary and necessary business expenses. Job with per month.Your monthly income from a job = Hourly wage x Hours worked per week x 4.33 (weeks per month) Second job with per month. Third job with per month.Commissions from all jobs per month.Divide the total amount you expect this year by 12 to get a monthly average.Unemployment benefits per month.Social Security Retirement, Survivors or Disability Income (RSDI) (do not include SSI) per month.Investment and Rental Income per month.Annuity Payments per month.Pension or Disability from work or military per month.Worker's Compensation per month. American LegalNet, Inc. www.FormsWorkFlow.com DIV302 State ENG Rev 01/18www.mncourts.gov/formsPage 7 of 27Court-ordered spousal maintenance you receive. per month. Other income per month.Identify SourceAdd all of the above: Total monthly income per month.0.00Enter the amount of child support Pe