Approved for Use in Uncontested Cases Only IN THE CIRCUIT COURT OF _________________________, MISSOURI In re the Marriage of _________________ (First) _____________ (Middle) ____________________ (Last) _________ (Jr./Sr./III) Petitioner, Case No. ____________ -andDivision No. ____________ _________________ (First) _____________ (Middle) ____________________ (Last) _________ (Jr./Sr./III) Respondent. Judgment of Dissolution of Marriage Parties 1. As used herein, “Wife” refers to Petitioner and “Husband” refers to Respondent. As used herein, “Husband” refers to Petitioner and “Wife” refers to Respondent. 2. Appearances (Check all that apply) Wife appears in person. Husband appears in person. Third Party _____________ appears in person. Wife appears by attorney. Husband appears by attorney. Third Party ___________ appears by attorney. Guardian ad Litem appears in person. Cause submitted upon affidavit of Wife. Cause submitted upon affidavit of Husband. 3. The last four digits of Wife’s Social Security Number are ___________ and the last four digits of Husband’s Social Security Number are ___________. 4. Respondent is not on active duty in the armed services of the United States now or any time since the filing of the petition herein. Respondent is on active duty in the armed services of the United States, but has waived his or her rights pursuant to the Servicemembers Civil Relief Act of 2003. Jurisdiction 5. Thirty (30) days have elapsed since the filing of the petition herein. 6. 7. The court has personal jurisdiction over Respondent. The court does not have personal jurisdiction over Respondent. Wife has been a resident of the State of Missouri for at least ninety (90) days immediately prior to the filing of the petition herein. Husband has been a resident of the State of Missouri for at least ninety (90) days immediately prior to the filing of the petition herein. Judgment of Dissolution of Marriage – Page 1 of 5 Form CAFC070-08/29/2009 This form is available for free at www.selfrepresent.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com Marriage 8. The parties were married on _____________________, and the marriage was registered in ______________________________________________________________________. 9. The parties continued to live together until ________________________, on or about which date they separated. 10. There is no reasonable likelihood that the marriage of the parties can be preserved, and the marriage is therefore irretrievably broken. Children 11. Wife is not now pregnant. 12. There are no unemancipated children born or adopted of the marriage. There is/are ___________ unemancipated living child(ren) born or adopted of the marriage. The name(s) and age(s) of said child(ren) are: Name of Child Age As used herein, “minor child(ren)” refers to the unemancipated living child(ren) listed above. __________________________________________________________________________________________ __________________________________________________________________________________________ It is therefore ordered, adjudged and decreed that: 13. The marriage of Wife and Husband is dissolved. Maintenance 14. Maintenance to Wife No maintenance is to be paid to Wife by Husband. This order is not subject to modification. Husband is ordered to pay to Wife the sum of ____________ per month as and for maintenance. Said maintenance is _______ subject to modification. __________________________________________________________________________________________ __________________________________________________________________________________________ The court lacks jurisdiction to enter any orders with respect to maintenance of Wife. Judgment of Dissolution of Marriage – Page 2 of 5 Form CAFC070-08/29/2009 This form is available for free at www.selfrepresent.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com 15. Maintenance to Husband No maintenance is to be paid to Husband by Wife. This order is not subject to modification. Wife is ordered to pay to Husband the sum of ____________ per month as and for ------------maintenance. Said maintenance is _______ subject to modification. __________________________________________________________________________________________ __________________________________________________________________________________________ The court lacks jurisdiction to enter any orders with respect to maintenance of Husband. 16. Wage Assignment for Maintenance (If maintenance is to be paid by either party) Income withholding shall be prepared by the obligee and issued by the Circuit Clerk upon the effective date of this order. Income withholding shall not issue for the following reason(s): _________________________________________________________________________________________. Child Custody (If there are unemancipated children) 17. The court does NOT have jurisdiction over the custody arrangements of the minor child(ren) pursuant to the Uniform Child Custody Jurisdiction and Enforcement Act, RSMo. §452.700 et. seq. and therefore enters no further orders with respect to the custodial arrangements of the minor child(ren). The court has jurisdiction over the custody arrangements of the minor child(ren) pursuant to the Uniform Child Custody Jurisdiction and Enforcement Act, RSMo. §452.700 et. seq. The court approves the provisions of Part A of the parenting plan marked exhibit _________ pertaining to the custodial arrangements of the minor child(ren) and finds that the custodial arrangements contained in said parenting plan are in the best interests of the minor child(ren). Therefore, the court orders the provisions of Part A of the said parenting plan pertaining to the custodial arrangements of the minor child(ren) and incorporates by reference all of the terms and conditions pertaining to the custodial arrangements of the minor child(ren) set forth in Part A of said parenting plan as if fully set forth herein. The sheriff or other law enforcement officers shall enforce the rights of any person to custody or visitation pursuant to RSMo. §452.425. __________________________________________________________________________________________ __________________________________________________________________________________________ Child Support (If there are unemancipated children) 18. The court does not have jurisdiction to enter any orders with respect to the support of the minor child(ren). The court orders the provisions of Part B of the parenting plan marked exhibit _________ , pertaining to the support of the minor child(ren) and incorporates by reference all of the terms and conditions set forth in Part B of said parenting plan as if fully set forth herein. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Judgment of Dissolution of Marriage – Page 3 of 5 Form CAFC070-08/29/2009 This form is available for free at www.selfrepresent.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com Marital and Nonmarital Property and Marital Debt 19. Division of Property The parties have entered into a separation agreement marked exhibit ___________ which is found to be not unconscionable. Said separation agreement is incorporated herein and the parties are ordered to perform the terms and conditions set forth therein as well as such further and other orders contained in this judgment. The parties have not entered into a separation agreement. All marital and non-marital property and marital debt are divided in exhibit ___________. Said division is fair and equitable and the parties are ordered to perform the terms and conditions set forth therein. 20. Real Property The legal description of the real property or properties divided herein is more fully set forth in Exhibit(s) _________________ which is incorporated into and made a part of this judgment. The Circuit Clerk is ordered to record a certified copy of this judgment with the Recorder of Deeds in the following county or counties where the real property or properties is located: __________________________________________________________________________________________ 21. Pension and Retirement Plans The court intends its judgment to be a qualified domestic relations order and retains jurisdiction for the purpose of establishing or maintaining this order as a qualified domestic relations order or to revise or conform its terms so as to effectuate the expressed intent of this order. 22. Other Orders Concerning Property and Debt ________________ is ordered to pay to ________________ the sum of ____________ as and for ______________________________________________________________________________. 23. This judgment divides all marital and nonmarital property and marital debt. No other marital or non-marital property or marital debt remains to be divided by the Court except as set forth herein. Attorney’s Fees 24. Neither party is awarded attorney’s fees from the other party. Wife shall pay to _____________________ the sum of _____________ as and for Husband’s attorney’s fees herein. Husband shall pay to _____________________ the sum of _____________ as and for Wife’s attorney’s fees herein. Name Change 25. maiden Wife is granted restoration of her _____________ name of ____________________________. (Maiden or Former) (New Full Name) Other Orders: 26. Other orders are as per the attached Exhibit Number___________, which is incorporated by reference as if fully set forth herein. __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Judgment of Dissolution of Marriage – Page 4 of 5 Form CAFC070-08/29/2009 This form is available for free at www.selfrepresent.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com Court Costs 27. Court costs are to be paid from the court cost deposit(s) previously posted. Court costs are waived. Waiver of Right to Rehearing (If case is heard by a Commissioner pursuant to RSMo. §487.010 et. seq.) We, the undersigned parties, do hereby acknowledge receipt of the findings and recommendations of the commissioner, and waive the right to file a motion for rehearing in this case. (If heard by a Family Court Judge) (If heard by a Family Court Commissioner) Findings and Recommendations of Commissioner: __________________________ Judge ___________ Date __________________________ Commissioner ___________ Date Approved and Adopted as Judgment of the Court: __________________________ Judge ___________ Date A certified copy of this judgment is to be mailed to the following person(s): (Check all applicable boxes) Petitioner’s Attorney Respondent’s Attorney Guardian ad Litem ____________________________ ____________________________ ____________________________ (Signature of Petitioner’s Attorney) (Signature of Respondent’s Attorney) (Signature of Guardian ad Litem) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) Petitioner Respondent ____________________________ (Signature of Petitioner) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) ____________________________ (Signature of Respondent) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) Third Party ____________________________ (Signature of Third Party) ____________________________ (Street) ____________ ______ ______ (City) (State) (Zip) _________________________ (Telephone Number) Judgment of Dissolution of Marriage – Page 5 of 5 Form CAFC070-08/29/2009 This form is available for free at www.selfrepresent.mo.gov American LegalNet, Inc. www.FormsWorkFlow.com