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, -and- Case No. ____________ Division 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. 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 90 days immediately prior to the filing of the petition herein. Husband has been a resident of the State of Missouri for at least 90 days immediately prior to the filing of the petition herein. 7. Judgment of Dissolution of Marriage ­ Page 1 of 5 Form CAFC070-07/01/2012 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. __________________________________________________________________________________________ __________________________________________________________________________________________ I t 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 CAFC070-07/01/2012 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" (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, §452.700, RSMo et seq.) over the custody arrangements of the minor child(ren) and, therefore, enters no further orders with respect to the custodial arrangements of the minor child(ren). The court has "jurisdiction" (as defined in the Uniform Child Custody Jurisdiction and Enforcement Act, §452.700, RSMo et seq.) over the custody arrangements of the minor child(ren). 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 §452.425, RSMo. __________________________________________________________________________________________ __________________________________________________________________________________________ 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 _________ , p