_______________________________ Name _____________________________________ Address _____________________________________ City State Zip Code _____________________________________ Phone Number WIFE, PETITIONER PRO SE _______________________________ Name _____________________________________ Address _____________________________________ City State Zip Code _____________________________________ Phone Number HUSBAND, PETITIONER PRO SE MONTANA _______________ JUDICIAL DISTRICT COURT _____________________ COUNTY In re the Marriage of: Cause No.: _________________ ________________________, Petitioner, Joint Petition for Dissolution and ________________________, Petitioner. The Petitioners respectfully submit the following: 1. Information about Wife a. Name: b. Age: c. Address: City: Date of Birth: State: d. Length of Residence in County: e. Length of Residence in Montana, if applicable: f. County: Occupation: Joint Petition for Dissolution no Children, Page 1 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com 2. Information about Husband a. Name: b. Age: c. Address: Date of Birth: City: State: d. Length of Residence in Montana, if applicable: f. 3. Length of Residence in County: e. County: Occupation: Date and Place of Marriage Choose One: [] registered in the County of [] . The marriage was We were married on (date): , State of . We were married at common law. We assumed a marital relationship by mutual consent and agreement and confirmed our marriage by cohabitation and public repute. 4. Separation Choose One: [] [] 5. We separated on (date): We are not yet separated. . Jurisdiction a. The jurisdictional requirements of M.C.A. § 40-4-104 exist. b. Choose One: [] The marriage is irretrievably broken in that there is serious marital discord which adversely affects the attitude of one of the parties towards the marriage, and there is no reasonable prospect of reconciliation. [] The marriage is irretrievably broken in that the parties have lived separate and apart for a period of more than one hundred eighty (180) days preceding the commencement of these proceedings, and there is no reasonable prospect of reconciliation. Joint Petition for Dissolution no Children, Page 2 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com c. The conciliation provisions of the Montana Conciliation law and M.C.A. § 40-4-107 do not apply. 6. No Children of the Marriage Choose One: [] There were no children born of the marriage. [] There were children of the marriage, but none are now minors. [] There were children born of the marriage, but this Court has no jurisdiction over them. 7. Pregnancy Choose One: [] The wife is not pregnant. [] The wife is pregnant. However, the husband is not the father, and the child is not at issue in this proceeding. 8. Declarations of Disclosure of Assets, Debts, Income, and Expenses We agree to waive the exchange of Preliminary Declarations of Disclosure of Assets, Debts, Income, and Expenses. In accordance with M.C.A. §§ 40-4-253 and 40-4-254, we have exchanged Final Declarations of Disclosure of Assets, Debts, Income and Expenses. 9. Real Property Choose One: [] We do not own any real property. or [] a. The [ ] Wife/[ ] Husband/[ ] both parties is/are the owner(s) of record of real property located at . The legal description of the property is Joint Petition for Dissolution no Children, Page 3 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com . b. This real property should be distributed as follows. Choose One: [] The [ ] Wife/[ ] Husband should be awarded ownership of this real property. or [] Describe the proposed distribution of the real property: . If needed, attach additional sheets as Exhibit _____. 10. Vehicles Choose One: [] We do not own any vehicles. [] We own the following vehicle(s). It is equitable that the vehicle(s) be distributed as follows (Please include the year, make, and model for each vehicle listed.): To Wife: Vehicle: VIN#: Vehicle: VIN#: Vehicle: VIN#: To Husband: Vehicle: VIN#: Vehicle: VIN#: Vehicle: VIN#: If needed, attach additional sheets as Exhibit _____. 11. Personal Property Choose One: [] We have already divided our personal property. It is equitable that each party retain the property currently in his or her possession. or Joint Petition for Dissolution no Children, Page 4 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com [] We have not divided our personal property. It is equitable that the property be divided as follows: To Wife: _________________________________________________________________________________ _________________________________________________________________________________ ________________________________________________________________________ ______________________________________________________________________________ To Husband: _________________________________________________________________________________ _________________________________________________________________________________ _________________________________________________________________________________ _____________________________________________________________________ If needed, attach additional sheets as Exhibit _____. 12. Debts Choose One: [] There are no debts of the marriage. [] The parties have accumulated debts during the course of their marriage. It is equitable that each party retain responsibility for the debts currently in his or her name. or [] We have accumulated debts during the course of our marriage. It is equitable that responsibility for the debts be divided as follows: To Wife: Description of Debt Creditor Current Balance Amount to Wife Joint Petition for Dissolution no Children, Page 5 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com Description of Debt Creditor Current Balance Amount to Wife Any and all other debts in Wife’s name only; any and all other debts incurred solely by the Wife since the parties’ separation. To Husband: Description of Debt Creditor Current Balance Amount to Husband Any and all other debts in the Husband’s name only; any and all other debts incurred solely by the Husband since the parties’ separation. If needed, attach additional sheets as Exhibit _____. Joint Petition for Dissolution no Children, Page 6 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com 13. Wife’s Former Name Choose One: [] The wife would like to be restored to her former name of _________________________________________________________________. [] 14. The wife does not want to be restored to her former name. Other Provisions . WHEREFORE, the Petitioners request as follows: 1. That this Court enter a Decree of Dissolution of Marriage dissolving the marital status between the parties; 2 That each party be granted real and personal property as requested above; 3. That each party be granted ownership of the vehicles as requested above; 4. That each party be ordered to pay debts as requested above; 5. That the wife be restored to use of her former name, if requested above; 6. Other Provisions__________________________________________________________ ; and 7. For such other and further relief as the Court deems just and proper. DATED this _______ day of ____________________, 20___. Wife, Petitioner Pro Se Husband, Petitioner Pro Se STATE OF MONTANA ) ) ss. COUNTY OF _________________ ) _______________________________, being first duly sworn on oath, says that she is a Petitioner in the above-entitled proceeding; that she has read the foregoing Petition and knows Joint Petition for Dissolution no Children, Page 7 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com the contents thereof; and that the matter, facts and things stated therein are true to the best of her knowledge and belief. _____________________________________ Wife, Petitioner Pro Se _____________________________________ Print Name SUBSCRIBED AND SWORN to before me this _____ day of ________________, 20____. ___________________________________ Name (printed): ______________________ Notary Public for the State of Montana. Residing at __________________________ My Commission Expires________________ (Seal) STATE OF MONTANA ) ) ss. COUNTY OF _________________ ) _______________________________, being first duly sworn on oath, says that he is a Petitioner in the above-entitled proceeding; that he has read the foregoing Petition and knows the contents thereof; and that the matter, facts and things stated therein are true to the best of his knowledge and belief. _____________________________________ Husband, Petitioner Pro Se _____________________________________ Print Name SUBSCRIBED AND SWORN to before me this _____ day of ________________, 20____. (Seal) ___________________________________ Name (printed): ______________________ Notary Public for the State of Montana. Residing at __________________________ My Commission Expires________________ Joint Petition for Dissolution no Children, Page 8 of 8 Approved by the Montana Supreme Court Commission on Self-Represented Litigants and Montana Legal Services Association, 04/01/04 American LegalNet, Inc. www.FormsWorkflow.com