Superior Court of Washington County of In re: No. Petitioner, Motion and Declaration to Convert Decree of Legal Separation to Decree of Dissolution (MT) and Respondent. I. Motion The [ ] Petitioner [ ] Respondent moves the court, pursuant to RCW 26.09.150, for an order converting the decree of legal separation that was entered in this matter on (date) __________________________ to a decree of dissolution. This motion is based upon the declaration below. Dated: Signature of Requesting Party or Lawyer/WSBA No. Print or Type Name II. Declaration I declare that I am the [ ] Petitioner [ ] Respondent in this action and that my marriage or domestic partnership is irretrievably broken. It has been at least six months since the decree of legal separation was entered on (date of decree of legal separation) _________________________. I declare under the penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at (city) __________________________, (state) _____________ on (date) __________________________. Notice to party: (you may list an address that is not your residential address where you agree to accept Signature of Requesting Party legal documents. Any time this address changes while this action is pending, you must notify the opposing Print or Type Name parties in writing and file an updated Confidential Information Form (WPF DRPSCU 09.0200) with the Address court clerk.) Mtn/Decl to Convert Decree (MT) - Page 1 of 1 WPF DR 08.0100 Mandatory (6/2008) - RCW 26.09.150 American LegalNet, Inc. www.FormsWorkflow.com Mtn/Decl to Convert Decree (MT) - Page 1 of 1 WPF DR 08.0100 Mandatory (6/2008) - RCW 26.09.150 American LegalNet, Inc. www.FormsWorkflow.com