Joint Petitioner A: Joint Petitioner B: FA-4110V, 05/18 Joint Petition-With Minor Children 247247767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 7 Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY Enter Joint name and address . IN RE : T HE MARRIAGE OF Joint Petitioner A Name (First, Middle and Last) Address Address City State Zip and On the far right, check divorce or legal separation. Amended Joint Petition With Minor Children D ivorce - 40101 Legal Separation - 40201 Case No. Enter Joint name and address . Joint Petitioner B Name (First, Middle and Last) Address Address City State Zip Note: Leave case number blank; the clerk will enter it. Enter Joint date of birth [Month, Day, Y ear] . A. We are providing the following information about Joint Petitioner A: 1. Date of birth . For 2, 3 , 4 and 5 , check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Separation. 2. Immediately before filing this P etition, Joint Petitioner A will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this P etition, Joint Petitioner A will have lived in the state of Wisconsin for 6 months or more. Yes No 4. Joint Petitioner A is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No 5. Joint Petitioner A is currently pregnant. Yes No Enter Joint date of birth [Month, Day, Y ear]. B. We are providing the following information about Joint Petitioner B: 1. Date of birth . 2. Immediately before filing this P etition, Joint Petitioner B will have lived in this county for 30 days or more. For 2, 3 , 4 and 5 , check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Separation. Yes No 3. Immediately before filing this P etition, Joint Petitioner B will have lived in the state of Wisconsin for 6 months or more. Yes No 4. Joint Petitioner B is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No 5. Joint Petitioner B is currently pregnant. Yes No C. We are providing the following marriage information: Enter the date [month, day, 1. We were married on [ D ate] . American LegalNet, Inc. www.FormsWorkFlow.com Joint Petitioner A: Joint Petitioner B: FA-4110V, 05/18 Joint Petition-With Minor Children 247247767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 7 year], city, and state in which you were married. 2. We were married in [ C ity] [ S tate] . 3. We are filing for Check a or b. If b, explain why you are filing for a legal separation and not a divorce. a. Divorce. This marriage is irretrievably broken. b. Legal Separation . This marriage is broken and the reason we are requesting a legal separation and not a divorce is . 4. Previous Actions In 4, c heck a or b. If b, enter the county and state in which it was filed, the case number assigned to it, and check yes or no to indicate if the case has been dismissed. This is the first time that either party have filed for divorce or legal separation from each other in Wisconsin or in any other state: a. Yes b. No: County State Case No. Has this case been dismissed? Yes No In 5, c heck yes or no. 5. This is first marriage. Yes No If no, respond to 5a - 5d with information about Joint Petitioner most recent previous marriage. a . Joint Petitioner A was previously married to b. The marriage was terminated by divorce. death. c. Date of the divorce or death d. The divorce was granted in: Name of court City State If Joint Petitioner A had an additional previous marriage, respond to 5e - 5h. e . Joint Petitioner A was also previously married to f. The marriage was terminated by divorce. death. g. Date of the divorce or death h. The divorce was granted in: Name of court City State If Joint Petitioner A had more than 2 previous marriages, repeat 5e - 5h on an additional sheet. Check yes or no. 6. This is first marriage. Yes No If no, respond to 6a - 6d with information about most recent previous marriage. a. Joint Petitioner B was previously married to b. The marriage was terminated by divorce. death. c. Date of the divorce or death d. The divorce was granted in: Name of court City State If Joint Petitioner B had an additional previous marriage, respond to 6e - 6h. e. Joint Petitioner B was also previously married to f. The marriage was terminated by divorce. death. g. Date of the divorce or death h. The divorce was granted in: Name of court City State If Joint Petitioner B had more than 2 previous marriages, repeat 6e - 6h on an additional sheet. In D. 1, enter the name and date of birth [month, day, year] for each minor child. If you and the other party do not have minor children together, check None. D. We are providing the following information regarding our children: 1. Minor Children that we have together a. The minor children (age 17 or younger) of me and the other party ( born to or adopted ) before or during our marriage are b. None. Name of Minor Child Date of Birth American LegalNet, Inc. www.FormsWorkFlow.com Joint Petitioner A: Joint Petitioner B: FA-4110V, 05/18 Joint Petition-With Minor Children 247247767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 7 In 2, enter the name and date of birth [month, day, year] for each adult child. If you do not have adult children, check None. 2. Adult Child ( ren ) that we have together a. The adult child ( ren ) (age 18 or older) of me and the other party (born to or adopted) be fore or during our marriage are b. None. Name of Adult Child Date of Birth In 3, enter the name and date of birth [month, day, year] for each other child and indicate the parent. If you do not have other children, check None. 3. Other children a. Other child ( ren ) born or adopted during this marriage by either party . b. None. Name of Child Date of Birth Parent Check no or yes. If yes, enter county and case no. Has paternity been established? No Yes, County Case No.: In 4, check yes or no. 4. Have the minor child ( ren ) lived in Wisconsin 6 months or more with at least one of the parents? Yes No In 5 , enter the current address of the minor children. If the children currently reside at separate addresses, provide those addresses on an additional sheet. 5 . The current address of the minor child ( ren ) is /are Address Address City State Zip In 6 , enter any previous addresses for the minor children living with the parents during the past 5 years. If none check 6 . Previous addresses for the minor child ( ren ) is /are None (the children have lived at the current address for the last five years) . Address Address City State Zip If the children have lived in more than 2 places over the past 5 years, provide those addresses on an additional sheet. Address Address City State Zip In 7 , check yes or no. 7 . Currently, or during the last 5 years, one or more of the minor child ren lived wit h a person other than a parent. Yes No If yes, enter the name of that minor child and the name and address of the person with whom that child lived. Child Person Address Address City State Zip Attach an additional sheet, if necessary. Child Person Address Address City State Zip Child Person Address Address City State Zip American LegalNet, Inc. www.FormsWorkFlow.com Joint Petitioner A: Joint Petitioner B: FA-4110V, 05/18 Joint Petition-With Minor Children 247247767.215 and 822.29, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 4 of 7 In 8 , check a or b. 8 . We have been (or we have been aware of others who have been) a party, witness or participated in another way in other past court proceedings concerning the custody of or physical placement or visitation with the minor children listed in D1 or D3 , in Wisconsin or in any other state. If a, enter the name of the court in which it was ordered, the case number assigned to it, and date it was ordered. a. Yes and the paternity, custody,