FA-4108V, 05/18 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 your name (you are the petitioner ). IN RE : T HE MARRIAGE OF Petitioner Name (First, Middle and Last) Address Address City State Zip a nd Enter your address. On the far right, check divorce or legal separation. Amended Petition With Minor Children D ivorce - 40101 Legal Separation - 40201 Case No. Enter the (the other party is the respondent) . Respondent Name (First, Middle and Last) Address Address City State Zip Enter the respondent Note: Leave case number blank; the clerk will add this. I am the petitioner in this action. In A.1, enter your date of birth [month, day, year]. A. I am providing the following information about myself: 1. Date of birth . 2. Immediately before filing this petition, I will have lived in this county for 30 days or more. Yes No For 2, 3 , 4 , and 5 check yes or no. 3. Immediately before filing this petition, I will have lived in the state of Wisconsin for 6 months or more. Yes No For 4, check yes or no. 4. I am currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No For 5, check yes or no. 5. I am currently pregnant. Yes No In B.1, enter respondent birth [month, day, year]. B. I am providing the following in formation about the respondent : 1. Date of birth . For 2, 3, 4, and 5, check yes or no. 2. Immediately before filing this petition, the respondent will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, the respondent will have lived in the state of Wisconsin for 6 months or more. Yes No 4. The respondent is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No For 5, check yes or no. 5. The respondent is currently pregnant. Yes No American LegalNet, Inc. www.FormsWorkFlow.com FA-4108V, 05/18 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 In C.1 and 2, enter the date [month, day, year], city, and state in which you were married. C. I am providing the following marriage information: 1. The respondent and I were married on [ D ate] . 2. We were married in [ C ity] [ S tate] . 3. I am filing for a. Divorce. This marriage is irretrievably broken. b. Legal Separation . This marriage is broken and the reason I am requesting a legal separation and not a divorce is . In 4, check 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. 4. Previous Actions 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 5. This is my first marriage. Yes No In 5, check yes or no. If no, respond to 5a - 5d with information about your most recent previous marriage. a . I 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 e . I was also previously married to f. The marriage was terminated by divorce. death. g. Date of the divorce or death If you had an additional previous marriage, respond to 5e - 5h. h. The divorce was granted in: Name of court City State If you had more than 2 previous marriages, repeat 5e - 5h on an additional sheet. In 6, check yes or no. If no, respond to 6a - 6d with information about the respondent recent previous marriage, if known. 6. This is first marriage. Yes No a. The respondent 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 the respondent had an additional previous marriage, respond to 6e - 6h. e. The respondent 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 the respondent 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 there are no other kids, check None. D. I am providing the following information regarding children: 1. Minor Children that we have together a. The minor children (age 17 or younger) of me and the respondent (born or adopted) before or during our marriage are b. None. American LegalNet, Inc. www.FormsWorkFlow.com FA-4108V, 05/18 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 Name of Minor Child Date of Birth In 2, enter the name and date of birth [month, day, year] for each adult child. If you and the respondent do not have adult children together, check None. 2. Adult Children that we have together a. The adult children (age 18 or older) of me and the respondent (born or adopted) before 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 and the respondent do not have other children , check None. 3. Other C hildren a. Other children born or adopted during this marriage by either party . b. None. Name of Child Date of Birth Parent Check if paternity has been established. Has paternity been established? No Yes County Case No. : In 4, check yes or no. 4. Have the minor children lived in Wisconsin 6 months or more with at least one of the parents? Yes No In 5 , enter the current address for the minor children. 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 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 Address Address City State Zip In 7, check yes or no. If the children have lived in more than 2 places over the past 5 years, provide those addresses on an additional sheet. If yes, enter the name 7 . Currently, or during the last 5 years, one or more of the minor children lived with a person other than a parent. Yes No Child Person Address Address American LegalNet, Inc. www.FormsWorkFlow.com FA-4108V, 05/18 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 of that minor child and the name and address of the person with whom that child lived. City, State, Zip Attach an additional sheet, if necessary. Child Person Address Address City, State, Zip Child Person Address Address City, State, Zip In 8 , check a or b. 8 . I personally have been (or I am aware of others who have been) a party, witness or participated in another way in other past court proceedings concerning the paternity, 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, physical placement, or visitation order was granted in: Name of court Case Num ber Date b. No. In 9 , check a or b. 9 . I am aware of a proceeding that could affect the current proceeding, including proceedings for enforcement and proceedings related to domestic violence, protective orders, termination of parental rights, or adoption concerning the children listed in D1 or D3 , in Wisconsin or any other state. If a, enter the name of the court, the case number assigned to it, and the nature of the proceeding. a. Yes, a