PETITION FOR DISSOLUTION

SUPERIOR COURT OF                                          , 

COUNTY OF                                            

STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:

MARRIAGE OF

PETITIONER:

RESPONDENT:

CASE NUMBER:                              

PETITION FOR

1. RESIDENCE (Dissolution only)             Petitioner             Respondent has been a resident of this state for at least six months and of the county for at least three months immediately preceding the filing of this Petition for Dissolution of Marriage.

2. STATISTICAL FACTS

   1. Date of marriage:

   2. Date of separation:

   3. Period between marriage and separation Years            , Months            ;

3. DECLARATION REGARDING MINOR CHILDREN OF THIS MARRIAGE FOR WHOM SUPPORT MAY BE ORDERED OR WHO MAY BE SUBJECT TO CUSTODY OR VISITATION ORDERS

   1.             There are no minor children.

   2.             The minor children are:
      Child's Name                    Birthdate                    Sex
      
      
      

   3. IF THERE ARE MINOR CHILDREN, COMPLETE EITHER (1) OR (2)
      (1) Each child name in 3b is currently living with             petitioner             respondent in the following county (specify):
      
      During the last five years each child has lived in no state other than                           and with no person other than petitioner or respondent or both.  Petitioner has not participated in any capacity in any litigation or proceeding in any state concerning custody of any minor child of this marriage.  Petitioner has no information of any pending custody proceeding or of any person not a party to this proceeding who has physical custody or claims to have custody or visitation rights concerning any minor child of this marriage.
      
      (2)             A completed Declaration Under Uniform Child Custody Jurisdiction Act is attached.

4.             Petitioner requests confirmation as separate assets and obligations the items listed              in Attachment 4              below:
   Item                                            Confirm to

NOTICE: any party required to pay child support must pay interest on overdue amounts at the "legal" rate, which is currently 10 percent.  This can be a large added amount.

5. DECLARATION REGARDING COMMUNITY AND QUASI-COMMUNITY ASSETS AND OBLIGATIONS AS CURRENTLY KNOWN

   1.            There are no such assets or obligations subject to disposition by the court in this proceeding.

   2.            All such assets and obligations have been disposed of by written agreement.

   3.            All such assets and obligations are listed in      Attachment 5      b (specify):
      

6. Petitioner requests

   1.           Dissolution of the marriage based on
      (1)            irreconcilable difference. FC 2310(a)
      (2)            incurable insanity. FC 2310(b)

   2.           Legal separation of the parties based on
      (1)            irreconcilable difference. FC 2310(a)
      (2)            incurable insanity. FC 2310(b)

   3.           Nullity of void marriage based on
      (1)            incestuous marriage. FC 2200
      (2)            bigamous marriage. FC 2201

   4.           Nullity of voidable marriage based on
      (1)            petitioner's age at time of marriage. FC 2210(a)
      (2)            prior existing marriage. FC 2210(b)
      (3)            unsound mind. FC 2210(c)
      (4)            fraud. FC 2210(d)
      (5)            force. FC 2210(e)
      (6)            physical incapacity. FC 2210(f)

7. Petitioner requests that the court grant the above relief and make injunctive (including restraining) and other orders as follows:

8. If there are minor children of this marriage, the court will make orders for the Support of the children without further notice to either party.  A wage assignment will be issued.

9. I have read the restraining orders on the back of the Summons, and I understand that they apply to me when this petition is filed.
   I declare under penalty of perjury under the laws of the State of                      that the foregoing is true and correct.

Date:                                                                          

                                                                                   
SIGNATURE OF PETITIONER

(TYPE OR PRINT NAME OF ATTORNEY)
SIGNATURE OF ATTORNEY FOR PETITIONER

NOTICE:  Please review your will, insurance policies, retirement benefit plans, credit cards, other credit accounts and credit reports, and other matters you may want to change in view of the dissolution or annulment of your marriage, or your legal separation.  However, since changes may require the agreement of your spouse or a court order (see Family Code sections 231-235).