Fill and Sign the About Third Judicial Circuit of Michigan Wayne County Circuit Court Form

Original - Court 2nd copy - Plaintiff 4th copy - Friend of the Court 1st copy - Defendant 3rd copy - Return - 1 - STATE OF MICHIGAN COMPLAINT FOR DIVORCE Page 1 of 5 pages CASE NO. JUDICIAL CIRCUIT COUNTY FAMILY DIVISION Court address Court telephone No. Plaintiff’s name, address, and telephone no(s). V Defendant’s name, address, and telephone no(s). Plaintiff’s attorney, bar no., address, and telephone no. Defendant’s attorney, bar no., address, and telephone no. THERE IS NO OTHER PENDING OR RESOLVED ACTION WITHIN THE JURISDICTION OF THE FAMILY DIVISION OF THE CIRCUIT COURT INVOLVING THE FAMILY OR FAMILY MEMBER OF THE PERSONS WHO ARE THE SUBJECT OF THE COMPLAINT. THERE IS NO PENDING OR RESOLVED CIVIL ACTION ARISING OUT OF THE TRANSACTION OR OCCURRENCE ALLEGED IN THE COMPLAINT. COMPLAINT FOR DIVORCE NOW COMES the Plaintiff, _________________________, (Wife/Husband) and for his/her Complaint For Divorce against the Defendant, _________________________, (Wife/Husband) states as follows: 1. The Plaintiff Defendant Both Plaint and Defendant has/have been a resident of the State of Michigan for at least 180 days, and of _________________________ County, for at least 10 days, prior to filing this Complaint. 2. The statistical information of the parties is as follows: Plaintiff Defendant Name: Name: Name prior to marriage, if any Name prior to marriage, if any Current Address: Current Address: Date of Birth: Date of Birth: Occupation: Occupation: Employer’s Name and Address: Employer’s Name and Address: - 2 - STATE OF MICHIGAN COMPLAINT FOR DIVORCE Page 2 of 5 pages CASE NO. JUDICIAL CIRCUIT COUNTY FAMILY DIVISION Court address Court telephone no. Plaintiff V Defendant 3. On the ______ day of __________ , the Plaintiff, _________________________, was legally married to the Defendant, _________________________, in the County of _______________ . The Wife’s maiden name was _________________________. 4. The Plaintiff, _________________________, and the Defendant, _________________________, lived and co-habited together as Husband and Wife until on or about ____________________ , on which date they separated. 5. The parties have do not have property to be divided. 6. There are _______ minor children of said marriage: Name Date of Birth Social Security Number 7. Pursuant to MCL 722.1209, Plaintiff states: a. The children presently reside with _________________________ at _________________________ and for the last five years have resided with _________________________ at _________________________. b. I have have not participated as a party or witness or in another capacity, in another child custody proceeding concerning the children. c. I know do not know of a proceeding that could affect the current child custody proceeding, including a proceeding for enforcement or a - 3 - STATE OF MICHIGAN COMPLAINT FOR DIVORCE Page 3 of 5 pages CASE NO. JUDICIAL CIRCUIT COUNTY FAMILY DIVISION Court address Court telephone no. Plaintiff V Defendant proceeding relating to domestic violence, a protective order, termination of parental rights, or adoption. d. I know do not know of any person who is not a party to this child custody proceeding and has physical custody of the children or claims rights of legal c ustody or physical custody of , or parenting time with, the children. 8. There has been a breakdown in the marriage relationship to the extent that the objects of matrimony have been destroyed, and there remains no reasonable likelihood that the parties' marriage can be preserved. 9. The parties own and possess, jointly and individually, miscellaneous household effects, household goods, furniture, fixtures, motor vehicles, real and personal property. The parties will execute a Property Settlement Agreement resolving all property and debt issues of the Parties, dispensing with the necessity of the Court making a division of the parties’ assets and debts. 10. All issues regarding the care and custody of the parties’ minor children, including issues of support and visitation, will be resolved by the Separation and Property Sett lement Agreement to be executed by the parties. WHEREFORE, the Plaintiff prays that: A. The marriage between the Plaintiff and the Defendant be dissolved and that a divorce from the bonds of matrimony be adjudged, according to the statute in such case made - 4 - STATE OF MICHIGAN COMPLAINT FOR DIVORCE Page 4 of 5 pages CASE NO. JUDICIAL CIRCUIT COUNTY FAMILY DIVISION Court address Court telephone no. Plaintiff V Defendant and provided; B. That the Property Settlement Agreement be approved by the Court; C. That wife be restored her maiden name of ________________, or No restoration of name is requested; D. The Plaintiff be granted such other or further relief as this Court may deem just and equitable. Dated: ____________________ ____________________________________ Plaintiff Signature Address City, State Zip Phone Plaintiff Defendant Name: Name: Name prior to marriage, if any Name prior to marriage, if any Current Address: Current Address: Date of Birth: Date of Birth: Occupation: Occupation: Employer’s Name and Address: Employer’s Name and Address: - 5 - STATE OF MICHIGAN COMPLAINT FOR DIVORCE Page 5 of 5 pages CASE NO. JUDICIAL CIRCUIT COUNTY FAMILY DIVISION Court address Co urt telephone no. Plaintiff V Defendant STATE OF MICHIGAN ) )ss. County of ____________________ ) On this ______ day of _________________________ , 20______ , before me, a Notary Public, in and for said County, personally appeared _________________________, to me known to be the same person described in and who executed the foregoing Complaint for Divorce and who acknowledged the same to be his/her free act and deed, and that the same is true on his/he r knowledge, except to those matters therein stated to be on information and belief, and he/s he believes the same to be true. _____________________________ Notary Public My Commission Expires: ____________________