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_____________ CIRCUIT COURT
__________________ COUNTY, COMMONWEALTH OF KENTUCKY
)
IN RE: THE MARRIAGE OF
____________________ _______ AND
___________________________ ,
)
)
)
)
VERIFIED JOINT PETITION FOR
DISSOLUTION OF MARRIAGE
Co -Petitioners )
) CASE NO. ___________________
)
COMES, ______________________ and ______________________ , Co -Petitioners,
who jointly file this Petition for Dissolution of Marriage and would state in support thereof the
following:
1. This Court has jurisdiction of the parties and subject matter pursuant to Kentucky
Revised Statutes, Title 35, Chapter 403.140 et seq.
2. Co -Petitioner ____________________________ and/or Co -petitioner
____________________________ is/are actual and bona fide resident(s) of _______________
County, Kentucky, and has/have been for more than one hundred eighty (180) days immediately
prior to the commencement of this action.
3. Co -Petitioners certify that neither party is on active duty in the armed services of
the United States.
4. The Parties were lawfully married on _______________ in _______________
County, _______________ .
5. Co -Petitioners’ vital statistics:
Name ____________________________ Name _______________ _____________
Age _____ DO B _______________ Age _____ DOB _______________
Social Security number _______________ Social Security number _______________
Residence Address __________________ Resid ence Address __________________
__________________________________ __________________________________
Length of Reside nce in KY ___________ Length of Residence in KY ___________
Occupation ________________________ Occupation _______________________ _
6. There are no minor children of said marriage, and the wife is not now pregnant.
All children of the marriage are over the age of eighteen (18) and emancipated.
7. The Parties separated on _______ day of _____________ , 20 ___ and from that
date up to the present, Co -petitioners have lived separate and apart without any cohabitation for a
minimum of sixty (60) days, satisfying Kentucky Revised Statutes Title 35, Chapter 403.170.
The parties would show that they are entitled to a decree of dissolution of marriage on the
grounds of irretrievable breakdown of the marriage with no reasonable prospect of
reconciliation, making it impossible for the marriage to continue, pursuant to Kentucky Revised
Statutes, Title 35, Chapter 403.14 0 et seq.
8. All matters involving property of the marriage, both real and personal, have been
resolved and the terms agreed to in the separation and property settlement agreement mentioned
below and attached hereto. All debts have likewise been resolved by the parties in the separation
agreement.
9. The Parties have executed a Separation and Property Settlement Agreement
disposing of all jointly owned property and settling all jointly owed debts and rights and
liabilities of the parties, a copy of which is attached hereto as Exhibit "A".
10. Party ____________________ (DOES/DOES NOT) request restoration of my
former name, ____________________________ . This request is not made for any illegal or
fraudulent reason.
11. The Co -Petitioners further state the following:
We do not know of any other cases in the Commonwealth of Kentucky or any state or
territory involving the same claim or subject matter as this case.
OR
We know of the following related cases concerning the same claim or subject matter as
this case
WHEREFORE, Co -Petitioners ____________________________ and
____________________________ jointly request th e following relief:
(a) A d ecree of Dissolution of Marriage dissolving the bonds of matrimony bet ween
the parties, the same to become final upon entry.
(b) That the Separation and Property Settlement Agreement disposing of all jointly
owned property and settling all jointly owed debts and rights and liabilities of the parties, a copy
of which is attac hed hereto as Exhibit "A", be incorporated into the final judgment of divorce;
(c) Party, _______________ , requests that she be restored her maiden name of
________________________ .
(d) Fo r judgment and relief as set forth in this Petition.
(e) For such other relief and judgment as is just and equitable in the premises.
Respectfully submitted,
_________________________________
Signature of Co -Petitioner
Print Name: ________________________
___________________________ ______
Signature of Co -Petitioner
Print Name: ________________________
COMMONWEALTH OF KENTUCKY
COUNTY OF _____________
COMES NOW, ____________ ____________ and ________________________ , and
being first duly sworn, deposes and states tha t they are the Co -Petitioners in the above -entitled
action, that they have read the foregoing Verified Petition and voluntarily executed the same, and
that they know the contents thereof to be true, except as to those items stated on information, and
belie ve those items to be true.
______________________________________
Name of Co -Petitioner
______________________________________
Signature of Co -Petitioner
______________________________________
Name of Co -Petitioner
______________________________________
Signature of Co -Petitioner
SUBSCRIBED AND SWORN to before me this _______ day of
________________________ , 20 _____ .
______________________________
Notary Public
Title (and Rank): _____________
Print Name: _______________
(Seal, if any)
My commission expires:
________________________
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