Fill and Sign the Convert from a Petition for Dissolution of Marriage to a Petition for Legal Separation Form

JDF 1107 R8/17 MOTION/STIPULATION TO MODIFY PETITION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 2District Court ___________________________ County, ColoradoCourt Address:In re the Marriage of:Petitioner:andCo-Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom MOTION STIPULATION TO MODIFY PETITION (MARRIAGE) The Petitioner Co-Petitioner/Respondent Both moves this Court to modify the Petition and states the following:Check one:Convert from a Petition for Dissolution of Marriage to a Petition for Legal SeparationConvert from a Petition for Legal Separation to a Petition for Dissolution of Marriage1. The Petition was filed on (date) and final orders have not been issued by this Court. 2. If applicable, notice has been provided to the other party as set forth in the Certificate of Service (below).3. If applicable, the Petitioner Co-Petitioner/Respondent requests that the Court restore his/her prior name to .Therefore, I/We respectfully request that this Court enter an Order to modify the Petition. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form.(Checking this box requires you to remove JDF number and copyright at the bottom of the form.) JDF 1107 R8/17 MOTION/STIPULATION TO MODIFY PETITION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 2 VERIFICATION AND ACKNOWLEDGMENT I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.Executed on the _______day of ____________________, __________ at __________________________, (date) (month) (year) (city or other location)_______________________________________. (state OR country) _______________________________________ ______________________________________________ (printed name of Petitioner) (printed name of Co-Petitioner/Respondent) _______________________________________ ______________________________________________ Petitioner Signature Co-Petitioner/Respondent Signature _______________________________________ ______________________________________________Petitioner’s Attorney Signature, if any Co-Petitioner’s/Respondent’s Attorney Signature, if any CERTIFICATE OF SERVICE (If only one party signs this Motion/Stipulation, complete the Certificate of Service below.) I certify that on __________________ (date) a true and accurate copy of the Motion/Stipulation to Modify Petition was served on the other party by:Hand Delivery E-filed Faxed to this number ____________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following:To: ______________________________________ ______________________________________ ______________________________________ ______________________________________ (Your Signature)