Dissolution of Marriage Form

PETITION FOR DISSOLUTION OF MARRIAGE

STATE OF MINNESOTA

COUNTY OF

DISTRICT COURT

JUDICIAL DISTRICT

FAMILY COURT DIVISION

In Re the Marriage of:

, Petitioner,

AND

, Respondent,

Court File No.

For (his)(her) Petition for Dissolution of Marriage, Petitioner alleges:

I.

The true and correct names, addresses, and social security numbers of Petitioner and Respondent are:

Petitioner:

Address:

SSN:

Respondent:

Address:

SSN:

II.

Petitioner has previously been known (as)(by no other names). Respondent has previously been known (as)(by no other names).

Petitioner former names:

Respondent former names:

III.

Attorney's Name of Law Firm is representing Petitioner in these proceedings.

Attorney name:

Law firm:

IV.

Petitioner and Respondent are both persons who have attained the age of majority.

Petitioner is years of age, and his/her date of birth is

Respondent is years of age, and his/her date of birth is

V.

Petitioner and Respondent were duly married on , in the City of , County of , State of

VI.

For more than 180 days immediately preceding the commencement of this proceeding, Petitioner has been and now is a resident of the State of Minnesota and now resides within the County of .

Respondent resides within the County of

VII.

No separate proceeding for dissolution, legal separation, or custody is pending in a Court in this State or elsewhere.

VIII.

There has been an irretrievable breakdown of the marriage relationship of the parties hereto pursuant to Minn. Stat. §518.06, as amended.

The parties have separated and have been living apart since

IX.

Neither party is or has been in the military service of the United States at any time relevant to this proceeding.

X.

The parties hereto have minor or dependent child(ren), namely:

Child 1 name: born presently years of age

Child 2 name: born presently years of age

Legal custody granted to and physical custody granted to , subject to right to visitation.

OR

There have been child(ren) born as issue of this marriage who are no longer minors or dependent upon the parties for support.

OR

There are no minor or dependent children of said marriage.

XI.

Petitioner is not pregnant. If wife is pregnant, include that fact and anticipated date of birth.

Pregnancy details:

Anticipated date of birth:

XII.

Minnesota is the proper jurisdiction within the contemplation of the Uniform Child Custody Jurisdiction Act to enter an Order regarding the custody, care and control of the minor child(ren).

XIII.

Petitioner is employed as a by , located at .

He/She has gross income of $ per and net income of $ per .

Respondent is employed as a by , located at .

He/She has gross income of $ per and net income of $ per .

The parties have income of $ per from .

is dependent upon for support of the minor child(ren) and family.

XIV.

The parties hereto are the owners of, or have an interest in, their homestead located at , in the City of , County of , State of Minnesota, and legally described as:

Petitioner estimates the property has a fair market value of $ and is encumbered by of approximately $ in favor of .

XV.

The parties hereto are the owners of, or have an interest in, real property located at , in the City of , County of , State of , and legally described as:

Petitioner estimates the property has a fair market value of $ and is encumbered by of approximately $ in favor of .

XVI.

The parties are the owners of, or have acquired an interest in, assets of substantial value, including , a business known as , and retirement assets.

XVII.

The parties are the owners of personal property, household goods, and furnishings located in and about their respective dwellings.

XVIII.

The parties have incurred miscellaneous bills and obligations during the marriage.

XIX.

Petitioner is seeking a name change from to solely because of this marriage dissolution and not to defraud or mislead anyone.

XX.

This Petition for Dissolution of Marriage is filed in good faith and for the purposes set forth herein.

WHEREFORE, Petitioner prays for the Judgment and Decree of this Court:

DISSOLUTION

1. Dissolving the marriage of Petitioner and Respondent.

CUSTODY/VISITATION

2. Granting legal and physical custody of the minor child(ren) of the parties, subject to 's right to (reasonable)(reasonable and liberal)(supervised) visitation.

2. Granting Petitioner and Respondent joint legal custody of the minor child(ren) of the parties, and granting physical custody subject to 's right to visitation.

2. Granting Petitioner and Respondent joint legal and physical custody of the minor child(ren) of the parties.

2. Granting such custody, care and control of the minor child(ren) of the parties as the Court deems in (his)(her)(their) best interests.

CHILD SUPPORT

3. Ordering such support for the minor child(ren) as the Court deems just, fair and equitable.

3. Ordering to pay to a reasonable sum of money for the support of the minor child(ren) of the parties.

3. Reserving the issue of support for the minor child(ren) of the parties.

MAINTENANCE

4. Ordering such maintenance as the Court deems just, fair and equitable.

4. Ordering to pay to a reasonable sum of money for permanent maintenance.

4. Awarding neither party maintenance from the other.

4. Reserving the issue of maintenance.

PROPERTY

5. Ordering an equitable and just distribution of the real and personal property of the parties.

5. Ordering an equitable and just distribution of the personal property of the parties.

5. Awarding (each party) all of the household goods and furnishings presently in his/her/their possession.

5. Awarding his/her non-marital interest in .

DEBTS

6. Ordering an equitable and just allocation of the outstanding bills and obligations of the parties.

6. Ordering to pay the joint debts and obligations of the parties.

ATTORNEYS' FEES

7. Ordering that each party be responsible for their own attorneys' fees and suit costs incurred incident to this proceeding.

7. Ordering an equitable and just allocation of the attorneys' fees and suit costs incurred incident to this proceeding.

7. Ordering that pay for 's attorneys' fees and suit costs incurred incident to this proceeding.

NAME CHANGE

8. Ordering that 's name be changed from to .

8. Ordering that 's maiden name, , be restored to her.

SUCH OTHER

9. For such other and further relief as the Court may deem just, fair and equitable in the premises.

Attorney for Petitioner

#1 Address

#2 Address

City, State Zip

Telephone

Attorney Reg. No.:

VERIFICATION

STATE OF MINNESOTA )

) SS.

COUNTY OF )

, being first duly sworn upon oath, deposes and states that (he)(she) is the Petitioner in the above-entitled action; that (he)(she) has read the foregoing Petition for Dissolution of Marriage, knows the contents thereof and that the same is true and correct, except as to those matters therein stated on information and belief and as to those matters (he)(she) believes them to be true.

Dated:

Subscribed and sworn to before me this day of , 20.

_______________________________

NOTARY PUBLIC

ACKNOWLEDGMENT

STATE OF MINNESOTA )

) SS.

COUNTY OF )

, the attorney for Petitioner in the above-captioned matter, and , Petitioner herein, hereby acknowledge that pursuant to Minn. Stat. §549.21, costs, disbursements, witness fees and reasonable attorneys' fees may be awarded to Respondent in the event Petitioner is found to be acting in bad faith and/or asserting a frivolous claim.

Subscribed and sworn to before me this day of , 20.

_______________________________

NOTARY PUBLIC

Dated:

Subscribed and sworn to before me this day of , 20.

_______________________________

NOTARY PUBLIC