Fill and Sign the District Court County Colorado Court Address in Re the 490112339 Form

JDF 1412 R7/01 PETITION FOR UNDERAGE MARRIAGE PAGE 1 OF 2 District Court _________________________________________ County, ColoradoCourt Address:In Re the Petition of:Petitioner:v.Respondent/Co-Petitioner: COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom PETITION FOR UNDERAGE MARRIAGE The Petitioner, , hereby requests an order allowing him/her to enter into marriage while underage, and as grounds therefor, states as follows: CHECK THE SECTION THAT APPLIES TO YOUR AGE, AND THEN CHECK THE SUBPARAGRAPH THAT REFLECTS YOUR SITUATION. (§§14-2-106, 14-2-108, C.R.S.) The Petitioner is sixteen (16) or seventeen (17) years old and: Both parents or guardian, or if the parents are not living together, the parent or legal custodian with whom the Petitioner is living with, consent(s) to the marriage, as evidenced by the signature(s) below; Has no parent or guardian; The Petitioner’s parent or guardian is not capable of consenting to the marriage; The Petitioner’s parent or guardian has not consented to the marriage.OR The Petitioner is under the age of sixteen (16) and:Has the consent of each parent capable of giving consent, ORHas the consent of his or her guardian, ORThe Petitioner’s parents are not living together and the Petitioner has the consent of his legal custodian or the parent with whom he/she is living with.WHEREFORE, for the reasons set forth above, the Petitioner respectfully requests that the Court order the County Clerk and Recorder to issue a marriage license and marriage certificate form. 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 1412 R8/17 PETITION FOR UNDERAGE MARRIAGE © 2017 Colorado Judicial Department for use in the Courts of Colorado PAGE 2 OF 2 VERIFICATION AND ACKNOWLEDGEMENT 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, and state OR country)Dated: ______________________________ _____________________________________________ (printed name of Petitioner) _____________________________________________ Petitioner _____________________________________________ Address_____________________________________________ City, State, Zip Code_____________________________________________ (Area Code) Telephone Number (home)_____________________________________________ (Area Code) Telephone Number (work) Dated: _____________________________ _____________________________________________Parent GuardianLegal Custodian or parent with whom the Petitioner is living  Parent with whom the Petitioner is living_____________________________________________Print Name _____________________________________________ Address_____________________________________________ City, State, Zip Code_____________________________________________ (Area Code) Telephone Number (home)_____________________________________________ (Area Code) Telephone Number (work) Dated: _____________________________ _____________________________________________Parent (if applicable) _____________________________________________Print Name _____________________________________________ Address_____________________________________________ City, State, Zip Code_____________________________________________ (Area Code) Telephone Number (home)_____________________________________________ (Area Code) Telephone Number (work) JDF 1412 R8/17 PETITION FOR UNDERAGE MARRIAGE © 2017 Colorado Judicial Department for use in the Courts of Colorado PAGE 3 OF 2 ORDER The Court, having reviewed the Petition for Underage Marriage, finds that the underage party, the Petitioner, is capable of assuming the responsibilities of marriage, and that the marriage would serve the Petitioner’s best interests. The Court therefore orders that the County Clerk and Recorder issue a marriage license and a certificate of marriage.Dated: ___________________________________ BY THE COURT:Judge  Magistrate