Fill and Sign the Illinois Petition for Dissolution of Marriage with or Without Children Form

This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit C ourts. DV-P 105.1 Page 1 of 6 (04 /18 ) STATE OF ILLINOIS , PETITION FOR DISSOLUTION OF MARRIAGE / CIVIL UNION (DIVORCE WITH CHILDREN) For Court Use Only CIRCUIT COURT COUNTY Instructions  Directly above, enter the county where you will file this case. Enter your name as Petitioner. Petitioner (First, middle, last name ) Enter the name of your spouse as Respondent . v. The Circuit Clerk will add a Case Number. Respondent (First, middle, last name ) Case Number 1. I am Petitioner in this case. 2. I am providing the following information about where I live and whe re Respondent (my In 2a, if you check “Yes,” enter the date you started living in Illinois. spouse) lives: a. I live in Illinois  Yes, since:  No Date In 2b, if you check “Yes,” enter the date Respondent started living in Illinois. b. Respondent lives in Illinois  Yes, since:  No  Do not know Date In 3a, enter your age. 3. I am providing the following information about myself: In 3b, check all box es that appl y to you. If you are employed, enter your job title and the name of your employer. a. Age : b. I am employed (c heck all that apply) :  Yes  No  I receive Social Security benefits I am employed as: Job Title In 3c, if you want to go back to a former name, check “Y es” and enter that name. I am employed by: Employer Name c. I would like to go back to a maiden or a former married name:  Yes  No Former name: First Middle Last In 4a, enter Respondent’s age. 4. I am providing the following information about Respondent (my spouse): In 4b, check the box that applies. Enter Respondent’s current complete address if known . a. Age : b. I know Respondent’s current address:  Yes  No Address: Street, Apt # City State ZIP In 4c, enter Respondent’s current phone number. c. Phone Number : Enter the Case Number given by the Circuit Clerk: _________________________________ DV-P 105.1 Page 2 of 6 (04 /18 ) In 4d, check all boxes that apply to Respondent. If Respondent is employed, enter their job title and the name of their employer. d. Respondent is employed:  Yes  No  Do not know  Respondent receives Social Security benefits Respondent is employed as : Job Title Respondent is employed by : In 4e, check the box that applies. If Respondent is on active duty with the military, you cannot use this form unless Respondent files an appearance. Employer Name e. Respondent is currently on active duty as a member of the Armed Forces of the United States of America:  Yes  No  Do not know 5. I am providing the following Information about the  Marriage  Civil Union: a. We were married/ united on: In 5, check whether it is a marriage or civil union. Date b. We were married/ united in : County State Country In 5a, enter the date you were married/ united. c. This is the first time that either Respondent or I have filed for dissolution of marriage or civil union in Illinois or any other state:  Yes  No In 5b, enter the county, state, and country where the marriage/ civil union happened. d. We have been separated since: Date e. Irreconcilable differences have caused the irretrievable breakdown of the marriage or civil union. In 5c, check “Yes” if this is the first time you or Respondent have filed for divorce from each other. 6. I am providing the following information about children: a. I am pregnant. In 5d, enter the date you separated.  Yes  No Respondent is the parent of the unborn child: In 6a, first check “Yes” if you are pregnant. Then say if the child is Respondent’s.  Yes  No  Do not know b Respondent is pregnant.  Yes  No  Do not know In 6b, first check “Yes” if Respondent is pregnant. Then say if the child is yours. I am the parent of the unborn child:  Yes  No  Do not know In 6c, check “None” if you have no children with Respondent, who are under the age o f 18. Otherwise, list the name and date of birth of each child in the box. c The minor children ( under the age of 18) born to or adopted together by me and Respondent before or during our marriage/civil union are:  None (if you check this b ox, do not complete Sections 6 (d -g) or Section 7) Name Date of Birth 1. 2. 3.  I have listed additional minor children on the attached Additional Minor Children form. Enter the Case Number given by the Circuit Clerk: _________________________________ DV-P 105.1 Page 3 of 6 (04 /18 ) In 6d, check the box that applies to the children listed in 6c. If one or more of the children live with someone else, enter the first and last name of the non -parent, and the names of the children who live with the non - parent. d. The minor children currently live:  Primarily with me .  Primarily with Respondent .  With both of us .  Not with either parent, but with someone else: Name of Non-Parent Names of Children Living with the Non-Parent 1. 2. 3. Other places the minor children have lived in the last 5 years: City State 1. 2. 3. In the past 5 years the children have lived with someone else and not with either parent:  Yes  No Name of Non -Parent City State 1. 2. 3. In 6e, check “Yes” if the children listed in 6c have lived in Illinois for at least 6 months. e. The minor children listed in Section 6c have lived in Illinois for the last 6 months:  Yes  No In 6f, check “None” if you have no children with Respondent who are 18 or older. Otherwise, list the name and age of each child 18 or older. f. The adult children (age 18 or older) born to or adopted together by me and the Respondent before or during our marriage/civil union are:  None Name Age Disabled In School 1.  Yes  No  Yes  No 2.  Yes  No  Yes  No In 6g, check “None” if the only children you had during the marriage/civil union are listed in 6c and 6f. If you or Respondent separately had or adopted other children during the marriage/civil union, list their names and birthdates here. Check the box to say whether the child belongs to you or Respondent. 3.  Yes  No  Yes  No  I have listed additional adult children on the attached Additional Adult Children form. g. The other children born to or adopted by either me or Respondent, but not both of us, during this marriage/civil union are:  None Name Date of Birth Born to or Adopted by 1.  Petitioner  Respondent 2.  Petitioner  Respondent 3.  Petitioner  Respondent  I have listed additional children on the attached Additional Other Children form. Enter the Case Number given by the Circuit Clerk: _________________________________ DV-P 105.1 Page 4 of 6 (04 /18 ) In 7a, check the bo x that applies to the children listed in 6c. Check “Yes” only if there is a court order giving someone else rights to the children or if there is a current court case in which someone else is asking for rights to the children. 7. I am providing the following information about the care of the child ren: a. There is another person, that is not Respondent or me, who claims to have an allocation of parental responsibility or parenting time (custody/visitation rights ) :  Yes  No Information about the person claiming allocation of parental responsibility or parenting time : Name: First Last Address: Street, Apt # City State ZIP In 7b, check the box that applies to the children listed in 6c. If there is or was another court case, enter the county and state where it is or was and whether the case is still going on. If the case is still going on, enter the next court date. b. I know of other court cases about the allocation of parental responsibility or parenting time:  Yes  No Information about the other court case s: Case Name: Petitioner v. Respondent Case Location : County State Case N umber: This case is still ongoing:  Yes  No In 7c, check the first box if you are attaching the Parenting Plan form. Check the second box if you will file it within 120 days of the date you file this Petition . The next court date is: Date c. Allocation of parental responsibility:  I have attached m y Parenting Plan form to this Petition  I will file my Parenting Plan form within 120 days of the date I file this Petition In 8a, check “Yes” if you or Respondent h ave unpaid debts from after the date of the marriage/civil union. Check “No” only if you are sure there are no unpaid debts. 8. I am providing the following information about all of the debts that Respondent and I have after the date we got married /united (both individually and as a couple) : a. Respondent and I have debts from the time of the marriage/civil union that are still owed (either together or individually ):  Yes  No b. Respondent and I have already divided the debts from the time of the marriage/civil In 8b, check “Yes” only if you and Respondent have agreed on who will pay which debts. union that are still owed:  Yes  No 9. I am providing the following information about all of the personal p roperty including bank accounts that Respondent and I own (both individually and as a couple): In 9a, check “Yes” if either of you got any personal property after the date of the marriage/ civil union. Check “No” only if you are sure there is no personal property. a. Respondent and I own personal property and/or bank accounts obtained during the marriage/civil union.  Yes  No b. Respondent and I have already divided the personal property and/or bank accounts obtained during the marriage/civil union.  Yes  No In 9b, check “Yes” only if you and Respondent have already divided all the personal property. Enter the Case Number given by the Circuit Clerk: _________________________________ DV-P 105.1 Page 5 of 6 (04 /18 ) In 10a , check “Yes” if together you and Respondent own a home, have a mortgage, or have a contract for deed. 10. I am providing the following information about real estate: a. Respondent and I own or are buying real estate together:  Yes  No b. I own or am buying real estate separately:  Yes  No In 10b , check “Yes” if you own a home, have a mortgage, or have a contract for deed. c. Respondent owns or is buying real estate separately:  Yes  No  Do not know 11. I am providing the following information about pension/retiremen t accounts: In 10c , check “Yes” if Respondent owns a home, has a mortgage, or has a contract for deed. a. I have pension or retirement accounts (including IRAs) :  Yes  No b. Respondent has pension or retirement accounts (including IRAs) :  Yes  No  Do not know In 11a, che ck the box that applies to you. In 11b, check the box that applies to Respondent. 12. I have a claim for money for injuries or damages that I have suffered (worker's In 12, check "Yes" if you have any claims that you are owed for money damages or injuries, whether you have filed the case or not. compensation, personal injury, accident, etc.) :  Yes  No 13. I am providing the following information about maintenance (also known as alimony) : a. I am able to support myself without maintenance: In 13a , check “Yes” if you can support yourself. Check “No” if you need support from Respondent.  Yes  No b. Respondent is able to support himself/herself without maintenance:  Yes  No  Do not know In 13b , check “Yes” if Respondent can support himself/herself. I ASK THE COURT TO ORDER: A. A Judgment of Dissolution of Marriage/Civil Union (Divorce With Children) for me and my In C, check “Yes” if you want child support to be ordered. spouse. B. That the Parenting Plan for the minor children that I file be approved. In D, check "Yes" if you want support for an adult disabled child or for college expenses for an adult child. C. Child s upport for the care or education of the minor children :  Yes  No D. Support for the care or education of the adult children:  Yes  No In I, check “Me” if you want to get maintenance from Respondent . Check “Respondent” if you want to pay maintenance to Respondent . Check “Neither” if you do not want to get or pay maintenance. E. That I get to keep all of my non-marital/non -civil union property . F. That Respondent gets to keep all of their non -marital/non -civil union property. G. A fair division of the marital /civil union property . H. A fair division of the debts obtained during the marriage/civil union. I. That maintenance be awarded to:  Me  Respondent  Neither In J, check “Yes” if you want to go back to using a former name . J. That after the divorce I be allowed to return to using my former name:  Yes  No  Not applicable Enter the Case Number given by the Circuit Clerk: _________________________________ DV-P 105.1 Page 6 of 6 (04 /18 ) Under the Code of Civil Procedure, 735 ILCS 5/1 -109 , making a statement on this form that you know to be false is perjury, a Class 3 Felony. I certify that everything in the Petition For Dissolution Of Marriage / Civil Union (Divorce with Children) is true and correct. I understand that making a false stateme nt on this form is perjury and has penalties provided by law under 735 ILCS 5/1 -109 . /s/ Your Signature Street Address If you are completing this form on a computer, sign your name by typing it. If you are completing it by hand, sign and print your name. Print Your Name City, State, ZIP Telephone Enter your complete current address and telephone number. If you need to keep your address secret from your spouse because of domestic violence, you may use another address. That address must be one at which you can receive mail about the case. GETTING COURT DOCUMENTS BY EMAIL: If you agree to receive court documents by email, check the box below and enter your em ail address. You should use an email account that you do not share with anyone else and that you c heck every day. If you do not check your email every day, you may miss important information or notice of court dates. Other parties may still s end you court documents by mail.  I agree to receive court documents at this email address during my entire case. Email