Fill and Sign the Instructions Divorce Without Children with Agreement Indiana Form

Page 1 of 3 Form PS-31152-14 Revised by State Court Administration 09/2014 STATE OF INDIANA ) IN THE SUPERIOR / CIRCUIT COURT 1 ) SS: CIVIL DIVISION, ROOM 2 COUNTY OF ) CASE NO. 3 IN RE THE MARRIAGE OF: 4 5 Petitioner, 6 and 7 8 Respondent. 9 VERIFIED PETITION FOR DISSOLUTION OF MARRIAGE 10 With Request for Provisional Orders 11 The Petitioner, , now states: 12 1. Petitioner and Respondent were married on , and separated on . 13 2. has been a continuous resident of 14 County for the last 3 months. 15 3. has been a continuous resident of the State of Indiana for 16 the last 6 months. 17 4. Children: 18 There are no children of the marriage. 19 There are children of the marriage; namely: 20 Name Date of birth 21 22 23 24 25 And that is the fit and proper person to have 26 custody of the minor children. 27 Page 2 of 3 Form PS-31152-14 Revised by State Court Administration 09/2014 6. Debts and property: 28 There are no debts / personal property to divide. 29 Petitioner wishes the Court to divide the following debts / personal property: 30 a. 31 b. 32 c. 33 d. 34 7. is not pregnant. 35 8. Neither party is a member of the military. 36 9. This marriage has suffered an irretrievable breakdown and should be dissolved. 37 10. Change of name: 38 Petitioner would like the following former name restored: 39 Petitioner does not request a name change. 40 41 Page 3 of 3 Form PS-31152-14 Revised by State Court Administration 09/2014 I request that this Court issue its order dissolving the marriage of the parties, and 42 for all other just and proper relief and until this matter is finalized: 43 I do not request any provisional orders 44 I request the following provisional orders ( for divorce without agreement only): 45 Temporary custody of the minor child(ren); 46 Temporary child support for minor child(ren); 47 Temporary parenting time for the non-custodial parent; 48 Temporary possession of the marital residence; 49 Temporary division of debts; 50 Temporary division of property; 51 Spousal maintenance; 52 Restraining the parties from removing the child(ren) from the state without the 53 permission of the court or all parties; 54 Restraining the parties from transferring, encumbering, concealing, or in any way 55 disposing of any of the property of the part; 56 Other: 57 I affirm under the penalties of perjury that the foregoing representations are true. 58 59 Signature 60 61 62 63 64 CERTIFICATE OF SERVI CE 65 I hereby certify that I sent a copy of this document by first class mail to the other party’s lawyer, or the 66 other party if the other party is not represented by a lawyer, on this ____ day of ____________, 20___. 67 _____________________________________ 68 Signature 69