Fill and Sign the Joint Petition Minor Form

PRINT in INK Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter the wife’s name. In RE: The marriage of Joint Petitioner-Wife:       First name Middle name Last name       Address       Address       City State Zip andEnter the wife’s address. On the far right, check divorce or legal separation. Joint Petition Without Minor Children D ivorce-40101 Legal Separation-40201 Case No.       Enter the husband’s name. Joint Petitioner-Husband:       First name Middle name Last name       Address       Address       City State ZipEnter the husband’s address. Note: Leave case number blank; the clerk will add this. A. We are providing the following information about the wife: 1. Date of birth       2. Immediately before filing this petition, the wife will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, the wife will have lived in the state of Wisconsin for 6 months or more. Yes No 4. The wife is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No B. We are providing the following information about the husband: 1. Date of birth       2. Immediately before filing this petition, the husband will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, the husband will have lived in the state of Wisconsin for 6 months or more. Yes No FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 4Enter the wife’s date of birth [month, day, year]. For 2, 3 and 4, check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Separation. Enter the husband’s date of birth [month, day, year]. For 2, 3 and 4, check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Separation. Joint Petition – Without Minor Children Page 2 of 4 Case No. Error: Reference source not found ________________ 4. The husband is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No C. We are providing the following marriage information: 1. We were married on (date)       2. We were married in (city)       (state)       3. We are filing for: a. Divorce: This marriage is irretrievably broken. b. Legal Separation : This marriage is broken and the reason we are requesting a legal separation and not a divorce is       4. Previous Actions This is the first time that either my spouse or I have filed for divorce or legal separation from each other in Wisconsin or in any other state: a. Yes b. No: County       State       Case No.       Has this case been dismissed? Yes No 5. This is the wife’s first marriage. Yes No a . The wife was previously married to       b. The marriage was terminated by: divorce. death. c. Date of the divorce or death       d. The divorce was granted in: Name of court       City       State       e . The wife was also previously married to       f. The marriage was terminated by: divorce. death. g. Date of the divorce or death       h. The divorce was granted in: Name of court       City       State       If the wife had more than 2 previous marriages, repeat 5e-5h on an additional sheet. 6. This is the husband’s first marriage. Yes No a. The husband was previously married to       b. The marriage was terminated by: divorce. death. c. Date of the divorce or death       d. The divorce was granted in: FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 4Enter the date [month, day, year], city, and state in which you were married. Check yes or no. If no, respond to 5a-5d with information about the wife’s most recent previous marriage. If the wife had an additional previous marriage, respond to 5e- 5h. Check yes or no. If no, respond to 6a-6d with information about the husband’s most recent previous marriage.Check a or b. If b, explain why you are filing for a legal separation and not a divorce. Check a or b. If b, enter the county and state in which it was filed, the case number assigned to it and check yes or no to indicate if the case has been dismissed. Joint Petition – Without Minor Children Page 3 of 4 Case No. Error: Reference source not found ________________ Name of court       City       State       e. The husband was also previously married to       f. The marriage was terminated by: divorce. death. g. Date of the divorce or death       h. The divorce was granted in: Name of court       City       State       If the husband had more than 2 previous marriages, repeat 6e-6h on an additional sheet. D. We are providing the following information regarding our children: 1. a. No children were born to or adopted together by us before or during our marriage. b. All children, who are currently age 18 or older, born to the wife during the marriage include: Name of Child Date of Birth                                                                         2. To the best of our knowledge, the wife in this marriage: a. is currently pregnant. (An attorney [guardian ad litem] for the unborn child will be required if the husband is not the father.) b. is not currently pregnant. 3. We have made written agreements or received orders from the court about some or all of the matters in this action such as maintenance (spousal support) or property division. a. Yes, and we have attached a copy of the written agreement to this Petition. b. No We consent to jurisdiction and waive service of summons. WE ASK THAT THE COURT: 1. Grant a judgment as requested. 2. Enter an order granting maintenance. Yes No 3. Enter other orders as it deems just and equitable. ACTS PROHIBITED BY STATUTE In accordance with § 767.117 Wis. Stats., neither joint petitioners to this divorce or legal separation action can participate in any of the following activities while this action is pending: FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 4If the husband had an additional previous marriage, respond to 6e-6h. Check a or b. If b, write the names and dates of birth of all adult children born to the wife during the marriage. If you are requesting maintenance (spousal support) at this time, check yes. If not, check no. Check a or b. If a, attach a copy of the written agreement to this petition. Joint Petition – Without Minor Children Page 4 of 4 Case No. Error: Reference source not found ________________ 1. Harassing, intimidating, physically abusing or imposing any restraint on the personal liberty of the other party or a minor child of either of the parties. 2. Encumbering, concealing, damaging, destroying, transferring, or in any other way disposing of property owned by either or both of the parties, without the consent of the other party or an order of the court or the Circuit Court Commissioner, except in the usual course of business, in order to secure necessities or in order to pay reasonable costs and expenses of the action, including attorney fees. A VIOLATION OF THE ABOVE PROHIBITIONS MAY RESULT IN PUNISHMENT FOR CONTEMPT, WHICH MAY INCLUDE MONETARY PENALTIES, IMPRISONMENT, AND OTHER SANCTIONS AS PROVIDED FOR IN SEC. 785.04 WIS. STATS. These PROHIBITIONS apply until the action is dismissed, a final judgment in the action is entered, or the court orders otherwise. The wife must sign and print her name. She must enter the date on which she signed her name. Note: This signature does not need to be notarized. u Signature of Wife       Print or Type Name       Date The husband must sign and print his name. He must enter the date on which he signed his name. Note: This signature does not need to be notarized. u Signature of Husband       Print or Type Name       Date FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 4 of 4