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Fill and Sign the Judgment Entry of Dissolution of Marriage Supreme Court of Form

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IN THE COURT OF COMMON PLEAS Division COUNTY, OHIO : Name : Case No. : Street Address : : Judge City, State and Zip Code Petitioner 1 : : Magistrate and : : Name : : Street Address : : City, State and Zip Code Petitioner 2 : Instructions: This form is used to request ending the marriage when the parties have agreed on all aspects of the termination, including the division of real estate, personal property, debts, spousal support, and, if there is/are (a) child(ren) , allocation of parental rights and responsibilities (custody), parenting time (companionship and visitation) and child support . A Separation Agreement ( Uniform Domestic Relations Form 16) and either a Shared Parenting Plan ( Uniform Domestic Re lations Form 17) or a Parenting Plan ( Uniform Domestic Relations Form 18), if applicable, must be filed with this Petition. PETITION FOR DISSOLUTION OF MARRIAGE AND WAIVER OF SERVICE OF SUMMONS WITH CHILDREN WITHOUT CHILDREN The Petitioners , (m y name) and (spouse’s name), say as follows: 1. ________ ______________ __(my name) _____________ ____________ (spouse’s name) Both parties has/have been (a) resident(s) of the State of Ohio for at least six months. 2. ________ ______________ __(my name) _____________ ____________(spouse’s name) Both parties has/have been (a) resident(s) of _______________ County for at least 90 days immediately before the filing of this Petition. 3. The Petitioners were married to one another on (date of marriage) in Supreme Court of Ohio Uniform Domestic Relations Form – 14 PETITION FOR DISSOLUTION OF MARRIAGE AND WAIVER OF SERVICE OF SUMMONS Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 1 of 3 (city or county , and state). 4. Check all that apply: There is/are no child (ren ) expected from this marriage or relationship . There is/are child(ren) expected from this marriage or relationship and the approximate due date is:___________________________________. There is/are no child(ren) from this marriage or relationship . The Petitioners are parents of (number) child(ren) from this marriage or relationship. Of the child(ren), (number) is/are emancipated adult(s) and not under any disability. The following (number) of child(ren) is/are minor child(ren) and/or mentally or physically disabled and incapable of supporting or maintaining themselves (name and date of birth of each child): Name of Child Date of Birth I am not the parent of the following child(ren) who was/were born during the marriage (name and date of birth of each child): My Spouse is not the parent of the following child(ren) who was/were born during the marriage (name and date of birth of each child): 5. The following child(ren) of this marriage or relationship is/are subject to a custody or parenting order in a different Court proceeding (name of each child and the Court that issued the custody or parenting order): 6. The Petitioners have entered into a Separation Agreement which is attached. If Petitioners have (a) minor child(ren) (select one): The Petitioners have agreed to a Parenting Plan which is attached. The Petitioners have agreed to a Shared Parenting Plan which is attached. 7. The Petitioners further say as follows: We are both over 18 years of age. We are not under any legal disability. Supreme Court of Ohio Uniform Domestic Relations Form – 14 PETITION FOR DISSOLUTION OF MARRIAGE AND WAIVER OF SERVICE OF SUMMONS Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 2 of 3 We waive all rights to receive summons for the dissolution action through the Clerk of Courts. We have read this P etition and voluntarily ask this Court to dissolve the marriage. 8. The Petitioner requests to be restored to the former name of: The Petitioners request the Court for a Decree of Dissolution of their marriage pursuant to the terms of the Separation Agreement and the Shared Parenting Plan or Parenting Plan, if there is/are (a) child(ren). My Signature My Spouse’s Signature Telephone number at which the Court may reach you or at which messages may be left for you Telephone number at which the Court may reach you or at which messages may be left for you 1 Supreme Court of Ohio Uniform Domestic Relations Form – 14 PETITION FOR DISSOLUTION OF MARRIAGE AND WAIVER OF SERVICE OF SUMMONS Approved under Ohio Civil Rule 84 Amended: March 15, 2016 Page 3 of 3

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