Fill and Sign the Krs Chapter 403 Form

Case No._____________________ Court________________________ County_______________________ Judge________________________ [ ] Child support ordered IN RE THE MARRIAGE OF: Date of Hearing_______________________________ ________________________________________________________________________\ ________________________ Petitioner/Joint Petitioner ________________________________________________________________________\ ________________________ Respondent/Joint Petitioner This cause, having been heard on oral testimony in open court, pursuant to notice, the Commissioner finds: FINDINGS OF FACT 1. Date of Marriage ___________________________________ Place of Marriage _________________________ 2. Ages of Parties: Petitioner ______________________________ Respondent ___________________________ 3. Occupation(s) of Parties: Petitioner _____________________________ Respondent _____________________ 4. Addresses of Parties: Petitioner ______________________________ Respondent _______________________ 5. Petition states ground for Dissolution of Marriage _________________________________________________ Date summoned _________________________________________. Entry of Appearance _____________________Pleading _________________ Hearing given ______________ Previous marriages: Petitioner ____________________________ Respondent __________________________ How terminated: Petitioner _____________________________ Respondent ____________________________ 7. At the time action commenced, one of parties resided in state for 180 days next preceding filing of petition. _____________________ proved by ____________________________________________________________. 8. Military Status proved _________________________________ 9. Parties separated and lived apart 60 days ____________________ Separation _______________________ 10. Conciliation efforts: ________________________________________________________________________\ ___ Marriage is irretrievably broken ________________________________________________________________ 11. Is there a written agreement ________________________ Is agreement unconscionable ________________ Responsive Notice of Date of Dissolution o f M arriage finDings o f f act a nD conclusions o f l aw AOC-245 Doc. Code: FC Rev. 4-09 Page 1 of 2 Commonwealth of Kentucky Court of Justice www.courts.ky.gov KRS Chapter 403 AOC-245 Doc. Code: FCRev. 4-09Page 2 of 2 12. Children: Name(s) Age(s) Address(es) ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ 13. Best interest of children to be served by awarding custody to ______________________________________ Reasonable child support to be paid by _________________________ in the amount of ________________ If Child support is ordered, the Petitioner’s social security number is ___________________ & Respondent’s social security number is ________________________. ( MANDATORY ) JUDGE/COMMISSIONER: IF CHILD SUPPORT IS ORDERED PLEASE CHECK BOX AT TOP OF PAGE 1. As no good cause has been shown, $______________________ shall be withheld per [ ] week, [ ] month, [ ] pay period from petitioner’s/respondent’s wages and made payable to ___________________________. Visitation ________________________________________________________________________\ ____________ 14. Marital Property________________________________________________________________\ _______________ ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ ________________________________________________________________________\ ____________________ 15. Contribution of each party to acquisition: Petitioner ________________________________________________________________________\ ____________ Respondent ________________________________________________________________________\ __________ 16. Reasonable Maintenance to ______________________________________________ Amount ______________ Duration _____________________________________________________________________________________ Party receiving maintenance: Lacks sufficient property, including marital property apportioned to him to provide for his reasonable needs. ____________________ Is unable to support himself through appropriate employment or is the custodian of a child whose condition or circumstances make it appropriate that the custodian not be required to seek employment outside the home. ____________________ CONCLUSIONS OF LAW From the foregoing it is concluded as a matter of law that the parties are properly before the Court, that it has been established that the marriage is irretrievably broken, and that judgment should be entered accordingly, and it is so recommended (including): _______________________________________________________________. Dated: _________________________, 2_______ ______________________________________ Judge/Commissioner