Fill and Sign the Mandated E Filing Information Harris County District Clerk

NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA. Cause Number: (The Clerk’s office will fill in the Cause Number and Court Number when you file this form.) IN THE MATTER OF THE MARRIAGE OF In the ______________ (Court Number) Petitioner: Print first, middle and last name of the spouse filing for divorce. And District Court County Court at Law County, Texas Respondent: Print first, middle and last name of other spouse. AND IN THE INTEREST OF: (Print the initials of each child you and your spouse have together who is under 18 or still in high school.) 1. _________________________ 2. _________________________ 3. _________________________ 4. _________________________ 5. _________________________ 6. _________________________ Original Petition for Divorce Print your answers. My name is: __________________________________________________________________________. First Middle Last I am the Petitioner, the person asking for a divorce. The last three numbers of my driver’s license number are: ___ ___ ___. My driver’s license was issued in (State) ________________________. or I do not have a driver’s license number. The last three numbers of my social security number are: ___ ___ ___. or I do not have a social security number. My spouse’s name is: __________________________________________________________________. First Middle Last My spouse is the Respondent. 1. Discovery Level The discovery level in this case, if needed, is Level 2. 2. Legal Notice (Check one box.) I think my spouse will sign a Waiver of Service (or Answer). Do not send a sheriff, constable, or process server to serve my spouse with a copy of this Petition for Divorce at this time. I will have a sheriff, constable, process server or clerk serve my spouse with this Petition for Divorce here: _________________________________________________________________________________. Street Address City State Zip If this is a work address, name of business: ______________________________________________. I ask the clerk to issue a Citation of Service (the form necessary to provide legal notice to my spouse by “Official Service of Process”). I understand that I will need to pay the fee (or file a Statement of Inability to Afford Payment of Court Costs if I am unable to pay the fee) and arrange for service. I cannot find my spouse. I ask that my spouse be served by publication. I understand I must file an Affidavit for Citation by Publication and hire a lawyer to serve as attorney ad litem for my spouse. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 04-2019) © TexasLawHelp.org Page 1 of 11 3. Jurisdiction Note: You cannot file for divorce in Texas until you or your spouse has lived in the county where you are asking for a divorce for at least the last 90 days and in Texas for at least the last six months. There are special rules for military families and others who are absent from the state due to government service. Get more information at www.TexasLawHelp.org. 3A. County Residence Requirement (Check all boxes that apply.) I have lived in this county for the last 90 days. My spouse has lived in this county for the last 90 days. I am serving in the armed forces or other government service outside of Texas, but this county has been the home county of either my spouse or me for at least 90 days. I have accompanied my spouse who is serving in the armed forces or other government service outside of Texas, but this county has been the home county of either my spouse or me for at least 90 days. 3B. Texas Residence Requirement (Check all boxes that apply.) I have lived in Texas for the last six months. Note: If you or your spouse does not live in Texas, you must complete and attach the Exhibit: Out-of-State Party Declaration. Get it at www.TexasLawHelp.org. My spouse has lived in Texas for the last six months. I am serving in the armed forces or other government service outside of Texas, but Texas is the home state of either my spouse or me and has been for at least 6 months. I have accompanied my spouse who is serving in the armed forces or other government service outside of Texas, but Texas is the home state of either my spouse or me and has been for at least 6 months. 3C. Personal Jurisdiction over Spouse (Check one box.) My spouse lives in Texas. My spouse does not live in Texas. (Check any boxes that apply below.) My spouse agrees that a Texas court can make orders in this divorce, including orders regarding conservatorship (custody), visitation, and financial support of our children and orders regarding our property and debts. My spouse will file a Waiver of Service (or Answer). Texas is the last state where we lived together as a married couple. This Petition for Divorce is filed less than two years after we separated. The children live in Texas because of my spouse’s actions. My spouse has lived in Texas with the children. My spouse has lived in Texas and provided prenatal expenses or support for the children. My spouse had sexual intercourse in Texas, and the children may have been conceived by that act of intercourse. Our child was born in Texas and my spouse registered with the paternity registry maintained by the bureau of vital statistics or signed an acknowledgment of paternity. My spouse will be personally served with citation (official service of process) in Texas. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 2 of 11 4. Dates of Marriage and Separation My spouse and I got married on or about: __________________________________________________. Month Day Year We stopped living together as spouses on or about: __________________________________________. Month Day Year 5. Grounds for Divorce I ask the Court to grant me a divorce. The marriage has become insupportable due to discord or conflict of personalities that destroys the legitimate ends of the marital relationship and prevents any reasonable expectation of reconciliation. 6. Children 6A. Children Husband and Wife have Together My spouse and I are the parents of the following children who are under 18 years old or over 18 years old and still in high school. (You MUST list all children you and your spouse have together (adopted or biological) who are under 18 or over 18 and still in high school.) Child’s name Date of Birth Place of Birth State where child lives now 1. 2. 3. 4. 5. 6. 6B. Jurisdiction over Children (Check one box.) The children live in Texas now and have lived in Texas for at least the past 6 months or since birth. The children do not live in Texas now but they have been gone from Texas less than 6 months. The children lived in Texas the 6 months before they moved. A parent or person acting as a parent continues to live in Texas. None of the above apply. (Note: Talk to a lawyer if none of the above apply.) (Check box below only if true.) There are no court orders about any of the children listed above. No other Court has continuing jurisdiction over this case or the children. Note: Do not use this form if there is already a court order in place for any of the children (such as a child support order.). Get information about filing for divorce when there is already a court order at www.TexasLawHelp.org . FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 3 of 11 6C. Children’s Property (Check one box.) The children do not own any property of significant value in their own name. The children own the following property of significant value in their own name: _________________________________________________________________________________. 6E. Conservatorship (Custody) of the Child/ren I ask the court to make conservatorship (custody) orders as follows: (Check a, b, or c.) a. Mother and Father should be Joint Managing Conservators of the child/ren and: (If you checked a, check a-1, a-2, or a-3.) a-1. Father should have the exclusive right to designate the primary residence of the child/ren within the following geographic area: (Check one box below.) anywhere. Texas. a-2. Mother should have the exclusive right to designate the primary residence of the child/ren within the following geographic area: (Check one box below.) anywhere. Texas. a-3. this county. this county or county adjacent to this county. other: ___________________________________. this county. this county or county adjacent to this county. other: ___________________________________. Neither parent should have the exclusive right to designate the primary residence of the child/ren but both parents should be ordered not to move the child/ren out of the following geographic area: (Check one box below.) this school district: _____________________ this county or county adjacent to this county. this county. other: _________________________. b. Mother should be the Sole Managing Conservator of the child/ren with the exclusive rights listed in Texas Family Code Section 153.132 including the exclusive right to designate the primary residence of the child/ren anywhere. c. Father should be the Sole Managing Conservator of the child/ren with the exclusive rights listed in Texas Family Code Section 153.132 including the exclusive right to designate the primary residence of the child/ren anywhere. 6F. Child/ren’s Passports (Check only if applicable.) I ask the Court to order that I have the exclusive right to apply for and renew passports for the child/ren. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 4 of 11 6G.Possession of and Access to the Child/ren (Visitation) I ask the court to make possession and access (visitation) orders as follows: (Check a, b, c, or d.) a. Father should have “standard visitation.” (See Texas Family Code Chapter 153, Subchapter F.) b. Mother should have “standard visitation.” (See Texas Family Code Chapter 153, Subchapter F.) c. “Standard visitation” would be unworkable or inappropriate. Possession and access to the child/ren should be as follows: _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ _______________________________________________________________________________ d. I am concerned about the safety of the children with the other parent: I ask that: (If you checked d, check all that apply below.) d-1. exchanges of the child/ren be supervised, or in the alternative, be in a public place. d-2. the other parent’s possession of the child/ren be limited to day visits. d-3. the other parent’s possession of the child/ren be supervised. d-4. the other parent have no right to possession or access to the child/ren. d-5. the other parent be ordered not to use alcohol or illegal drugs 24 hours prior to or during possession of the child/ren. d-6. the other parent’s possession and access to the children be restricted as follows: ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ (Check only if you are asking that a different possession order be in place while a child is under 3 years old.) One or more of the children is under 3. Until the child turns 3, possession should be as follows: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ After the child turns 3, possession should be as checked above. (Check only if applicable.) I am concerned that the other parent may take the child/ren to another country and refuse to return them. I ask the Court to determine if there is a risk of international kidnapping by the other parent and to take such measures as are necessary to protect the child/ren. 6H. Child Support and Medical Support for the Child/ren I ask the court to make appropriate orders for the financial support of the child/ren, including regular child support, medical support, dental support and, if supported by the evidence, retroactive child support. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 5 of 11 7. Is the Wife Pregnant? (Check one box.) The wife in this marriage is not pregnant. The wife in this marriage is pregnant. I understand that I cannot finish the divorce until after the child is born. (If the wife is pregnant, also check one box below.) The husband is the father of this child. I ask the court to include orders for custody, visitation, child support and medical support for the child in the Final Decree of Divorce. The husband is not the father of this child. I understand that paternity of the child must be established before I can finish the divorce. (Get information about establishing paternity at www.TexasLawHelp.org.) 8. Did the Wife have a Child with Another Man while Married to the Husband? (Check one box. Fill in the requested information, if applicable.) The wife did not have a child with another man while married to the husband. The wife did have a child with another man while married to the husband. All of the children born during the marriage that are not the Husband’s adopted or biological children are named below: Child’s name Age Date of Birth Sex 1. 2. 3. 4. 5. 6. (If the wife had a child or children with another man during the marriage, check one box below,) Paternity of the child/ren named above has not been established. I understand that paternity of the child/ren must be established before I can finish my divorce. (Get information about establishing paternity at www.TexasLawHelp.org.) Paternity of the child/ren named above has been established: (Check one box.) A court order has established that another man is the biological father and/or the Husband is not the biological father of the child/ren listed above. I understand I must attach a file-stamped copy of the court order to my Final Decree of Divorce. An Acknowledgement of Paternity was signed by the biological father and a Denial of Paternity was signed by the Husband for the child/ren listed above. I understand I must attach a copy of these documents to my Final Decree of Divorce. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 6 of 11 9. Protective Order Statement (Check the appropriate boxes. Fill in the requested information.) Note: You must provide information about any protective order or pending application for protective order involving you and your spouse or a child of either you or your spouse. This includes information about any: (1) family violence protective order, (2) sexual assault, sexual abuse, trafficking or stalking protective order and/or (3) emergency protective order issued after an arrest. You must also attach to this petition a copy of any protective order (even if it’s expired) in which one spouse or child of either spouse was the applicant or victim and the other spouse was the respondent or defendant. 9A. No Protective Order I do not have a protective order against my spouse and I have not asked for one. My spouse does not have a protective order against me and has not asked for one. 9B. Pending Protective Order I have filed paperwork at the courthouse asking for a protective order against my spouse, but a judge has not decided if I should get it. I asked for a protective order on ____________________ Date Filed in ______________ County, ___________. The cause number is _________________________. County State Cause Number If I get a protective order, I will file a copy of it before any hearings in this divorce. My spouse has filed paperwork asking for a protective order against me, but a judge has not decided if my spouse will get it. My spouse asked for a protective order on _________________ Date Filed in _______________ County, ___________. The cause number is ________________________. County State Cause Number If my spouse gets a protective order, I will file a copy of it before any hearings in this divorce. 9C. Protective Order in Place I do have a protective order against my spouse. I got the protective order in ____________________________ County, ______________________ on _________________. County State Date Ordered The cause number for the protective order is _________________________________________. Cause Number Either I have attached a copy of the protective order to this petition or I will file a copy of it with the court before any hearings in this divorce. My spouse does have a protective order against me. The protective order was made in _____________________________ County, _____________________ on __________________. County State Date Ordered The cause number for the protective order is __________________________________________. Cause Number Either I have attached a copy of the protective order to this petition or I will file a copy of it with the court before any hearings in this divorce. 10. Waiver of Waiting Period Based on Family Violence (Check only if applicable.) I ask the Court to waive the 60-day waiting period for divorce because: (Check one box.) My spouse has been convicted of or received deferred adjudication for a crime involving family violence against me or a member of my household. I have an active protective order or an active magistrate’s order for emergency protection against my spouse because of family violence during our marriage. The order includes a finding that my spouse committed family violence. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 7 of 11 11. Property and Debt Note: It is very important to talk with lawyer if you or your spouse has a house, land, business, retirement funds, other valuable property or debt. Getting advice from a lawyer now can save you time and money in the long run. About community property: Texas is a community property state. This means that any property either spouse gets from the minute they are married until the minute the judge grants the divorce is probably community property, even if the property is only in one spouse’s name. About separate property: Property owned by a spouse before the marriage is that spouse’s separate property. In addition, if either spouse receives a gift, an inheritance, or a recovery for personal injuries that occurred during the marriage (not including a recovery for lost wages or medical expenses); it is that spouse’s separate property. There are exceptions to these general rules. If you have questions talk to a lawyer. About retirement: Retirement funds (such as 401k, pension, profit sharing, stock option plans and IRAs) earned by either spouse during the marriage are usually considered to be community property that can be divided by the court. This is true even if you or your spouse has not yet retired. If you want the Court to divide retirement funds (other than an IRA), you will need to have the Court sign an additional form, usually called a “Qualified Domestic Relations Order” (QDRO), to make the division effective. You should have the QDRO prepared before you go to court, so the judge can sign it when you finish your divorce. A QDRO form is not included with this divorce set. You may be able to get a sample QDRO form from the employer or retirement fund administrator. If not, you should hire a lawyer to draft the QDRO form. If you use the employer or retirement fund administrator’s QDRO form, you should still have a lawyer review it to make sure you are not giving up important benefits. Note: If you and your spouse plan to keep your own retirement funds or do not have retirement funds, you do not need a QDRO. About debt: A creditor’s right to collect a debt is not affected by a divorce decree. So, if the Court orders your spouse to pay a debt (such as a mortgage) that is in both of your names but your spouse doesn’t pay it, the creditor may still be able to seek payment from you. Ask a lawyer how to protect yourself in this situation. 11A. Community Property and Debt If my spouse and I can agree about how to divide the property and debts we got during our marriage, I ask the Court to approve our agreement. If we cannot agree, I ask the Court to divide our community property and debts according to Texas law. 11B. Separate Property I own the following separate property. I owned this property before I was married or I received this property as a gift or inheritance during my marriage or I received this property as recovery for personal injuries that occurred during the marriage (not including any recovery for lost wages or medical expenses). I ask the Court to confirm this property as my separate property. (Fill in all lines. If you have no property to list in a particular category, write “none.”) House located ________________________________________________________________________ Street Address City State Zip Land located at: ______________________________________________________________________ Street Address City State Zip Cars, trucks, motorcycles or other vehicles Year Make Model Vehicle Identification No. [VIN]- Other money or personal property I owned before I was married, received as a gift or inheritance during my marriage or property I purchased during my marriage with separate property funds: Money I received as recovery for personal injuries that occurred during the marriage that was not for lost wages or medical expenses: FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 8 of 11 Note: You cannot use this form to change your name to anything other than a name you used before you got married. 12. Name Change (Check one box.) I am NOT asking the Court to change my name. I ask the Court to change my name back to a name I used before my marriage. I am not asking the court to change my name to avoid criminal prosecution or creditors. I ask that my name be changed to: _________________________________________________________________________________. First Middle Last 13. Health Insurance Availability for Children The children: (Check all that apply.) have private health insurance. Name of insurance company: _________________________________________________________ Policy number: ____________________________________ Cost of premium: $ ________________ Name of person who pays for insurance: ________________________________________________ The insurance policy is is not available through the parent’s work. have health insurance through Medicaid. have health insurance through C.H.I.P. Cost of premium (if any): $____________________________ do not have health insurance. If the children do not have private health insurance also complete the following: Private health insurance is is not available to Father at a reasonable cost. Private health insurance is is not available to Mother at a reasonable cost. 14. Dental Insurance Availability for Children The child/ren: (Check all that apply.) have private dental insurance. Name of insurance company: ________________________________________________________ Policy number: ___________________________________ Cost of premium: $ ________________ Name of person who pays for insurance: _______________________________________________ The insurance policy is is not available through the parent’s work. have dental insurance through Medicaid. do not have dental insurance. If the children do not have private dental insurance also complete the following: Private dental insurance is is not available to Father at a reasonable cost. Private dental insurance is is not available to Mother at a reasonable cost. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 9 of 11 15. Public Benefits (Check any boxes that apply.) The child/ren have Medicaid now or had it in the past. The child/ren (or someone on behalf of the child/ren) get TANF (Temporary Assistance for Needy Families) now or got it in the past. Note: If your child/ren have ever received Medicaid or TANF, you MUST send a copy of this Petition to the Office of the Attorney General Child Support Division. You MUST also sign the “Certificate of Service to the Office of the Attorney General” on the next page. 16. Family Information (Check only if applicable.) I believe my children or I will be harassed, abused, seriously harmed or injured or otherwise subjected to family violence if I must give my spouse the information checked below for myself and the child/ren: home address, mailing address, employer, work address, home phone #, work phone #, social security #, driver’s license #. I ask the Court to Order that I not have to give this information or notice of changes in this information to my spouse. I also ask the Court to keep this information confidential. 17. Request for Judgment I ask the Court to grant my divorce. I also ask the Court to make the other orders I have asked for in this Petition and any other orders to which I am entitled. Respectfully,  Petitioner’s Signature Date ( Petitioner’s Name (Print) Mailing Address Email Address: ) Phone City State Zip Fax # (if available) Warning: Your spouse will get a copy of this form. If you are concerned about your spouse learning your address, call the Hope Line at 1-800-374-4673(HOPE) for free advice before filing this form with the court. I understand that I must notify the Court and my spouse’s attorney (or my spouse if my spouse does not have an attorney) in writing if my mailing address or email address changes during these divorce proceedings. If I don’t, any notices about this case including the dates and times of hearings will be sent to me at the mailing address or email address above. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 10 of 11 18. Certificate of Service to the Office of the Attorney General (OAG) Sign only if your child/ren receive (or have received) Medicaid or TANF. This tells the judge that you will deliver a copy of this Petition to the Office of the Attorney General Child Support Division as required by law. Get contact information for the Office of the Attorney General Child Support Office in the county where this case will be filed at https://www.texasattorneygeneral.gov/apps/cs_locations/. Bring proof of delivery with you to court. I certify that a true copy of this Petition was served on the Office of the Attorney General Child Support Division* in person, by certified and first class mail, by commercial delivery service, by fax, by email, or through the electronic file manager on this date.  Petitioner’s Signature Date Note: For information about divorce in Texas, including how to file an answer, go to www.TexasLawHelp.org. For a referral to a lawyer call your local lawyer referral service or the State Bar of Texas Lawyer Referral Information Service at 1-800-252-9690. For information about free and low-cost legal help in your county go to www.TexasLawHelp.org or call the Legal Aid office serving your area: Legal Aid of Northwest Texas 1-888-529-5277 (serves Dallas / Ft. Worth area & Northwest Texas) Lone Star Legal Aid 1-800-733-8394 (serves Houston area & East Texas) Texas Rio Grande Legal Aid 1-888-988-9996 (serves Austin / San Antonio area, El Paso area & South Texas) If you have been the victim of family violence, or if at any time you feel unsafe, get help by calling the: National Domestic Violence Hotline at 1-800-799-SAFE (7233) or Texas Family Violence Hope Line at 1-800-374-HOPE (4673) or Advocates for Victims of Crime (AVOICE): at 1-888-343-4414. FM-DivB-100 Original Petition for Divorce [SET B] (Rev. 07-2019) © TexasLawHelp.org Page 11 of 11