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DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 1 of 7 SUPERIOR COURT OF THE DISTRICT OF COLUMBIA FAMILY COURT Domestic Relations Branch PRINT YOUR NAME STREET ADDRESS CITY , STATE AND ZIP CODE _______DRB ___________ RELATED CASES :  SUBSTITUTE ADDRESS: CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE ’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM . PLAINTIFF, v. PRINT YOUR SPOUSE ’S NAME STREET ADDRESS CITY , STATE AND ZIP CODE DEFENDANT. COMPLAI NT FOR ANNULMENT OF MARRIAGE Action Involving Child Support  yes  no I, _________________________________, am the Plaintiff in this case and state that PRINT YOUR NAME 1. This Court has the authority to decide my request for annul ment and related issues because: [CHECK ALL THAT APPLY ]  I am currently a resident of the District of Columbia.  My spouse and I were married to one another in the District of Columbia. DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 2 of 7 2. My spouse and I were married: [C HECK ONE ]  by ceremony on ______________________, in ______________________________. D ATE C ITY AND STATE  by common law on or about ___________________, in _______________________. D ATE C ITY AND STATE 3. My marriage should be annulled because: [C HECK ALL THAT APPLY ]  at the time I married my spouse, one of us was already married to someone else.  at the time I married my spouse, one of us was insane, and we did not voluntarily continue to live together as husband and wife after I learned of the insanity.  I married my spouse as a result of my spouse’s force or fraud.  at the time I married my spouse, I was under 16 years old, and we did not voluntarily continue to live together as husband and wife after I turned 16 years old. 4. I state the following with regard to my married name: [C HECK ONE ]  I did not change my name when I married my spouse.  I changed name when I married my spouse. I do not wish to return to a former name.  I changed my name when I married my spouse and I now wish to return to my birth name or another legal name I used before my marriage. I have no illegal or fraudulent reason for making this request. The former name I want restored is: PRINT NAME YOU WOULD LIKE THE COURT TO RESTORE Marital Property & Marital Debt 5. I state the following about property from my marriage: [C HECK ONE ]  My spouse and I have no marital property.  My spouse and I may have marital property, but I am not asking the Court to divide or distribute it.  My spouse and I have a written agreement resolving all of our marital property issues and I am not asking the Court to divide or distribute any marital property. DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 3 of 7  My spouse and I have marital property that I am asking the Court to divide or distribute, and I have completed and attached the additional information required on Attachment A, which I incorporate into this Complaint.  I am not sure if my spouse and I have marital property. 6. I state the following about debt from my marriage: [C HECK ONE ]  My spouse and I have no marital debt.  My spouse and I may have marital debt, but I am not asking the Court to assign responsibility for it.  My spouse and I have a written agreement resolving all of our marital debt issues and I am not asking the Court to assign responsibility for it.  My spouse and I have marital debt that I am asking the Court to assign responsibility for, and I have completed and attached the additional information required on Attachment A, which I incorporate into this Complaint.  I am not sure if my spouse and I have marital debt. Alimony 7. I state the following about my need for temporary financial support from my spouse until the time the Court grants my Annulment: [C HECK ONE ]  I need temporary financial support and will file a separate motion (“Motion for Temporary Alimony”) asking the Court to grant this request.  I do not want temporary financial support at this time. 8. I state the following about alimony: [C HECK ONE ]  I need alimony from my spouse and I believe my spouse has the ability to pay alimony to me.  I do not want my spouse to pay alimony to me. DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 4 of 7 Custody 9. I state the following about our child(ren) who are under the age of 18: [C HECK ONE ]  My spouse and I do not have any children together (through birth or adoption) who are under the age of 18.  My spouse and I do have children together (through birth or adoption) who are under the age of 18, but I am not asking the court to decide custody at this time.  My spouse and I do have children together (through birth or adoption) who are under the age of 18, and we have a written agreement about custody and I am not asking the court to decide custody at this time.  My spouse and I do have children together (through birth or adoption) who are under the age of 18, and I am asking the court to decide custody. I have completed and attached the additional information required on Attachment B, which I incorporate into this Complaint. Child Support 10. My spouse has the legal obligation to contribute to the support of our child(ren) who are 21 years old or younger or who are adult disabled children. 11. I state the following about my request for child support: [C HECK ONE ]  My spouse and I do not have any children together (through birth or adoption) or our children together are over the age of 21 years and are not adult disabled children.  My spouse and I do have children together (through birth or adoption), but I am not asking the Court to award child support at this time.  My spouse and I have an agreement regarding child support, and that agreement is consistent with the Child Support Guideline of the District of Columbia and/or it is fair and just.  I am asking the Court to award child support, and I have completed and attached the additional information required on Attachment C, which I incorporate into this Complaint. DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 5 of 7 Attachments 12. I have included the following attachment(s): [C HECK ALL THAT APPLY ]  No attachments  Attachment A (Marital Property, Debt or Alimony)  Attachment B (Child Custody)  Attachment C (Child Support) Request for Relief I RESPECTFULLY REQUEST that the Court: [C HECK ALL THAT APPLY ]  Grant me an Annulment.  Divide marital property and/or assign marital debts in a manner that is equitable, just and reasonable.  Award alimony in a manner that is fair and just.  Award custody in the best interests of the child(ren).  Hold a hearing on my request for child support within 45 days of filing and issue a Notice of Hearing and Order Directing Appearance (“NOHODA”) to the other parent with the date and time of the hearing.  Award child support according to the Child Support Guideline of the District of Columbia and other applicable laws, including: [CHECK ALL THAT APPLY ]  current child support (support starting today and continuing into the future)  retroactive child support (support for time before today)  medical support  Note that we have a written agreement. I request that the Court: [C HECK ONE ]  include our written agreement as a part of its order.  not include our written agreement as a part of its order.  Restore me to my former name. I ALSO REQUEST that the Court award any other relief it considers fair and proper. DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 6 of 7 [C HECK ONE ]  I do not know of any proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case.  I do know of proceedings in the District of Columbia or in any state or territory involving the same claim or subject matter as this case, as listed on the first page of this Complaint (“Related Cases”). I solemnly swear or affirm under criminal penalties for the making of a false statement that I have read the foregoing Complaint for Annulment of Marriage and that the factual statements made in it are true to the best of my personal knowledge, information and belief. Respectfully Submitted, SIGN YOUR NAME DATE (mm/dd/yyyy) STREET ADDRESS CITY , STATE AND ZIP CODE TELEPHONE NUMBER _____________________________________________ EMAIL ADDRESS  SUBSTITUTE ADDRESS : CHECK BOX IF YOU HAVE WRITTEN SOMEONE ELSE ’S ADDRESS BECAUSE YOU FEAR HARASSMENT OR HARM . DC Bar Pro Bono Center (revised 10/2016) Complaint for Annulment of Marriage Page 7 of 7 RULE 4 CERTIFICATE OF SERVICE W HEN YOU FILE YOUR COMPLAINT , THE FAMILY COURT CENTRAL INTAKE CENTER WILL GIVE YOU A SUMMONS THAT YOU MUST SERVE ON THE OTHER PARTY WITH A COPY OF YOUR COMPLAINT . Y OU MUST SERVE THE OTHER PARTY BEFORE THE SUMMONS EXPIRES IN 60 DAYS . I F YOU ARE UNABLE TO SERVE THE OTHER PARTY WITHIN THE 60 DAYS , YOU CAN ASK THE FAMILY COURT CENTRAL INTAKE CENTER TO GIVE YOU ANOTHER SUMMONS . THE SECOND SUMMONS IS CALLED AN “A LIAS SUMMONS .” YOU MUST ASK FOR THE ALIAS SUMMONS BEFORE THE FIRST SUMMONS EXPIRES . A FTER YOU SERVE THE OTHER PARTY , YOU MUST COMPLETE THE CERTIFICATE OF SERVICE PORTION FOUND AT THE BOTTOM OF THE SUMMONS AND FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER . HERE ARE THE WAYS YOU CAN SERVE YOUR COMPLAINT AND THE SUMMONS :  by having someone else, who is over 18 years old and not a party to the case (NOT you), hand it to the other party; or  by having someone else, who is over 18 years old and not a party to the case (NOT you), leave a copy at the other party’s home with a person of suitable age and discretion who lives there; or  by mailing it to the other party by certified mail, return receipt requested. I F THE RETURN RECEIPT (“GREEN CARD ”) COMES BACK TO YOU , FILE IT WITH THE FAMILY COURT CENTRAL INTAKE CENTER BY ATTACHING IT TO AN “A FFIDAVIT OF RETURN OF SERVICE BY CERTIFIED M AIL .” SUPERIOR COURT OF THE DISTRICT OF COLUMBIA TRIBUNAL SUPERIOR DEL DISTRITO DE COLUMBIA FAMILY COURT - DOMESTIC RELATIONS BRANCH JUZGADO DE FAMILIA- DIVISIÓN DE RELACIONES DOMÉSTICAS 500 Indiana Avenue, N.W., Washington, D.C. 20001 A Complaint for: Demanda de: Divorce Divorcio Legal Separation Separación Legal Annulment Anulación Other: Otro Custody Tutela Standby Guardianship Tutoría de Reserva Visitation Visitas In the Matter of: En la causa de: Plaintiff Demandante Jacket Number Número del expediente vs. Defendant Demandado SUMMONS NOTIFICACIÓN TO: A: Name Nombre Address Dirección You are hereby SUMMONED to the Family Court of D.C. Superior Court and required to Answer the attached Complaint. Your Answer must be filed with the Clerk of this Court in the Family Court Central Intake Center, D.C. Superior Court, Room JM-520, 500 Indiana Avenue, N.W. Your Answer must be properly filed within twenty (20) days after service of this Summons and Complaint upon you. This 20-day period does not include the day on which you were served. A copy of your Answer must be served upon the plaintiff’s attorney or plaintiff, whichever is indicated below. If you do not file your answer on time, the court may make orders affecting your marriage, your property, and custody and visitation of your children. You may be ordered to pay support and attorney fees. It is recommended that you seek the advice of an attorney to assist you in this case. Por medio de la presente se le ORDENA comparecer en persona al Juzgado de Familia en el Tribunal Superior del Distrito de Columbia y se le exige su contestación a la demanda adjunta. Debe presentar su contestación con el actuario de este tribunal en el “Family Court Central Intake Center” Tribunal Superior del Distrito de Columbia, Oficina JM-520, 500 Indiana Avenue, N.W. La contestación debe presentarse de manera adecuada dentro del plazo de veinte (20) días después de que este citatorio y demanda se le hayan entregado formalmente. Este plazo de 20 días no incluye el día de la notificación formal. Debe entregarse una copia de la contestación formalmente al indicado, ya sea el abogado del demandante o el demandante, PLAINTIFF’S ATTORNEY OR PLAINTIFF ABOGADO DEL DEMANDANTE O DEMANDANTE Name: Nombre: Address: Dirección: Witness, the Honorable Chief Judge of the Superior Court of the District of Columbia and seal of said Court. Doy fe, el Honorable Juez Presidente del Tribunal Superior del Distrito de Columbia y el sello de dicho tribunal. SEAL Sello Clerk of the Superior Court of the District of Columbia Actuario del Tribunal Superior del Distrito de Columbia Date of Issue: Fecha de emisión: By: Por: Deputy Clerk Actuario Auxiliar *This summons expires 60 days from the date of issue noted above. This case will be dismissed if the Plaintiff fails to comply with Rule 4 (l). (See back) * Este citatorio se vence 60 días después de la fecha de emisión. Esta causa será sobreseída si el demandante no cumple con la Regla 4(1). Please note that additional information is available on the reverse side of this form. Favor de notar la información adicional al dorso de este formulario. FD(10) WHITE-LEGAL RECORD COPY GOLDENROD-SERVER’S COPY YELLOW-SERVICE COPY (ENGLISH) GREEN-SERVICE COPY (SPANISH) BLANCO- COPIA DE REGISTRO JURÍDICO ORO- OFICIAL NOTIFICADOR AMARILLO- COPIA DE NOTIFICACIÓN (inglés) VERDE-COPIA DE NOTIFICACIÓN (español) Superior Court of the District of Columbia Family Court Cross Reference Intake Form Party Name Address Date of Birth Social Security Number Driver License Number Plaintiff/Petitioner1 Co-Plaintiff/Co-Petitioner Defendant/Respondent2 Co-Defendant/Co-Respondent Child Child Child Child Child Household Members Household Members 1. What type of case are you filing today? 2. Do you have any other court cases in this court? ______ If yes, please list the name, type, and case number: 3. Do you have any other court cases in another court? ______ If yes, please list the name of the court, case, type, and number: 4. Are you pro se (representing yourself)? ______ If yes, please visit the Family Court Self-Help Center in Room JM-570. 1 The person who is filing the case is the plaintiff/petitioner 2 The person against whom the case is filed is the defendant/respondent Disclaimer: This form will not be kept in the official court jacket. After your information has been entered into the system, this form will be destroyed. Revised December 15, 2014 by the D.C. Bar Pro Bono Program