Fill and Sign the Set Hearing Date Form

District Court ___________________________ County, Colorado Court Address: In re the Marriage of: Petitioner: and Co-Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom  MOTION  STIPULATION T O MODIFY PETITION (MARRIAGE) The  Petitioner  Co-Petitioner/Respondent  Both moves this Court to modify the Petition and states the following: Check one:  Convert from a Petition for Dissolution of Marriage to a Petition for Legal Separation  Convert from a Petition for Legal Separation to a Petition for Dissolution of Marriage 1. The Petition was filed on (date) and final orders have not been issued by this Court. 2.  If applicable, notice has been provided to the other party as set forth in the Certificate of Service (below). 3.  If applicable, the  Petitioner  Co-Petitioner/Respondent requests that the Court restore his/her prior name to . Therefore, I/We respectfully request that this Court enter an Order to modify the Petition.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. (Checking this box requires you to remove JDF number and copyright at the bottom of the form.) JDF 1107 R8/17 MOTION/STIPULATION TO MODIFY PETITION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 1 of 2 VERIFICATION AND ACKNOWLEDGMENT I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the _______day of ____________________, __________ at __________________________, (date) (month) (year) (city or other location) _______________________________________. (state OR country) _______________________________________ ______________________________________________ (printed name of Petitioner) (printed name of Co-Petitioner/Respondent) _______________________________________ ______________________________________________ Petitioner Signature Co-Petitioner/Respondent Signature _______________________________________ ______________________________________________ Petitioner’s Attorney Signature, if any Co-Petitioner’s/Respondent’s Attorney Signature, if any CERTIFICATE OF SERVICE (If only one party signs this Motion/Stipulation, complete the Certificate of Service below.) I certify that on __________________ (date) a true and accurate copy of the Motion/Stipulation to Modify Petition was served on the other party by:  Hand Delivery  E-filed  Faxed to this number ____________________ or  by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________ (Your Signature) JDF 1107 R8/17 MOTION/STIPULATION TO MODIFY PETITION © 2017 Colorado Judicial Department for use in the Courts of Colorado Page 2 of 2