IN THE _________________COURT OF __________________COUNTY, TENNESSEE
In the Matter of the Marriage of
________________________________
________________________________
(Names) Docket No. ______________
Joint Petitioners
Joint Petition for Legal Separation between Husband and Wife
COMES NOW ________________________________ (Name of Husband) , and
_____________________________________ (Name of Wife) , Joint Petitioners in the above-
styled and numbered cause, by and through their attorney, and files this their Joint Petition for
Legal Separation, and in support thereof would show unto the Court the following matters and
facts:
1. This Court has jurisdiction of the parties and subject matter pursuant to Tennessee Code
Annotated, Volume 6A, Title 36, Section 4-101 et seq.
2. ___________________________________ (Name of Husband) , and
________________________________ (Name of Wife) , Joint Petitioners, are actual and bona
fide residents of ____________________________ (Name) County, State of Tennessee, and
were such residents for _______ (number) of ___________________________ (months/years)
immediately prior to the commencement of this action.
3. The Parties were lawfully married on the ______________________________________
(day, month, year) in ________________________________ (Name) County,
_______________________________ (Name of State) and said marriage is registered in
______________________________ (Name) County, ___________________________ (State) .
4. There were no children born to or adopted by the Parties. _________________________
(Name of Wife) is not now pregnant.
5. Petitioners separated on ______________________________ (date) and from that date
up to the present, Petitioners have lived separate and apart without any cohabitation.
6. ______________________________________ (Name of Husband) presently resides at
______________________________________________________________________________
_______________ (street address, city, county, state, zip code) , and his social security number is
____________________. He was born on __________________________ (date) . His race is
________________________ (race) and said Petitioner was married ______ times before the
subject marriage.
7. _________________________________ (Name of Wife) presently resides at
______________________________________________________________________________
________________ (street address, city, county, state, zip code) , and her social security number
is _______________________. She was born on _________________________ (date) ; her race
is _______________________ (race) and said Petitioner was married ______ times before the
subject marriage.
8. Petitioners have no property, either real or personal, that they are asking the court to
divide or distribute, and have executed a Separation and Property Settlement Agreement
disposing of all jointly owned property and settling all jointly owed debts and rights and
liabilities of the parties, a copy of which is attached hereto as Exhibit A .
9. The parties would show that they are entitled to a Decree of Legal Separation on the
grounds (e.g., of irreconcilable differences between the parties) __________________________
_____________________________________________________________________________,
pursuant to Tennessee Code Annotated, Volume 6A, Title 36, Section 4-102.
10. ____________________________________ (Name of Wife) does not request restoration
of her former name.
11. Petitioners further state that neither knows of any other cases in the State of Tennessee or
any state or territory involving the same claim or subject matter as this case.
WHEREFORE, Petitioners, requests the following relief:
A. A Decree of declaring the parties to be legally separated based upon (e.g.,
irreconcilable differences between the parties) _________________________________
________________________________________, the same to become final upon entry.
B. That the Separation and Property Settlement Agreement attached hereto as
Exhibit A be incorporated herein by reference and have the same force as if stated herein
in full.
C. For judgment and relief as set forth in this Petition.
D. For such other relief and judgment as is just and equitable in the premises.
Respectfully submitted,
________________________________________
(Name of Husband)
________________________________________
(Name of Wife)
By: _____________________________________
________________________________________
(Name & Signature of Attorney)
State Bar No. __________________
Attorney for Joint Petitioners
OF COUNSEL:
__________________________________
(Name of Attorney)
Post Office Box ____________________
City, State, Zip Code __________________________________________
Telephone: ______________________________
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