Fill and Sign the Wisconsin Divorce Petition 497430891 Form

PRINT in INK Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use Enter your name (you are the petitioner ). In RE: The marriage of Petitioner :       First name Middle name Last name       Address       Address       City State Zip andEnter your address. On the far right, check divorce or legal separation. Petition Without Minor Children D ivorce-40101 Legal Separation-40201 Case No.       Enter your spouse’s name (your spouse is the respondent ). Respondent :       First name Middle name Last name       Address       Address       City State ZipEnter your spouse’s address. Note: Leave case number blank; the clerk will add this. I am the petitioner in this action. A. I am providing the following information about myself: 1. Date of birth       2. Immediately before filing this petition, I will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, I will have lived in the state of Wisconsin for 6 months or more. Yes No 4. I am currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No B. I am providing the following information about the respondent, my spouse: 1. Date of birth       2. Immediately before filing this petition, the respondent will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, the respondent will have lived in the state of Wisconsin for 6 months or more. Yes No FA-4109V, 01/09 Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 1 of 3Enter your date of birth [month, day, year]. For 2, 3 and 4, check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Separation. Enter your spouse’s date of birth [month, day, year]. For 2, 3 and 4, check yes or no. Military personnel: Please see Basic Guide to Divorce/Legal Petition-Without Minor Children Page 2 of 4 Case No. Error: Reference source not found ________________ 4. The respondent is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No C. I am providing the following marriage information: 1. My spouse and I were married on (date)       . 2. We were married in (city)       (state)       . 3. I am filing for: a. Divorce: This marriage is irretrievably broken. b. Legal Separation : This marriage is broken and the reason I am requesting a legal separation and not a divorce is       4. Previous Actions This is the first time that either my spouse or I have filed for divorce or legal separation from each other in Wisconsin or in any other state: a. Yes b. No: County       State       Case No.       Has this case been dismissed? Yes No 5. This is my first marriage. Yes No a . I was previously married to       b. The marriage was terminated by: divorce. death. c. Date of the divorce or death       d. The divorce was granted in: Name of court       City       State       e . I was also previously married to       f. The marriage was terminated by: divorce. death. g. Date of the divorce or death       h. The divorce was granted in: Name of court       City       State       If you had more than 2 previous marriages, repeat 5e-5h on an additional sheet. 6. This is my spouse’s first marriage. Yes No a. My spouse was previously married to       b. The marriage was terminated by: divorce. death. c. Date of the divorce or death       d. The divorce was granted in: Name of court       City       State       e. My spouse was also previously married to       f. The marriage was terminated by: divorce. death. g. Date of the divorce or death       h. The divorce was granted in: FA-4109V, 01/09 Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 4Enter the date [month, day, year], city, and state in which you were married. Check yes or no. If no, respond to 5a-5d with information about your most recent previous marriage. If you had an additional previous marriage, respond to 5e-5h. Check yes or no. If no, respond to 6a-6d with information about your spouse’s most recent previous marriage, if known.Check a or b. If b, explain why you are filing for a legal separation and not a If your spouse had an additional previous marriage, respond to 6e-6h.Check a or b. If b, enter the county and state in which it was filed, the case number assigned to it, and check yes or no to indicate if the case has been dismissed. Petition-Without Minor Children Page 3 of 4 Case No. Error: Reference source not found ________________ Name of court       City       State       If your spouse had more than 2 previous marriages, repeat 6e-6h on an additional sheet. D. I am providing the following information regarding children: 1. a. No children were born to or adopted together by me and my spouse before or during our marriage. b. All children, who are currently age 18 or older, born to the wife or adopted together by me and my spouse during the marriage include: Name of Child Date of Birth                                                                         2. To the best of my knowledge, the wife in this marriage: a. is currently pregnant. (An attorney [guardian ad litem] for the unborn child will be required if the husband is not the father.) b. is not currently pregnant. 3. My spouse and I have made written agreements or received orders from the court about some or all of the matters in this action such as maintenance (spousal support) or property division. a. Yes, and I have attached a copy of the written agreement to this petition. b. No I ASK THAT THE COURT: 1. Grant a judgment as requested. 2. Enter an order granting maintenance. Yes No 3. Enter other orders as it deems just and equitable. ACTS PROHIBITED BY STATUTE In accordance with §767.117, Wis. Stats., neither the petitioner nor the respondent to this divorce or legal separation action can participate in any of the following activities while this action is pending: 1. Harassing, intimidating, physically abusing or imposing any restraint on the personal liberty of the other party or a minor child of either of the parties. 2. Encumbering, concealing, damaging, destroying, transferring, or in any other way disposing of property owned by either or both of the parties, without the consent of the other party or an order of the court or the Circuit Court Commissioner, except in the usual course of business, in order to secure necessities or in order to pay reasonable costs and expenses of the action, including attorney fees. A VIOLATION OF THE ABOVE PROHIBITIONS MAY RESULT IN PUNISHMENT FOR CONTEMPT, WHICH MAY INCLUDE MONETARY PENALTIES, IMPRISONMENT, AND OTHER SANCTIONS AS PROVIDED FOR IN SEC. 785.04, WIS. STATS. These PROHIBITIONS apply until the action is dismissed, a final judgment in the action is entered, or the court orders otherwise. FA-4109V, 01/09 Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 3 of 4Check a or b. If b, write the names and dates of birth of all adult children born to the wife or adopted by you and your spouse during the marriage. Check yes or no. If yes, attach a copy of the written agreement to this petition. If you are requesting maintenance (spousal support) at this time, check yes. If not, check no. Check a or b. For a, in answering this question, it does not make any difference if the husband is the father of the current pregnancy. Petition-Without Minor Children Page 4 of 4 Case No. Error: Reference source not found ________________ Sign and print your name. Enter the date on which you signed your name. Note: This document does not need to be notarized. u Signature       Print or Type Name       Date FA-4109V, 01/09 Petition-Without Minor Children §767.215, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 4 of 4