Use this template/form as a Petition for Dissolution of Marriage (Divorce) With Children Form in the State of Arizona
arizona-petition-for-dissolution-of-marriage-divorce-with-children
Text version of this Form
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Person Filing:
Mailing Address:
City, State, Zip Code:
Daytime Phone:
Evening Phone:
Representing: Self or Attorney
State Bar Number (if applicable)ARIZONA SUPERIOR COURT, COUNTY OF
Case No.
Petitioner/Plaintiff
ATLAS No.Respondent/Defendant PETITION FOR DISSOLUTION
OF MARRIAGE (DIVORCE)
WITH CHILDRENSTATEMENTS MADE TO THE COURT, UNDER OATH
GENERAL INFORMATION
1. I AM THE (WIFE/HUSBAND ), THE PETITIONER
Name:
Address:Date of Birth:
Soc. Sec. No.:
Occupation:
Length of time domiciled in this state: month(s)11/29/2000 dvwpetdv.wpd 1 of 9
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2. MY (WIFE/HUSBAND), IS THE RESPONDENT
Name:
Address:Date of Birth:
Soc. Sec. No.:
Occupation:
Length of time domiciled in this state: month(s)3. ABOUT MY MARRIAGE
Date of Marriage:
Place of Marriage4. I state under oath that this marriage is irretrievably broken and there is no reasonable prospect of
reconciliation. I also state that the conciliation requirements under Arizona law, either do not apply or
have been met.5. Petitioner or Respondent has been domiciled or stationed while a member of the Armed Forces in
Arizona for at least 90 days before filing this action in Court.INFORMATION ABOUT CHILDREN UNDER AGE EIGHTEEN
Check one box:
1. There are no children under age eighteen born to or adopted by the parties.
2. The following child(ren) are under age 18 and was/were born to or adopted by me and my
spouse: (Attach extra pages if necessary).Name: Name:
Soc. Sec. No.: Soc. Sec. No.:
Birth Date: Birth Date:
Address: Address:Name: Name:
Soc. Sec. No.: Soc. Sec. No.:
Birth Date: Birth Date:
Address: Address:11/29/2000 dvwpetdv.wpd 2 of 9
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6. PREGNANCY
Wife is not pregnant
Wife is pregnant
The due date is (and, check one box below):
The Husband and Wife are the parents of the child.
Husband is not the father of the child.7. My spouse and I have have not made an agreement about custody and parenting time. I am
asking for child support to be ordered according to law.INFORMATION ABOUT PROPERTY AND DEBTS
8. PROPERTY ACQUIRED DURING THE MARRIAGE:
(Check one box)My spouse and I did not acquire any community property during the marriage.
My spouse and I did acquire community property during our marriage, and it should be divided as
follows:9. THE FOLLOWING PROPERTY SHOULD GO TO (WIFE/HUSBAND), THE PETITIONER: (Check
boxes as appropriate and state the value of the property. List property below, using extra pages if
necessary).Bank accounts:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:11/29/2000 dvwpetdv.wpd 3 of 9
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Real estate located at:
Legal Description:
Household furnishings and furniture:
Other (describe):
Pension/retirement fund/profit sharing/stock plan (describe):
Motor vehicles:
Make: Model:
VIN: Lien Holder:Make: Model:
VIN: Lien Holder:Other property not listed above:
11/29/2000 dvwpetdv.wpd 4 of 9
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THE FOLLOWING PROPERTY SHOULD GO TO (WIFE/HUSBAND), THE RESPONDENT:
(Check boxes as appropriate and state the value of the property. List property below, using extra pages if
necessary).Bank accounts:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:
Account #: Current balance:Real estate located at:
Legal Description:
Household furnishings and furniture:
Other (describe):
Pension/retirement fund/profit sharing/stock plan (describe):
Motor vehicles:
Make: Model:
VIN: Lien Holder:Make: Model:
VIN: Lien Holder:11/29/2000 dvwpetdv.wpd 5 of 9
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Other property not listed above:
10. DEBTS INCURRED DURING THE MARRIAGE: (Check one box)
My spouse and I did not incur any community debts during the marriage.
Responsibility for debts incurred during the marriage should be divided as follows:THE HUSBAND/WIFE, SHOULD PAY THE FOLLOWING DEBTS:
Creditor Amount Owed Account # or Credit Card
a.
b.
c.
d.THE HUSBAND/WIFE, SHOULD PAY THE FOLLOWING DEBTS:
Creditor Amount Owed Account # or Credit Card
a.
b.
c.
d.11. INFORMATION ABOUT SPOUSAL MAINTENANCE (ALIMONY) REQUEST (if applicable)
(Check one box)Neither party is entitled to spousal maintenance (alimony).
Husband/Wife is entitled to spousal maintenance because: lack sufficient property to provide for
my reasonable needs; am unable to support myself through appropriate employment; am the
custodian of a child or children whose age or condition is such that I should not be required to seek
employment outside the home; lack earning ability in the labor market adequate to support myself;
contributed to the educational opportunities of the other spouse or had a marriage of long duration11/29/2000 dvwpetdv.wpd 6 of 9
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and am now of an age which precludes the possibility of gaining employment adequate to support
myself.REQUESTS I MAKE TO THE COURT:
(HUSBAND/WIFE) asks the court to order the following:
1. DISSOLUTION (DIVORCE): Dissolve the parties’ marriage and return each party to the status of a
single person;2. NAMES: Restore wife husband to her/his former name of
Restore wife husband to her/his former name of3. SPOUSAL MAINTENANCE (ALIMONY): Order spousal maintenance to be paid by the
husband/wife in the amount of per month, beginning with the first day of the month after
the signing of the Decree of Dissolution and continuing until the person receiving the spousal
maintenance is remarried or upon the death of either party, or
for months.4. CHILD SUPPORT: Order that child support shall be paid by husband wife in a reasonable
amount as determined by the Court under the Arizona Child Support Guidelines and consistent with
Arizona law.5. INSURANCE AND HEALTH CARE EXPENSES FOR CHILDREN: Order that
husband wife shall pay for health, medical, dental insurance coverage for unemancipated
children, and that the husband wife shall pay for all reasonable unreimbursed medical,
dental, health-related expenses incurred for the child(ren) in proportion to their respective incomes
as described on the Proposed Child Support Order, which shall be submitted with the decree,
shared equally, other.6. TAX EXEMPTION: I request that the Court allocate the right to claim the child(ren) as a dependent(s)
for income tax purposes according to the Arizona child support guidelines.7. CHILD CUSTODY AND PARENTING TIME: Award custody and parenting time of the children
under 18 years as follows (check one alternative).A. SOLE CUSTODY: Sole custody of the minor child(ren) awarded to husband/ wife subject to
parenting time as follows:(1) Reasonable parenting time rights to the parent not having custody, consistent with any
existing county access guidelines or as ordered by the court.11/29/2000 dvwpetdv.wpd 7 of 9
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(2) Supervised parenting time. Supervised parenting time between the child(ren) and the
husband/wife according to law.(a) The reasons parent/child parenting time should be supervised is/are:
(b) Person to supervise:
(c) Requested restrictions on parenting time:
(d) The cost of supervised parent/child parenting time shall be paid by
the parent being supervised; the parent having custody;
shared equally by the parties.(3) No parenting time rights to the parent not having custody, because:
B. JOINT CUSTODY: Joint Custody – husband and wife agree to share custody of the children,
an set forth in the Joint Custody Agreement by the parties pursuant to Arizona law, signed by both
parties, if the Court adopts the agreed terms of the Joint custody Agreement setting forth the custody
and parenting time agreements between the parties. There have been no significant acts of Domestic
Violence as described by Arizona law.8. SEPARATE PROPERTY: Assign each party his or her separate property
9. COMMUNITY PROPERTY: Make a fair division of all community property as requested in this
Petition.10. COMMUNITY DEBTS: Order each party to pay community debt as requested in the Petition, and order
each party to pay any and all other community debts unknown to the other party.11/29/2000 dvwpetdv.wpd 8 of 9
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11. OTHER ORDERS I AM REQUESTING:
OATH AND VERIFICATION OF PETITIONER:
I, the Petitioner, being duly sworn and under oath, state that I have read this petition. All the statements in the
Petition are true, correct and complete to the best of my knowledge and belief.Date Petitioner’s Signature
State of Arizona )
)ss. Acknowledged before me on:
County of )My Commission Expires:
Notary Public or Clerk11/29/2000 dvwpetdv.wpd 9 of 9