Verified Petition For Dissolution Of Marriage With Request For Provisional Orders

1 2 3 STATE OF INDIANA COUNTY OF IN RE THE MARRIAGE OF: ) ) SS: ) IN THE CIVIL DIVISION, ROOM CASE NO. SUPERIOR / CIRCUIT COURT 4 5 6 7 Petitioner, and 8 9 Respondent. 10 11 VERIFIED PETITION FOR DISSOLUTION OF MARRIAGE With Request for Provisional Orders The Petitioner, 1. Petitioner and Respondent were married on 2. County for the last 3 months. 3. the last 6 months. 4. Children: There are no children of the marriage. There are Name children of the marriage; namely: Date of birth has been a continuous resident of the State of Indiana for , now states: , and separated on . 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 has been a continuous resident of And that custody of the minor children. is the fit and proper person to have Page 1 of 3 Form PS-31152-14 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com 28 29 30 31 6. Debts and property: There are no debts / personal property to divide. Petitioner wishes the Court to divide the following debts / personal property: a. 32 b. 33 c. 34 d. 35 36 37 38 39 40 41 7. is not pregnant. 8. Neither party is a member of the military. 9. This marriage has suffered an irretrievable breakdown and should be dissolved. 10. Change of name: Petitioner would like the following former name restored: Petitioner does not request a name change. Page 2 of 3 Form PS-31152-14 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 I request that this Court issue its order dissolving the marriage of the parties, and for all other just and proper relief and until this matter is finalized: I do not request any provisional orders I request the following provisional orders (for divorce without agreement only): Temporary custody of the minor child(ren); Temporary child support for minor child(ren); Temporary parenting time for the non-custodial parent; Temporary possession of the marital residence; Temporary division of debts; Temporary division of property; Spousal maintenance; Restraining the parties from removing the child(ren) from the state without the permission of the court or all parties; Restraining the parties from transferring, encumbering, concealing, or in any way disposing of any of the property of the part; Other: 58 I affirm under the penalties of perjury that the foregoing representations are true. 59 60 61 62 63 64 Signature 65 66 67 CERTIFICATE OF SERVICE I hereby certify that I sent a copy of this document by first class mail to the other party's lawyer, or the other party if the other party is not represented by a lawyer, on this ____ day of ____________, 20___. 68 69 Page 3 of 3 _____________________________________ Signature Form PS-31152-14 Revised by State Court Administration 09/2014 American LegalNet, Inc. www.FormsWorkFlow.com