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Joint Petition Agreement And Judgment And Decree For Marriage Dissolution With Children DIV-1702 - Minnesota

Joint Petition Agreement And Judgment And Decree For Marriage Dissolution With Children Form. This is a Minnesota form and can be used in Dissolution District Court Statewide .
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State of Minnesota County of: Judicial District: Court File Number: Case Type: District Court Dissolution with Children In Re the Marriage of: , Name of Husband (First, Middle, Last) and Joint Petition, Agreement, and Judgment and Decree for Marriage Dissolution With Children . Name of Wife (First, Middle, Last) 1. Information about Husband: Full Name: First Middle Last Address: Street Address Apt. No. City County State Zip Code Date of Birth: __________________________ Month Day Year Husband's former or other names: (Or write "none) First Middle Last Husband's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition. 2. Information about Wife: Full Name: First Middle Last Address: Street Address Apt. No. City County State Zip Code Date of Birth: __________________________ Month Day Year DIV1702 State ENG Rev 7/11 www.mncourts.gov/forms Page 1 of 41 American LegalNet, Inc. www.FormsWorkFlow.com Wife's former or other names: (Or write "none") First Middle Last First Middle Last Wife's social security number is listed on Confidential Form 11.1 and submitted along with the Joint Petition. 3. Our Marriage Husband and Wife were married on: (month, day, year) in the City of of 4. 180 Day Requirement Husband has been living in Minnesota for the past six (6) months: Wife has been living in Minnesota for the past six (6) months: 5. Armed Forces Husband is an active duty member of the armed forces: YES NO YES YES NO NO , Country of , County of , State If YES, has the member of the armed forces been stationed in Minnesota for the past six (6) months? YES NO YES NO Wife is an active duty member of the armed forces: If YES, has the member of the armed forces been stationed in Minnesota for the past six (6) months? 6. YES NO Marriage Cannot be Saved There has been an irretrievable breakdown of our marriage relationship. 7. Physical Living Situation Do Husband and Wife live together at this time? If NO, the date of separation was: Month Day Year YES NO . If YES , Husband and Wife are living together at this time because: DIV1702 State ENG Rev 7/11 www.mncourts.gov/forms Page 2 of 41 American LegalNet, Inc. www.FormsWorkFlow.com 8. Other Proceedings a. A separate court case for dissolution, legal separation, annulment, custody, parenting time, or paternity has already been started by Husband or Wife in Minnesota or another state: YES NO. If YES, the type of court case is: County in the State of , and the outcome of the case . and it was started in and the Court file number is is: Open Closed Unknown or b. Has a County started a Support case involving the Husband and the Wife or their children? YES NO. If YES, the case was started in and the Court file number is Dismissed Pending an Order for Support was County in the State of . The case is issued. 9. Protection or Harassment Order a. An Order for Protection or a Harassment/Restraining Order is in effect regarding Husband and Wife: Wife on Month Day Year YES NO. If YES, the Order protects: Husband County the child(ren). The Order was filed in , and the Court file number is A copy of the Order is submitted along with this Joint Petition. b. If an Order for Protection is in effect, does the Order for Protection include a child support obligation? 10. Juvenile Court Case A Juvenile Court case (child protection, delinquency or foster care) involving husband's and wife's child(ren) has taken place in Minnesota or another state. If YES, the case is in and the Court file number is children involved in the Juvenile Court case is: YES NO YES NO County in the State of _________________ . The name of the child or DIV1702 State ENG Rev 7/11 www.mncourts.gov/forms Page 3 of 41 American LegalNet, Inc. www.FormsWorkFlow.com 11. Children Husband and Wife have Together (Joint Children) "Child" means a living person under age 18, or under age 20 and still in high school. a. List all joint children born before the marriage or born or adopted during the marriage. If there are no joint children, or if Wife is not currently pregnant, you are using the wrong form. Use Joint Petition, Agreement and Judgment and Decree Without Children. Full Name of Child Date of Birth Age Child Currently Lives With Husband Wife Both parents OR ________________________________ (write in name) Husband Wife Both parents OR ________________________________ (write in name) Husband Wife Both parents OR ________________________________ (write in name) Husband Wife Both parents OR ________________________________ (write in name) Husband Wife Both parents OR ______________________________ (write in name) The social security number of the child(ren) is/are listed on Confidential Form 11.1 and submitted along with the Joint Petition. If a child is living with someone other than a parent, write the child's address below: Address:________________________________________________________________ Street Address Apt. No. City County State Zip Code b. Has each child born to or adopted by husband and wife together lived in Minnesota for the past six (6) months? YES NO DIV1702 State ENG Rev 7/11 www.mncourts.gov/forms Page 4 of 41 American LegalNet, Inc. www.FormsWorkFlow.com If NO, name the child or children, name the State(s) the child has lived in during the past 6 months, and the dates the child lived in each state: 12. Adult Dependent Children : Child support may be ordered for a joint child over the age of 18 who cannot support him/herself because of a physical or mental condition. Is there an adult joint child born to or adopted by Husband and Wife who is not able to support himself or herself because of a physical or mental condition? YES NO If YES, the full name, date of birth and age of each adult dependent is: Full Name of Dependent Date of Birth Age The social security number of the adult dependent child(ren) is / are listed on Confidential Form 11.1 and submitted along with the Joint Petition. 13. Pregnancy Is wife pregnant? YES NO If wife is pregnant answer (a) and (b): a. The date the baby is due is Month Day Year b. Do Wife and Husband agree that husband is the biological father of the unborn child? YES If NO, NO Wife Husband claims husband is not the biological father of the child. 14. Husband's Children from Other Relationship (Nonjoint Children) Does Husband have minor child(ren) from another marriage or relationship? YES NO If YES, the full name, date of birth and age of each child is: DIV1702 State ENG Rev 7/11 www.mncourts.gov/forms
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