Minnesota > Statewide > District Court > Dissolution
Joint Petition For Summary Dissolution Of Marriage DIV-202 - Minnesota
| Joint Petition For Summary Dissolution Of Marriage Form. This is a Minnesota form and can be used in Dissolution District Court Statewide . |
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State of Minnesota County Judicial District: Court File Number: Case Type: District Court Dissolution In Re the Marriage of: First Middle Husband's Name and Last Joint Petition for Summary Dissolution of a Marriage (Minn. Stat. ยง518.195) Last First Middle Wife's Name YOU MUST TYPE OR PRINT CLEARLY IN BLACK INK. COURT PERSONNEL ARE NOT PERMITTED TO HELP YOU IN FILLING OUT THIS FORM. Husband and Wife state that the following information is true: 1. Husband's full name is: First Middle Last 1a. Husband has been known by the following other names: First Middle Last 1b. Husband's current residential address: Number and Street City, State, and Zip Code 1c. 1d. 1e. Husband resides in the following County: Husband's date of birth is: Month, Day, and Year Husband's telephone number: Work: Home: DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 1 of 14 American LegalNet, Inc. www.FormsWorkflow.com 2. Wife's full name is: First Middle Last 2a. Wife has been known by the following other names: First Middle Last 2b. Wife's current residential address: Number and Street City, State, and Zip Code 2c. 2d. Wife resides in the following County: Wife's date of birth is: Month, Day, and Year 2e. Wife's telephone number: Work: Home: 3. Husband and Wife were married on: Month, Day, and Year 4. Husband and Wife were married at: City and State 5. Answer all of the following that apply: Husband (please initial) Yes No 5a. Husband has lived in Minnesota for at least six (6) months immediately before filing this Petition. Wife has lived in Minnesota at least six (6) months immediately before filing this Petition. Husband has been a member of the armed services stationed in Minnesota for at least six (6) months immediately before filing this Petition. Wife has been a member of the armed services stationed in Minnesota for at least six (6) months immediately before filing this Petition. ____ ____ Wife (please initial) Yes No ____ ____ 5b. ____ ____ ____ ____ 5c. ____ ____ ____ ____ 5d. ____ ____ ____ ____ 5e. Husband has lived temporarily outside the state, ____ ____ but he has remained a resident of Minnesota for at least six (6) months immediately before filing this petition. ENG Rev 4/05 www.courts.state.mn.us/forms ____ ____ DIV202 State Page 2 of 14 American LegalNet, Inc. www.FormsWorkflow.com 5f. Wife has lived temporarily outside the state, but she has remained a resident of Minnesota for at least six (6) months immediately before filing this petition. Please Initial Husband Wife Yes No Yes No ____ ____ ____ ____ 6. Answer the following: 6a. Husband and Wife together have living minor children. ____ ____ ____ ____ 6b. Wife has given birth during the marriage to children who are not children of the Husband. ____ ____ ____ ____ 7. 8. Wife is pregnant. Check each of the following: 8a. Has the Husband or Wife ever been the victim of domestic abuse by the spouse? Has the Husband or Wife ever obtained a court order for protection from the spouse? ____ ____ ____ ____ ____ ____ ____ ____ 8b. ____ ____ ____ ____ 9. Is there another court action in a court of this state or any other state for dissolution of this marriage, legal separation or custody? Husband and Wife agree that there has been an irretrievable breakdown of the marriage and ask that the court dissolve the marriage. Complete the following: 11a. Do the Husband and Wife together own or have any type of ownership interest in real estate (such as a lot, a farm, a house, a townhouse, timeshare, condominium, or any other type of building)? ____ ____ ____ ____ 10. ____ ____ ____ ____ 11. ____ ____ ____ ____ 11b. Does the Husband by himself or with another ____ ____ (not including Wife) own or have any type of ownership interest in real estate (such as a lot, a farm, a house, a townhouse, timeshare, condominium, or any other type of building)? ____ ____ DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 3 of 14 American LegalNet, Inc. www.FormsWorkflow.com Please Initial Husband Wife Yes No Yes No 11c. Does the Wife by herself or with another (not ____ ____ including Husband) own or have any type of ownership interest in real estate (such as a lot, a farm, a house, a townhouse, timeshare, condominium, or any other type of building)? ____ ____ 12. 13. 14. Husband has non-marital property which has total value of $ Wife has non-marital property which has total value of $ . . Enter total present value of all marital property of Husband and Wife, including automobiles and pensions: $ . Enter total amount of money the Husband and Wife presently owe excluding vehicle debt: $ Husband and Wife agree that the property is to be divided as follows: Please Initial Husband Wife Yes No Yes No 16a. Husband and wife know the value of your spouse's pension, 401K or retirement accounts. ____ ____ ____ ____ 15. . 16. DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 4 of 14 American LegalNet, Inc. www.FormsWorkflow.com List all property below. Place the Present Value of the property below. Present Value Place that portion of the present value of the item again in the column below for the person who will receive the item. Awarded to Husband Awarded to Wife Item 1. 1. 2. 2. 3. 3. 4. 4. 5. 5. 6. 7. 8. 9. 10. 11. Pensions--Husband Pensions--Wife Profit Sharing--Husband Profit Sharing--Wife IRA's--Husband IRA's--Wife Keogh Plans--Husband Keogh Plans--Wife Deferred Income--Husband Deferred Income--Wife Savings/Checking Stocks and Bonds Life Insurance Business Interests Household Goods Cars, Trucks & Vans 12. Other Vehicles SUBTOTAL DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 5 of 14 American LegalNet, Inc. www.FormsWorkflow.com List all property below. Place the present value of the item below. Present Value Item 13. Miscellaneous Place that portion of the present value of the item again in the column below for the person who will receive the item. Awarded to Awarded to Husband Wife SUBTOTAL TOTAL: (Add the SUBTOTAL amounts from Pages 5 and 6 and fill them in here.) DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 6 of 14 American LegalNet, Inc. www.FormsWorkflow.com 17. Husband shall pay the following debts (credit cards, loans, etc.), and he must pay the Wife if she pays any of these debts: Creditor Amount Owed TOTAL DIV202 State ENG Rev 4/05 www.courts.state.mn.us/forms Page 7 of 14 American LegalNet, Inc. www.FormsWorkflow.com 18. Wife shall pay the following debts (credit cards, loans, etc.), and she must pay
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