Minnesota > Statewide > District Court > Dissolution
Petition For Dissolution Of Marriage Without Children DIV-402 - Minnesota
| Petition For Dissolution Of Marriage Without 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: Assigned Judge: Case Type: District Court Dissolution without Children In Re the Marriage of: Name of Petitioner (first, middle, last) and Name of Respondent (first, middle, last) STATE OF MINNESOTA ) COUNTY OF )SS (County where Petition is signed) Petition For Dissolution Of Marriage Without Children 1. Information about Petitioner Full Name: ________________________________________________________________________ First Middle Street Address Last Apt. No. _______ City County State Zip Code Address where you live: Mailing address where you agree to receive papers for this case: Same as above address OR ________________________________________________________________________ Street Address City County State Apt. No. _______ Zip Code Date of Birth: ________________________ Month Day Year Petitioner is the husband wife. List all of Petitioner's former or other names or write "None": First Middle Last First Middle Last 2. Information about Respondent DIV402 State ENG Rev 3/06 www.courts.state.mn.us/forms Page 1 of 28 American LegalNet, Inc. www.FormsWorkflow.com Full Name: First Middle Last Address: Street Address Apt. No. City County State Zip Code Respondent's address is unknown to Petitioner. Respondent's Date of Birth: ________________________ Month Day Year List all of Respondent's former or other names or write "None": First Middle Last First Middle Last 3. Our Marriage Petitioner and Respondent were married on: (month, day, year) , in the City of _____________________, County of _______________________________, State of __________________________, Country of . 4. 180 Day Requirement Has Petitioner been living in Minnesota for the past six (6) months? Has Respondent been living in Minnesota for the past six (6) months? YES NO UNKNOWN YES NO 5. Armed Forces Is Petitioner an active duty member of the armed forces? YES NO YES NO If YES, has Petitioner been stationed in Minnesota for the past six (6) months? Is Respondent an active duty member of the armed forces? YES NO Unknown YES NO If YES, has Respondent been stationed in Minnesota for the past (6) months? DIV402 State ENG Rev 3/06 www.courts.state.mn.us/forms Page 2 of 28 American LegalNet, Inc. www.FormsWorkflow.com 6. Marriage Cannot be Saved There has been an irretrievable breakdown of my marriage relationship with Respondent and the marriage cannot be saved. 7. Physical Living Situation Do Petitioner and Respondent live together at this time? If NO, the date we separated was: Month Day Year YES NO . If YES, why are you living together at this time? 8. Other Proceedings a. Has a separate court case for marriage dissolution, legal separation, or annulment already been started by Petitioner or Respondent in Minnesota or elsewhere? type of court case is: YES NO If YES, the , and it was started in ________________________ County in the State of ____________________ and the Court file number is Open Closed , and the status or outcome of the case is: I do not know 9. Protection or Harassment Order Is an Order for Protection or a Harassment/Restraining Order in effect regarding Petitioner and Respondent? If YES: a. The Order protects: Petitioner County in date, and the Court file number is Respondent and the Order was filed in State on . A copy of the Order is attached. YES NO 10. Verification of No Children from the Marriage DIV402 State ENG Rev 3/06 www.courts.state.mn.us/forms Page 3 of 28 American LegalNet, Inc. www.FormsWorkflow.com a. Do Petitioner and Respondent have minor children under the age of 18, or under 20 and still in high school, or adult dependents who are not able to support themselves because of a physical or mental condition? YES NO (If you answered YES you are using the wrong Petition. Use Marriage Dissolution With Children.) b. Has Wife given birth, since marrying Husband, to a minor child who is not a child of the Husband? YES NO (If you answered YES you are using the wrong Petition. Use Marriage Dissolution With Children.) c. The Wife in this marriage is is not now pregnant. (If the Wife is pregnant you are using the wrong Petition. Use Marriage Dissolution With Children.) 11. Husband's Children from Other Relationship Does Husband have minor child(ren) from another marriage or relationship? YES NO UNKNOWN If YES, the full name, date of birth and age of each child is: Full Name of Child and Age Date of Birth Does Child Live with Husband? YES NO YES YES YES NO NO NO Does Husband pay Court-Ordered Child Support for this Child? YES NO YES YES YES NO NO NO 12. Wife's Children from other Relationship Does Wife have minor child(ren) born prior to the marriage from another marriage or relationship? YES NO UNKNOWN If YES, the full name, date of birth and age of each child born prior to the marriage is: Full Name of Child and Age Date of Birth Does Child Live with Wife? YES NO Does Wife pay Court-Ordered Child Support for this Child? YES NO DIV402 State ENG Rev 3/06 www.courts.state.mn.us/forms Page 4 of 28 American LegalNet, Inc. www.FormsWorkflow.com YES YES YES NO NO NO YES YES YES NO NO NO 13. Public Assistance If either party is receiving public assistance from the State of Minnesota or applies for it after this proceeding is started, the Petitioner must give notice of this marriage dissolution action to the Support and Collections office for the county paying the assistance. a. Does Petitioner receive public assistance from the State of Minnesota? YES NO If YES, the assistance is from __________________ County. (Check all that apply): MFIP Medical Assistance Tribal TANF General Assistance Child Care Assistance MinnesotaCare b. Does Respondent receive public assistance from the State of Minnesota? YES NO UNKNOWN If YES, the assistance is from __________________ County. (Check all that apply): MFIP Medical Assistance Tribal TANF General Assistance Child Care Assistance MinnesotaCare 14. School Is Petitioner currently enrolled in school? If YES: a. The name of the school is b. The type of school is High School College Vocational Other . YES NO c. The type of degree expected is____________________________and the expected graduation date is __________________________. Is Respondent currently enrolled in school? If YES: a. The name of the school is b. The type of school is High School College Vocational Other . YES NO UNKNOWN c. The type of degree expected is____________________________and the expected graduation date is ______________________
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