Minnesota > Statewide > District Court > Dissolution
Petition For Dissolution Of Marriage With Children DIV-802 - Minnesota
| Petition For Dissolution Of Marriage 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: Assigned Judge: Case Type: District Court Dissolution with 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 With Children 1. Information about Petitioner Full Name: ________________________________________________________________________ First Middle Last Address where you live: Street Address Apt. No. _______ City County State Zip Code 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 DIV802 State ENG Rev 10/05 www.courts.state.mn.us/forms Page 1 of 41 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? DIV802 State ENG Rev 10/05 www.courts.state.mn.us/forms Page 2 of 41 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, custody, paternity or annulment already been started by Petitioner or Respondent in Minnesota or elsewhere? NO If YES, the type of court case is: YES , and it was started in ________________________ County in the State of ____________________ and the Court file number is Open Closed I do not know , and the status or outcome of the case is: b. Has a County started a Support case involving the Petitioner and the Respondent or their children? YES NO If YES, the case was started in ________________________ . Pending. County in the State of ____________________ and the Court file number is A copy of the Support Order is attached, or the case is 9. Protection or Harassment Order Dismissed, or Is an Order for Protection or a Harassment/Restraining Order in effect regarding Petitioner and Respondent? If YES: YES NO DIV802 State ENG Rev 10/05 www.courts.state.mn.us/forms Page 3 of 41 American LegalNet, Inc. www.FormsWorkflow.com a. The Order protects: in Petitioner Respondent the child(ren) and the Order was filed State on . A copy of the County in date, and the Court file number is Order is attached. b. Does the Order for Protection include an order to pay child support? YES NO 10. Juvenile Court Case Is a Juvenile Court case (child protection, delinquency or foster care) involving husband's and wife's child(ren) taking place in Minnesota or another state? If YES, the case is in Court file number is in the Juvenile Court case is: . YES NO County in the State of __________________ and the . The name of the child or children involved 11. Children Husband and Wife have Together "Child" means a living person under age 18, or under age 20 and still in high school. a. Are there any children born to or adopted by husband and wife together, either before or during the marriage? YES NO If YES, Child Currently Lives With Petitioner Respondent Both parents OR _______________________(write in name) Respondent Both parents Full Name of Child Date of Birth Age Petitioner OR ________________________(write in name) Respondent Both parents Petitioner OR ________________________(write in name) Respondent Both parents Petitioner OR ________________________(write in name) Respondent Both parents Petitioner OR ________________________(write in name) If a child is living with someone other than a parent, write the child's address here: DIV802 State ENG Rev 10/05 www.courts.state.mn.us/forms Page 4 of 41 American LegalNet, Inc. www.FormsWorkflow.com Address: ______________________________________________________________________ Street Address Apt. No. City County State Zip Code b. Has each child born to or adopted by husband and wife have together lived in Minnesota for the past six (6) months? YES NO 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 Support can be ordered for a child over age 18 who cannot support him/herself because of a physical or mental condition. Is there an adult 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 13. Pregnancy a. b. Petitioner Is wife pregnant? Respondent is the wife in this marriage. YES NO UNKNOWN If wife is pregnant answer (i) and (ii): DIV802 State ENG Rev 10/05 www.courts.state.mn.us/forms Page 5 of 41 American LegalNet, Inc. www.FormsWorkflow.com (i) The date the baby is due is Month Day Year OR UNKNOWN (ii) 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, and
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