Wisconsin > Statewide > Circuit Court > Divorce Without Minor Children
Petition Without Minor Children FA-4109 - Wisconsin
| Petition Without Minor Children Form. This is a Wisconsin form and can be used in Divorce Without Minor Children Circuit Court Statewide . |
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PRINT in BLACK ink Enter the name of the county in which you are filing this case. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY In re the marriage of: For Official Use Enter your name (you are the petitioner). Petitioner: First name Middle name Last name Enter your address. Address On the far right, check divorce or legal separation. Address City State Zip and Enter your spouse's name (your spouse is the respondent). Enter your spouse's address. Note: Leave case number blank; the clerk will add this. Petition Without Minor Children Middle name Last name Respondent: First name Address Divorce-40101 Legal Separation-40201 Address City State Zip Case No. I am the petitioner in this action. Enter your date of birth [month, day, year]. Check yes or no. Check yes or no. Check yes or no. A. I am providing the following information about myself: 1. Date of birth 2. Immediately before filing this petition, I will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, I will have lived in the state of Wisconsin for 6 months or more. Yes No 4. I am currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No B. I am providing the following information about the respondent, my spouse: 1. Date of birth 2. Immediately before filing this petition, the respondent will have lived in this county for 30 days or more. Yes No 3. Immediately before filing this petition, the respondent will have lived in the state of Wisconsin for 6 months or more. Yes No 4. The respondent is currently on active duty as a member of the Armed Forces of the United States of America or its allies. Yes No Enter your spouse's date of birth [month, day, year]. Check yes or no. Check yes or no. Check yes or no. FA-4109 Pro Se, 10/06 Petition-Without Minor Children This form shall not be modified. It may be supplemented with additional material. Page 1 of 3 §767.215, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com C. I am providing the following marriage information: Enter the date [month, day, year], city, and state in which you were married. Check a or b. If b, explain why you are filing for a legal separation and not a divorce. 1. My spouse and I were married on (date) 2. We were married in (city) (state) . . 3. I am filing for: a. Divorce: This marriage is irretrievably broken. b. Legal Separation: This marriage is broken and the reason I am requesting a legal separation and not a divorce is: Check a or b. If b, enter the county and state in which it was filed, the case number assigned to it, and check yes or no to indicate if the case has been dismissed. 4. Previous Actions: This is the first time that either my spouse or I have filed for divorce or legal separation from each other in Wisconsin or in any other state: a. Yes b. No: County: State: Case No.: Has this case been dismissed: Yes No 5. This is my first marriage. Yes No a. I was previously married to b. The marriage was terminated by c. Date of the divorce or death: d. The divorce was granted in: Name of court: City: e. I was also previously married to f. The marriage was terminated by g. Date of the divorce or death: h. The divorce was granted in: Name of court: City: divorce. death. Check yes or no. If no, respond to 5a-5d with information about your most recent previous marriage. State: divorce. death. If you had an additional previous marriage, respond to 5e-5h. State: If you had more than 2 previous marriages, repeat 5e-5h on an additional sheet. Check yes or no. If no, respond to 6a-6d with information about your spouse's most recent previous marriage, if known. 6. This is my spouse's first marriage. Yes No a. My spouse was previously married to b. The marriage was terminated by divorce. death. c. Date of the divorce or death: d. The divorce was granted in: Name of court: City: State: e. My spouse was also previously married to f. The marriage was terminated by divorce. death. g. Date of the divorce or death: h. The divorce was granted in: Name of court: City: State: If your spouse had more than 2 previous marriages, repeat 6e-6h on an additional sheet. If your spouse had an additional previous marriage, respond to 6e-6h. FA-4109 Pro Se, 10/06 Petition-Without Minor Children This form shall not be modified. It may be supplemented with additional material. Page 2 of 3 §767.215, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com D. I am providing the following information regarding children: Check a or b. If b, write the names and dates of birth of all adult children born to the wife during the marriage. 1. a. No children were born to or adopted together by me and my spouse before or during our marriage. b. All children, who are currently age 18 or older, born to the wife during the marriage include: Name of child Date of birth Check a or b. Check a or b. If a, attach a copy yesthe written Check of or no. If yes, agreement. of the attach a copy written agreement. 2. To the best of my knowledge, the wife in this marriage: a. is currently pregnant. (An attorney [guardian ad litem] for the unborn child will be required if the husband is not the father.) b. is not currently pregnant. 3. My spouse and I have made written agreements or received orders from the court about some or all of the matters in this action such as maintenance (spousal support) or property division. a. Yes, and I have attached a copy of the written agreement to this Petition. No b. I ask that the court: If you are requesting maintenance (spousal support) at this time, check yes. If not, check no. 1. Grant a judgment as requested. 2. Enter an order granting maintenance. Yes No 3. Enter other orders as it deems just and equitable. ACTS PROHIBITED BY STATUTE In accordance with sec. 767.117 Wis. Stats., neither the petitioner nor the respondent to this divorce or legal separation action can participate in any of the following activities while this action is pending: 1. Harassing, intimidating, physically abusing or imposing any restraint on the personal liberty of the other party or a minor child of either of the parties. 2. Encumbering, concealing, damaging, destroying, transferring, or in any other way disposing of property owned by either or both of the parties, without the consent of the other party or an order of the court or the Family Court Commissioner, except in the usual course of business, in order to secure necessities or in order to pay reasonable costs and expe
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