Alaska > Statewide > Domestic Relations
Petition For Dissolution Of Marriage With Children DR-105 - Alaska
| Petition For Dissolution Of Marriage With Children Form. This is a Alaska form and can be used in Domestic Relations Statewide . |
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IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Dissolution of the Marriage of ) ) ) and ) ) , ) ) ) CASE NO. PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN) Husband and Wife. We consent to the court's jurisdiction and request a decree of dissolution of marriage. Our marriage has broken down and we no longer want to be married. We agree this petition is the entire agreement between us. We understand that only the agreements written in this petition and its attachments are enforceable. I. INFORMATION ABOUT PETITIONERS Has either spouse filed an action for legal separation before filing this action? If yes, please list the case number, date, and place of filing: A. Husband 1. Date of birth: 2. Length of Alaska residence: 3. Home phone: 4. Residence address: 5. Mailing address: 6. 7. 8. 9. Yes No Place of birth: (city) (state) Cell phone: (city) (city) (state) (state) (ZIP) (ZIP) (street address) (box or street number) Occupation: Most recent employer: Employer's address: Driver's license number: Work phone: Phone: B. Wife 1. Date of birth: 2. Length of Alaska residence: 3. Home phone: 4. Residence address: 5. Mailing address: 6. 7. 8. 9. Place of birth: (city) (state) Cell phone: (city) (city) (state) (state) (ZIP) (ZIP) (street address) (box or street number) Occupation: Most recent employer: Employer's address: Driver's license number: Work phone: Phone: Page 1 of 15 DR-105 (4/12)(cs) PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN) Husband's Signature Wife's Signature AS 25.24.200-.260 Civil Rule 90.1(a), f(2)(A)(B), (i)(1) American LegalNet, Inc. www.FormsWorkFlow.com C. Date and Place of Marriage. Date of marriage: Place of marriage: (city) (month) / (day) (state) / 20 D. Health Care and Health Insurance Does either spouse need medical care or treatment? Yes No If yes, state which spouse and describe the care or treatment needed: Is either spouse covered by health insurance (by an employer or otherwise) Yes No If yes, state which spouse and the amount paid for the insurance by the spouse or spouses: E. Domestic Violence Has either spouse been involved in any of the following during the marriage: 1. a criminal charge of a crime involving domestic violence, 2. a domestic violence protective order under AS 18.66.100-18.66.180, 3. injunctive relief against domestic violence under former AS 25.35.010 or 25.35.020, or 4. a domestic violence protective order issued in another jurisdiction and filed with the court in this state under AS 18.66.140? Yes No If yes, describe below: Has there been any domestic violence during the marriage (whether or not the police were involved or anything was filed in court)? Yes No F. Has either spouse received advice from an attorney about a divorce or dissolution? Yes No If yes, state which spouse(s): Is either spouse represented by an attorney? If yes, state which spouse(s): Yes No Page 2 of 15 DR-105 (4/12)(cs) PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN) Husband's Signature Wife's Signature AS 25.24.200-.260 Civil Rule 90.1(a), f(2)(A)(B), (i)(1) American LegalNet, Inc. www.FormsWorkFlow.com II. FINANCIAL INFORMATION Each party must attach a copy of his or her most recent federal tax return and at least two of his or her most recent paystubs. If work is seasonal, show yearly income. If income or deductions will change after the dissolution, file documents showing expected income and deductions. The following income and deductions are monthly yearly. A. Gross Income (Do not list ATAP or SSI below.) Gross wages Value of employer-provided housing/food/etc. Unemployment compensation Permanent fund dividend Other: $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Husband $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Wife TOTAL INCOME B. Deductions Allowable Under Civil Rule 90.3 Federal, state and local income tax Social security tax (FICA) or self-employment tax Medicare tax Employment security tax Mandatory retirement contributions Mandatory union dues Voluntary retirement contributions if plan earnings are tax-free or tax-deferred, up to 7.5% of gross wages and self-employment income when combined with mandatory contributions Other mandatory deductions (specify): Child support/alimony ordered in other court or administrative cases and actually paid Other support provided directly for children from previous relationships who live with this parent (calculated per Civil Rule 90.3) Work-related child care for children of this marriage (if it will continue after dissolution) TOTAL DEDUCTIONS C. Net Income TOTAL INCOME from section A TOTAL DEDUCTIONS from section B Subtract deductions from income to get NET INCOME $ $ $ $ $ $ $ $ Page 3 of 15 DR-105 (4/12)(cs) PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN) Husband's Signature Wife's Signature AS 25.24.200-.260 Civil Rule 90.1(a), f(2)(A)(B), (i)(1) American LegalNet, Inc. www.FormsWorkFlow.com D. Adjusted Annual Income 1. If the above figures are based on monthly information, multiply NET INCOME from section C by 12 to get ADJUSTED ANNUAL INCOME 2. If the above figures are based on yearly information, repeat the NET INCOME amount from section C to show ADJUSTED ANNUAL INCOME $ $ Husband Wife $ $ This figure will be used to calculate child support on page 9. E. Monthly Expenses Housing and utilities Food Transportation Medical Other $ $ $ $ $ $ $ $ TOTAL EXPENSES III. $ Husband $ $ $ $ $ $ $ $ $ Wife PROPERTY AND DEBT INFORMATION, AND AGREEMENT OF PETITIONERS Below is a list of our assets and debts, and our agreement about dividing our assets and debts. We believe the division below is fair and just. A. Assets [Describe your property and its value. Then check the boxes showing whether it was acquired during the marriage, who possesses it now, and to whom you want it awarded.] 1. Do you have a written community property agreement or a community property trust under Alaska law (AS 34.77)? Yes No Be sure to include community property in the lists below. Acquired Currently To Be During Possessed Awarded Marriage By To 2. Real Property (land and buildings) provide street address or legal Value yes no H W JT H W JT description $ $ $ $ [Note: An award of real property to the parties jointly does not convey a right of survivorship. Consult an attorney if you have concerns about your right of survivorship. AS 13.12.804(a)(2)] Husband's Signature Wife's Signature AS 25.24.200-.260 Civil Rule 90.1(a), f(2)(A)(B), (i)(1) American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 15 DR-105
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