Form 171-470 - Lake County Court Form
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4IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT
LAKE COUNTY, ILLINOIS
PARENTAGE
IN RE THE
MARRIAGE
)
ALLOCATION OF PARENTAL )
SUPPORT
RESPONSIBILITIES
)
CIVIL UNION
)
_______________________________________________
)
Case No. ________________________
)
vs.
)
)
)
______________________________________________
)
)
PETITION FOR DISSOLUTION
Part A. Jurisdiction
(One party must be a resident of the State of Illinois for at least 90 days prior either to the filing of this Petition or to the
entry of Judgment of Dissolution).
Petitioner:
1. I am __________
years of age.
2. I presently reside at _________________________________________________________________________
City/County and State
3. My occupation is that of: ______________________________________________________________________
Respondent:
4. The Respondent is _________ years of age.
5. The Respondent presently resides at ____________________________________________________________
City/County and State
6. The Respondent’s occupation is that of: _________________________________________________________
Marriage/Civil Union:
7. The Respondent and I were married/entered into a civil union on ______________________________________
(mm/dd/yyyy)
8. The marriage/civil union took place in ___________________________________ and is registered in that state,
City/County, State, Country
county and country.
Residency: (Check all that apply):
9.
I have lived in Illinois since _______________________________________ .
mm/dd/yyyy
10.
The Respondent has lived in Illinois since ___________________________ .
mm/dd/yyyy
Other Proceedings (Check one):
11.
No petition for dissolution between the parties is pending in any other county or state.
12.
There is another petition for dissolution between the parties pending in:
___________________________________ .
City/County and State
Page 1 of 4
#171-470 (Rev 12/15)
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