Form Fl-100 - Petition - Marriage
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2FL-100
ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address):
FOR COURT USE ONLY
To keep other people from
seeing what you entered on
your form, please press the
Clear This Form button at the
TELEPHONE NO.:
FAX NO. (Optional):
end of the form when finished.
E-MAIL ADDRESS (Optional):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
MARRIAGE OF
PETITIONER:
RESPONDENT:
PETITION FOR
CASE NUMBER:
Dissolution of Marriage
Legal Separation
AMENDED
Nullity of Marriage
1. RESIDENCE (Dissolution only)
Petitioner
Respondent
has been a resident of this state for at least six months and
of this county for at least three months immediately preceding the filing of this Petition for Dissolution of Marriage.
2. STATISTICAL FACTS
a. Date of marriage:
c. Time from date of marriage to date of separation (specify):
b. Date of separation:
Years:
Months:
3. DECLARATION REGARDING MINOR CHILDREN (include children of this relationship born prior to or during the marriage or
adopted during the marriage):
a.
There are no minor children.
b.
The minor children are:
Child's name
Birthdate
Age
Sex
Continued on Attachment 3b.
c. If there are minor children of the Petitioner and Respondent, a completed Declaration Under Uniform Child Custody Jurisdiction
and Enforcement Act (UCCJEA) (form FL-105) must be attached.
d.
A completed voluntary declaration of paternity regarding minor children born to the Petitioner and Respondent prior to
the marriage is attached.
4. SEPARATE PROPERTY
Petitioner requests that the assets and debts listed
in Property Declaration (form FL-160)
in Attachment 4
below
be confirmed as separate property.
Item
Confirm to
NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case
other than a form used to collect child or spousal support.
Page 1 of 2
Form Adopted for Mandatory Use
PETITION—MARRIAGE
Family Code, §§ 2330, 3409;
Judicial Council of California
(Family Law)
FL-100 [Rev. January 1, 2005]
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