Dissolution With Minor Children
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1COURT OF COMMON PLEAS
DIVISION OF DOMESTIC RELATIONS
CLERMONT COUNTY, OHIO
DISSOLUTION
WITH MINOR CHILDREN
Case Caption:
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The following is a list of documents which must be completed and submitted to the Domestic
Relations Court. The Court’s Compliance Officer will review the documents to determine if this action
is ready to be filed. You will need an original set of documents plus two copies for filing with the
Clerk.
_____ Petition for Dissolution
Your own
_____ Waiver of Service (signed by each petitioner)
701
_____ Separation Agreement
Your own
_____ Classification Form
115
_____ Notification Form
116
_____ Waiver of Financial Disclosure Affidavit
703
_____ Property Waiver
704
_____ Shared Parenting Plan (if applicable) – your own or court form
602
_____ Guideline Parenting Schedule
605
_____ Parenting Proceeding Affidavit
604
_____ Child Support Worksheet Information (one for each petitioner)
626
(Attorney must provide Completed Child Support Worksheet)
_____ Health Insurance Affidavit
409
_____ Title IV-D Application
7076
_____ Pro Se Waiver of Counsel (required only if both petitioners filing pro se)
702-A
_____ Decree of Dissolution **
Your own
_____ Shared Parenting Decree (if applicable) - your own or court form **
601
_____ Waiver of Magistrate’s Decision and 14 Day Waiver **
104-B
_____ CSE Account Information Sheet **
509-4
** Only need the original
Documents that are returned to you must be brought to the final hearing.
This Dissolution is ready to be filed and set for hearing.
_____ Initialed by court personnel on _______________.
Checklist 2
Rev. 6/2011
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