Petition For Dissolution Of Marriage
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4IN THE CIRCUIT COURT OF THE
J UDICIAL CIRCUIT
, ILLINOIS
)
)
)
Petitioner
)
vs.
)
Gen. No.
)
)
)
Respondent )
PETITION FOR DISSOLUTION OF MARRIAGE
I,
, the Petitioner, representing myself, state that:
Name
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 the Judgment for Dissolution of Marriage).
1. Petitioner
a. I am
years of age.
b. I presently reside at
.
City/County and State
c. My occupation is that of:
.
2. Respondent
a. The Respondent is
years of age.
b. The Respondent presently resides at
.
City/County and State
c. The Respondent’s occupation is that of:
.
3. Marriage
a. The Respondent and I were married on
____________________________.
(mmddyyyy)
b. The marriage took place in
and the marriage is
City/County and State
registered in that state and county.
4. Residency (Check all that apply):
a. I have lived in Illinois since
.
Month/Year
b. My spouse has lived in Illinois since
.
Month/Year
5. Other Proceedings (Check one)
a. No petition for dissolution of marriage between the parties is pending in any other county or state.
b. There is another petition for dissolution of marriage between the parties is pending in:
City/County and State
Page 1 of 4
174-CSR200 (Rev 09/04)
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