Petition For Dissolution Of Marriage Form
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4District Court ____________________________ County, Colorado
Court Address:
In re the Marriage of:
Petitioner:
and
COURT USE ONLY
Co-Petitioner/Respondent:
Attorney or Party Without Attorney
:
Case Number:
(Name and Address)
Phone Number:____________ E-mail:________________________
FAX Number:_____________ Atty. Reg. #: _______________
Division ______ Courtroom _______
PETITION FOR:
DISSOLUTION OF MARRIAGE
LEGAL SEPARATION
PURSUANT TO §14-10-106, C.R.S.
******IF CHILDREN ARE PART OF THIS ACTION, PLEASE CHECK HERE
******
1. This Petition is for
Dissolution of Marriage or
Legal Separation.
2. The Marriage is irretrievably broken.
3. Information about the Wife:
Petitioner
Co-Petitioner/Respondent
Check if in Military
Full Legal Name: ___________________________________________ Date of Birth: _________________
Length of Current Residency in Colorado:
(Years/months) Dates:
Current Mailing Address:
City:
State:
Zip Code:
Home Phone #:
Email Address:
Cell Phone #:
4. Information about the Husband:
Petitioner
Co-Petitioner/Respondent
Check if in Military
Full Legal Name: ___________________________________________ Date of Birth: _________________
Length of Current Residency in Colorado:
(Years/months) Dates:
Current Mailing Address:
City:
State:
Zip Code:
Home Phone #:
Email Address:
Cell Phone #:
5. Date of the Marriage: ___________________ Place of Marriage: __________________________
(City/State)
6. Date the parties separated: ______________________
7. The Wife is
pregnant
not pregnant.
PETITION FOR: DISSOLUTION OF MARRIAGE LEGAL SEPARATION
JDF 1101
R11/10
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