Petition For Dissolution Of Marriage Page 12

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50. Are there any other allegations?
If there are any other statements you
wish to include in your petition, you should
____________________________________________________________________
enter them here. Specific allegations of
misconduct are not necessary unless and
until your spouse denies that the marriage is
____________________________________________________________________
irretrievably broken.
____________________________________________________________________
I want the court to do the following:
(Check all that apply)
Request for
Grant a dissolution of my marriage
Grant custody of the child(ren) of the marriage as stated herein (if applicable)
Relief
Enter appropriate orders with respect to the support of the child(ren) (if
applicable)
Divide the marital property and debts
Award maintenance to me
Award maintenance to my spouse
Change my name to my former name of _____________________________.
I am without sufficient funds to pay for my attorney and I request that the other
party pay my attorney’s fees.
Other (Please state the other requests)
_________________________________________________________________
_________________________________________________________________
Petitioner, of lawful age, being duly sworn on his or her oath states that he or she is the petitioner named
above and that the facts stated in the Petition for Dissolution of Marriage are true according to his or her
best knowledge and belief.
__________________________________
__________________________________
Petitioner – SIGN HERE
Petitioner – PRINT YOUR NAME HERE
Subscribed and sworn to this _____ day of __________________, 20____.
________________________
You must sign this petition
Notary Public
in front of a Notary Public.
My Commission Expires:
_____________________
ATTORNEY INFORMATION
Do not enter any
(May be completed by your attorney)
information here if you are
________________________________________
___________________
filing this case without the
Attorney – SIGN HERE
Missouri Bar Number
assistance of a lawyer.
This information may be
_________________________________________________________
Attorney for Petitioner – PRINT YOUR NAME HERE
completed by your attorney.
_________________________________________________________
I have assisted Petitioner in
(Street)
the preparation of these
_________________________
__________________
___________
pleadings, but I am not
(City)
(State)
(Zip)
entering my appearance on
behalf of Petitioner.
_________________
_________________
______________________
(Telephone Number)
(Fax Number)
(Email Address)
Petition for Dissolution of Marriage – Page 12 of 12
Form CAFC001-07/01/2012
This form is available for free at

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