Petition For Legal Separation

STATE OF INDIANA

IN THE n County where court is::LIKE THISo n Type of court::LIKE THISo COURT n IF Does this court have a division number?onCourt's division numberonEND IFo

SS: COUNTY OF n County where court is::LIKE THISo

n Year:1990o TERM

CAUSE NO.: n Cause numbero The Legal Separation of: n Petitioner's nameo , Petitioner, and n Respondent's nameo

Respondent

PETITION FOR LEGAL SEPARATION

nClient's nameo, being first duly sworn, says:

1. nIF Is the client male?oHe is the husbandnELSEoShe is the wifenEND IFo of nOpposing party's nameo. 2. nIF Is the client male?oHenELSEoShenEND IFo resides at nClient's address o, nClient's cityo, Indiana and has been a resident of nCounty where court is::LIKE THISo County for at least three months and the State for Indiana for at least six months immediately prior to filing this petition. The nOpposing party's party designationo resides at nOpposing Party Addresso, nOpposing Party Cityo, nOpposing Party State:LIKE THISo. 3. The parties were married on nDate parties marriedo and separated on or about nDate parties separated:June 3, 1990o. 4.nIF Any children?o nhow many childreno nMore than one child?o born of this marriage.nELSEoNo children were born of this marriagenEND IFo nIF Is wife pregnant?oThe wife is pregnant.nELSEoThe wife is not pregnant.nEND IFo nIF Any children?o

Child’s Name nFirst child's nameo

Child’s birthdate nFirst child's birthda teo

Current Residence nIF Does the first child live with our client?o nClient's addresso, nClient's cityo, Indiana nELSEonOppo sing Party Address o, nOpposing Party City o, nOpposing Party State:LIKE THIS onEND IFo

nIF Got more than one child?o nSecond child's nameo

nSecond child's birthdate o

nIF Does se cond child live with client? o nClie nt's addresso, nClient's city o, I n d ia n a n E L S E o n O p p o s i n g P a r t y Addresso, nOpposing Party C ityo, n O p p o s i n g P a r t y S t a t e: L I K E THIS onEND IFo

nThird child's nameo

nThird child's b irthdateo

nIF Does the third child live with the client?onClient's addresso, nClient's cityo, I n d i a n an E L S E o n O p p o s i n g P a r t y Addresso, nOpposing Pa rty City o, n O p p o s i n g P a r t y S t a t e :L I K E THIS onEND IFo nEND IFo

nEND IFo

5. That the conditions and circumstances of the marriage render it currently intolerable for both parties to live together, but the marriage should be maintained at this time. WHEREFORE, nClient's nameo prays that an Order of Legal Separation of the parties be issued for a period of time not exceeding one (1) year and that this Order include provisions for child custody, parenting time, child support, maintenance, property division and attorney fees. I affirm, under the penalties for perjury, that the foregoing is true. ___________________________________ nClient's nameo