File my case Party without attorney or attorney State bar number Name Firm Name Street Address City State Zip Code Telephone no Fax no E-mail Address Attorney for(name) Superior court of california, county of Street address Mailing address City and zip code Branch name Petitioner Respondent For court use only Petition for Amended Dissolution (Divorce) of: Marriage Domestic partnership Legal separation of: Marriage Domestic partnership Nullity of: Marriage Domestic partnership CASE NUMBER: 1. Legal relationship (check all that apply) a. We are married b. We are domestic partners and our domestic partnership was established in California c. We are domestic partners and our domestic partnership was NOT established in California 2. Residence requirements (check all that apply) a. Petitioner Respondent has been a resident of this state for at least six months and of this county for at least three months immediately preceding the filing of this Petition. (For a divorce, at least one person in the legal relationship described in items 1a and 1c must comply with this requirement.) b. Our domestic partnership was established in California. Neither of us has to be a resident or have a domicile in California to dissolve our partnership here. c. We are the same sex, were married in California, but currently live in a jurisdiction that does not recognize, and will not dissolve, our marriage.This Petition is filed in the county where we married. Respondent lives in (specify): Petitioner lives in (specify): 3. Statistical facts (check all that apply) a. 1. Date of marriage (specify): 2. Date of separation (specify): 3. Time from date of marriage to date of separation (specify): Years Months b. 1. Registration date of domestic partnership with the California Secretary of State or other state equivalent (specify below): 2. Date of separation (specify): 3. Time from date of registration of domestic partnership to date of separation (specify): Years Months 4. Minor children (check all that apply) a. There are no minor children. b. The minor children are: Child’s name Birthdate Age Sex 1. continued on Attachment 4b 2. a child who is not yet born c. If any children listed above were born before the marriage or domestic partnership, the court has the authority to determine those children to be children of the marriage or domestic partnership. d. If there are minor children of Petitioner and Respondent, a completed Declaration Under Uniform Child Custody Jurisdictionand Enforcement Act (UCCJEA) (form FL-105) must be attached. e. Petitioner and Respondent signed a voluntary declaration of paternity. A copy is is not attached Petitioner requests that the court make the following orders: Petitioner: Respondent: Case number 5. LEGAL GROUNDS (Family Code sections 2200–2210, 2310–2312) a. Divorce or Legal separation of the marriage or domestic partnership based on (check one): 1. irreconcilable differences 2. permanent legal incapacity to make decisions. b. Nullity of void marriage or domestic partnership based on 1. incest 2. bigamy c. Nullity of voidable marriage or domestic partnership based on 1. petitioner’s age at time of registration of domestic partnership or marriage. 2. prior existing marriage or domestic partnership. 3. unsound mind. 4. fraud 5. force 6. physical incapacity 6. CHILD CUSTODY AND VISITATION (PARENTING TIME) Petitioner Respondent Joint Other a. Legal custody of children to b. Physical custody of children to c. Child visitation (parenting time) be granted to As requested in Form FL-311 Form FL-311 Form FL-311 Form FL-311 Form FL-311 Form FL-311 7. CHILD SUPPORT a. If there are minor children born to or adopted by Petitioner and Respondent before or during this marriage or domestic partnership, the court will make orders for the support of the children upon request and submission of financial forms by the requesting party. b. An earnings assignment may be issued without further notice. c. Any party required to pay support must payinterest on overdue amounts at the “legal” rate, which is currently 10 percent. d. Other (specify): 8. SPOUSAL OR DOMESTIC PARTNER SUPPORT a. Spousal or domestic partner support payable to Petitioner Respondent b. Terminate (end) the court’s ability to award support to Petitioner Respondent c. Reserve for future determination the issue of support payable to Petitioner Respondent d. Other (specify): Petitioner Respondent 9. SEPARATE PROPERTY a. There are no such assets or debts that I know of to be confirmed by the court. b. Confirm as separate property the assets and debts in Property Declaration (form FL-160) Attachment 9b the following list. Item Confirm to 10. COMMUNITY AND QUASI-COMMUNITY PROPERTY a. There are no such assets or debts that I know of to be divided by the court. b. Determine rights to community and quasi-community assets and debts. All such assets and debts are listed in Property Declaration (form FL-160) in Attachment 10b as follows (specify): 11. OTHER REQUESTS a. Attorney’s fees and costs payable by Petitioner Respondent b. Petitioner’s former name be restored to (specify): c. Other (specify): Continued on attachment 11c 12. I HAVE READ THE RESTRAINING ORDERS ON THE BACK OF THE SUMMONS, AND I UNDERSTAND THAT THEY APPLY TO ME WHEN THIS PETITION IS FILED. I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date Signature Date Signature FOR MORE INFORMATION: Read Legal Steps for a Divorce or Legal Separation (form FL-107-INFO) and visit “Families Change” at www.familieschange.ca.gov— an online guide for parents and children going through divorce or separation. NOTICE: You may redact (black out) social security numbers from any written material filed with the court in this case other than a form used to collect child, spousal or partner support. NOTICE—CANCELLATION OF RIGHTS: Dissolution or legal separation may automatically cancel the rights of a domestic partner or spouse under the otherdomestic partner’s or spouse’s will, trust, retirement plan, power of attorney, pay-on-death bank account, survivorship rights to anyproperty owned in joint tenancy, and any other similar thing. It does not automatically cancel the right of a domestic partner orspouse as beneficiary of the other partner’s or spouse’s life insurance policy. You should review these matters, as well as any creditcards, other credit accounts, insurance polices, retirement plans, and credit reports, to determine whether they should be changedor whether you should take any other actions. Some changes may require the agreement of your partner or spouse or acourt order. For your protection and privacy, please press the Clear This Form button after you have printed this form.