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Fillable Printable Complaint for Divorce Form - Hawaii

Fillable Printable Complaint for Divorce Form - Hawaii

Complaint for Divorce Form - Hawaii

Complaint for Divorce Form - Hawaii

DAT EPLAINTIFF’S SIGNATURE
12/97.COMPLAINT FOR DIVORCE1F-P-163
CASE NUMBER
FC-DNO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
COMPLAINT FOR DIVORCE
PLAINTIFF
(Your Full Name)
VS.
DEFENDANT
(Your Spouse’s Full Name)
This document is prepared by
PlaintiffAttorney for Plaintiff
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
I, the Plaintiff, in support of this Complaint for Divorce, allege:
l.Jurisdiction:
I and/or my spouse, the Defendant, have lived or have been physically present in the State of Hawai‘i for a continuous period of at
least six (6) months and I have lived and/or been physically present on the Island of O‘ahu for a continuous period of at least three
(3) months immediately preceding this application.
2.Marriage:
The parties (plaintiff and spouse) are lawfully married to each other.
3.Children:
a.The parties have no children together.
b.The parties have____ (enter number) child(ren) under 18 together.
c.The parties have____ (enter number) child(ren) 18 or older together, who are dependent on them for support.
d.The parties have____ (enter number) child(ren) 18 or older together, who are not dependent on them for support.
e.Wife has ____ (enter number) child(ren) born during the marriage, not fathered by Husband.
f.Wife is pregnant.
4.Custody and Visitation:
a.Legal custody of the minor child(ren) should be awarded to:
Me, PlaintiffMy spouse, DefendantBoth parties jointly
b.Physical custody of the minor child(ren) should be awarded to:
Me, PlaintiffMy spouse, DefendantBoth parties jointly
c.The parent not awarded physical custody should have:
Reasonable visitationSupervised visitation________________
d.Child support should be awarded in accordance with the child support guidelines.
5.Division of Assets:
All assets my spouse and I own should be divided in a just and equitable way.
6.Division of Debts:
All debts my spouse and I owe should be divided in a just and equitable way.
7.Spousal Support (Alimony):
a.I am entitled to an order that my spouse pay spousal support (alimony) to me.
b.My spouseisis not entitled to an order that I pay spousal support (alimony) to him/her.
8.Grounds:
Pursuant to HRS Section 580-41, I allege that the grounds for divorce are as follows (check one only):
a.The marriage is irretrievably broken.
b.The parties have lived separate and apart for a period of two (2) or more years under a decree of separation from bed and board
or under a decree of separate maintenance.
c.The parties have lived separate and apart for a continuous period of two (2) or more years
immediately preceding the application, there is no reasonable likelihood that cohabitation
will be resumed, and it would not be harsh and oppressive to Defendant, or contrary to the
public interest, to grant a divorce on this ground on the complaint of Plaintiff.
It is requested of the Court:
That a decree be entered granting a divorce from the bonds of matrimony and granting the relief
requested above, all as alleged and as may be appropriate and in accordance with the evidence and the
law, and other relief as the Court deems proper in this case.
I declare, under penalty of perjury, that the statements made herein ar e true and correct to the
best of my knowledge, information and belief.
CASE NUMBER
FC-D NO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
SUMMONS
TO ANSWER COMPLAINT
TO THE DEFENDANT
You are hereby summoned and required to serve a written answer to the attached Complaint within 20 days after service of
this Summons upon you, exclusive of the date of service.
Your written answer must be filed with the Chief Clerk of this Circuit at the following location or address.
Ka‘ahumanu Hale
777 Punchbowl Street
Honolulu, Hawai‘i 96813
A copy of your answer should also be served upon the Plaintiff’s attorney, or in the event Plaintiff is not represented by an
attorney, upon the Plaintiff at the address shown on the Complaint.
If you fail to file your written answer within the 20-day time limit, further action may be taken in this case, including
judgment for the relief demanded in the Complaint, without further notice to you.
THIS SUMMONS SHALL NOT BE PERSONALLY DELIVERED BETWEEN 10:00 P.M. AND 6:00 A.M. ON
PREMISES NOT OPEN TO THE PUBLIC, UNLESS A JUDGE OF THE DISTRICT OR CIRCUIT COURTS
PERMITS, IN WRITING ON THE SUMMONS, PERSONAL DELIVERY DURING THOSE HOURS.
FAILURE TO OBEY THE SUMMONS MAY RESULT IN AN ENTRY OF A DEFAULT AND DEFAULT
JUDGMENT AGAINST THE PERSON SUMMONED.
DATECLERK OF COURT
FORM NO. 07392112/97SUMMONS TO ANSWER COMPLAINT1F-P-064
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Spouse’s Full Name)
This document is prepared by
PlaintiffAtty. for Plaintiff
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
In accordance with the Americans with Disabilities Act and other applicable state and federal laws, if you require a reasonable accommodation
f or a disability, please contact the ADA Coordinator at the Family Court Administr ation Office at PHONE NO . 539-4422, FAX 539-4402, or
TTY 539-4853, at least ten (10) working days prior to your hearing or appointment date .
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
MATRIMONIAL ACTION
INFORMATION
CASE NUMBER
FC-DNO.
DATE FILED
PREPARED:
PLAINTIFF
DEFENDANT
ATTORNEY FOR PLAINTIFF
ATTORNEY FOR DEFENDANT
PLAINTIFF
DEFENDANT
NATURE OF CASE
DIVORCESEPARATIONANNULMENTOTHER
ITEMWIFEHUSBAND
FULL NAME
BIRTH OR MAIDEN NAME
ADDRESS
STREET, APT. NO.
TOWN, STATE, ZIP
COUNTY
HOMEWORKHOMEWORK
PHONE
SOCIAL SECURITY NUMBER
DATE OF BIRTH
PLACE OF BIRTH (State or Country)
RACE
HIGHEST GRADE COMPLETED
HAWAII RESIDENT SINCE
CIRCUIT RESIDENT SINCE
PRIMARY EMPLOYER
(Name and Address)
JOB TITLE
WORK SCHEDULE
LENGTH OF SERVICE
PrimarySecondaryWelfarePrimarySecondaryWelfare
GROSS MONTHLY INCOME
(All Sources)
DATECOUNTY / STATE
DATE OF THIS MARRIAGE
DATE OF SEPARATIONDATECOUNTY / STATE
NOT SEPARATED
Form No. 073105R12/97(Continue on back page)MATRIMONIAL ACTION INFORMATION1F-P-082
MATRIMONIAL ACTION INFORMATION (Continued)
CASE NUMBER
FC-DNO.
FROMTOTERMINATED BY
STATE
MONTH/YEARMONTH/YEARDIVORCEANNULMENTDEATH
WIFE’S PRIOR
MARRIAGES
HUSBAND’S PRIOR
MARRIAGES
CHILDREN:
ALL CHILDREN OF EITHER PARTY FROM YOUNGEST TO OLDEST
LEGALPRESENT
CHILD’S FULL NAMEM/FBIRTHDATEPARENTCUSTODYSCHOOL AND GRADE
(HUSBAND, WIFE OR OTHER)
INFORMATION REQUIRED FOR CUSTODY
CHILDREN’S PRESENT ADDRESS:
PLACES WHERE AND PERSONS WITH WHOM THE CHILDREN HAVE LIVED WITHIN THE LAST FIVE YEARS AND DATES
FROMTO
ADDRESSCARETAKERS
MONTH/YEARMONTH/YEAR
WIFEISIS NOT PREGNANT.EXPECTED DELIVERY DATE:
THE UNDERSIGNED SOLEMNLY AND SINCERELY DECLARES, UNDER PENALTY OF PERJURY, THAT THE STATEMENTS MADE HEREIN ARE
TRUE AND CORRECT TO THE BEST OF HIS/HER KNOWLEDGE, INFORMATION AND BELIEF.
DATESIGNATURE
CASE NUMBER
FC-D NO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
APPEARANCE AND WAIVER
I, the Defendant, acknowledge receipt of a filed copy of the Complaint and Summons in the above-entitled
action, submit myself to the Court’s jurisdiction, and have agreed with the Plaintiff on the matters set forth in
a signed agreement incident to divorce.
a form of Decree which I have approved by signature.
I consent to a hearing of the complaint by a judge at any time without further notice and without my presence
so long as the Decree issued incorporates the provisions I have approved. If such Decree is not entered by the
Court, I request to be notified.
I understand that I am not required to sign this paper and that by doing so I am permitting the Court without
opposition from me to proceed with the above-entitled matter at this time unless there is reason for the Court to
alter our agreement.
I am not in the military service of the United States.
I am in the military service of the United States, but I do not request a stay of proceedings herein, and I do
waive any rights I may have under the Soldiers’ and Sailors’ Civil Relief Act, 50 U.S.C. Sec. 521,
et. seq.
12/97APPEARANCE AND WAIVER 1F-P-332
DATEDEFENDANT’S SIGNATURE
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Full Name)
This document is prepared by
PlaintiffDefendantAtty. for PlaintiffAtty. for Defendant
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
FORM NO. 073918(12/98)PROOF OF SERVICE
1F-P-140
CASE NUMBER
FC-DNO.
PROOF
OF
SERVICE
PERSON(S) SERVEDDATETIMEPLACE
DOCUMENTS SERVED
ComplaintSummonsNotice to Attend Kids First II
Motion and Affidavit for Pre-Decree Relief and Attachements
Motion and Affidavit for Post-Decree Relief and Attachments
___________________________________________
PLEASE EXPEDITE RETURN OF SERVICE TO FAMILY COURT
DATEPOLICE OFFICER’S SIGNATUREBADGE ID NUMBER
DATEOTHER SERVING OFFICER’S SIGNATURENAME OF SERVING OFFICER
UNSERVED DOCUMENTS: I certify that, despite due and diligent search, I was unable to
locate the person to be served, and therefore the attached documents are being returned as
unserved.
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Full Name)
I served a certified copy of each document identified below by delivering to the following person(s):
This document is prepared by
PlaintiffAttorney for Plaintiff
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
CASE NUMBER
FC-D NO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
STATEMENT OF MAILING
EXHIBITS “1” AND “2”
STATEMENT OF MAILING
I REPRESENT THAT I caused one certified copy each of the Complaint For Divorce; Summons to Answer
Complaint; and Motion for Service by Mail and Affidavit; Order for Service by Mail; and
_________________________________, to be mailed by certified or registered mail, return receipt requested,
restricted delivery to:
_________________________________________________________________________________
_________________________________________________________________________________
_________________________________________________________________________________
Defendant
At the time of mailing, the receipt attached hereto as Exhibit “1” was postmarked and dated. Thereafter, the
return receipt attached as Exhibit “2” was received.
4/98STATEMENT OF MAILING/EXHIBITS “1” AND “2”
1F-P-3XX
DATEPLAINTIFF’S SIGNATURE
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Full Name)
This document is prepared by
PlaintiffAtty. for Plaintiff
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
Defendant’s Name
Defendant’ s Address
City/State/Zip
EXHIBIT “1”EXHIBIT “2”
Occupation:_________________________________________________________________________________
Job title
Employer:__________________________________________________________________________________
Address:___________________________________________________________________________________
Length of service:_____________months/years.
Income Tax Withholding based on:________dependents.
INCOME
Gross income. Paid:monthly,2 times per month,every 2 weeks,weeklyor other___________
Gross per pay period......................................$___________Per month...............................$____________
Payroll deductions per pay period:
Fed. income tax.......................................$____________
State income tax......................................$____________
FICA (Social Security)............................$____________
Union dues..............................................$____________
a) Net per pay period...................$___________Per month........$_____________
Other:
Retirement/401K...................................$____________
Credit Union..........................................$____________
Direct Deposit.......................................$____________
Income Assignments..............................$____________
Support Payments..................................$____________
Medical Insurance.................................$____________
b) Take home per pay period.......$___________Per month........$_____________
Other regular monthly income, (rental income, 2nd job, interest, child support, welfare, food
stamps, and any other source.)
Gross monthly receipt.............................$____________
Taxes paid IRS and State on above..........$____________
c) Total other income net...............................$____________
Total Monthly Income (Add per month income from lines a and c above)$_____________
FORM NO. 073917 R12/97INCOME & EXPENSE STATEMENT1F-P-081
INCOME AND EXPENSE STATEMENT
PlaintiffDefendant
CASE NUMBER
FC-D NO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Full Name)
This document is prepared by
PlaintiffDefendantAtty. for PlaintiffAtty. for Defendant
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
FORM NO. 073917 R12/97INCOME & EXPENSE STATEMENT1F-P-081
EXPENSES
Do not list expenses which are paid by payroll deduction.
Housing, expenses per month:
rent, mortgage, agreement of sale................................$____________
insurance if not included above....................................$____________
Real Property taxes (if paid separately)........................$____________
Utilities, gas, water, elec., telephone etc.......................$____________
Transportation, expenses per month:
Car payment, lease, rental............................................$____________
Insurance on vehicle....................................................$____________
Maintenance (repairs)..................................................$____________
Operating (gas, oil & tires)..........................................$____________
Total Housing and Transportation expenses.....................................................................................$____________
Debt service (all monthly payments, eg. credit cards, charges, finance company, personal loans)......$____________
Personal Expenses per month:SelfChildren No.(_)
Food...............................................................................$____________$____________
Clothing.........................................................................$____________$____________
Medical and Dental........................................................$____________$____________
Laundry & Cleaning.......................................................$____________$____________
Personal articles.............................................................$____________$____________
Recreation (movies etc)..................................................$____________$____________
School (include food).....................................................$____________$____________
Household......................................................................$____________$____________
Bus (on monthly basis)...................................................$____________$____________
Other (_____________________)..................................$____________$____________
Payment to others for dependent care.........................................................$____________
Sub Totals..........................................................$____________$____________
Total Personal expenses................................................................................$___________
Grand Total expenses: Housing, Trans., Debt & personal..........................................................$____________
Savings, <Deficiency>: Income minus Expenses.......................................................................$____________
Explain in detail where savings are invested, or if there is a <deficiency>, who provides the funds to maintain
the level of spending indicated in this income and expense statement. (Use separate sheet if more space is needed.)
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
CERTIFICATION
I hereby declare under the penalty of perjury that I have supplied the information used in this Income and Expense
Statement and have reviewed this statement and I certify that the information is accurate, complete and correct.
DATEPLAINTIFF’S DEFEND ANT’S SIGNATURE
Form No. 073925R12/97ASSET AND DEBT STATEMENT1F-P-063
1.Cash (on hand or held by others for me)$______________________________________
2.CREDIT UNION ACCOUNTS:
NameTitle (H,W,J)Credit BalanceDebt Balance
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
3.BANK AND SAVINGS ACCOUNTS:(Include T rustee Accounts)
Company & BranchType of AccountTitle (H,W,J)Current Balance
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
4.SECURITIES:(Stocks, Bonds, Mutual Funds, Certificates of Deposit, etc.)
CompanyTitle (H,W,J)Date of AcquisitionCostMarket ValueDebt Owed Against
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
ASSET AND DEBT STATEMENT
PlaintiffDefendantBoth P arties
CASE NUMBER
FC-DNO.
STATE OF HAWAI‘I
FAMILY COURT
FIRST CIRCUIT
PLAINTIFF
(Full Name)
VS.
DEFENDANT
(Full Name)
This document is prepared by
PlaintiffDefendantAtty. for PlaintiffAtty. for Defendant
_________________________________________________
Name
_________________________________________________
_________________________________________________
Address
_________________________________________________
City, State, Zip
_________________________________________________
Phone
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