Fillable Printable Complaint for Limited Divorce - Maryland
Fillable Printable Complaint for Limited Divorce - Maryland
Complaint for Limited Divorce - Maryland
COMPLAINT FOR LIMITED DIVORCE
(DOM REL 21)
Circuit Court for
Case No.
City or County
Plaintiff Defendant
( )( )
City State
Area
Code
Telephone City State Zip Code
Area
Code
Telephone
vs.
Name
Street Address
Zip Code
Name
Street AddressApt #
Apt #
I, , representing myself, state that:
My name
1. The Defendant and I were married on
in in a civil religious ceremony.
City/County/State where Married
2. Check all that apply:
I have lived in Maryland since:
Month/Year
My spouse has lived in Maryland since:
Month/Year
3. Check all that apply: (See paragraph 13)
The grounds for divorce occurred in the State of Maryland.
The grounds for divorce occurred outside the State of Maryland and I or my spouse have been
a resident for at least one (1) year prior to the date of the filing of this Complaint.
4. Check one:
We have no children together (skip paragraphs 5 and 6) or
My spouse and I are the parents of the following child(ren):
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
5. I know of the following related cases concerning the child(ren) or parties (such as domestic
violence, paternity, divorce, custody, visitation, termination of parental rights, adoption or other
cases):
Court Case No. Kind of Case Year Filed Results or Status (if you know)
Page 1 of 3
CC-DR 21 (Rev. 7/2010)
Month Day Year
State Court Case No. Date of Child Custody Determination
Attach the most recent court order for the above-referenced court cases.
7. I know of the following people, not parties to this case, who have physical custody of, or
claim rights of legal custody or physical custody of, or visitation with the child(ren):
Name
Name
Name
Current Address
Current Address
Current Address
8. The child(ren) are currently living with:
Name
9. The child(ren) have lived in the following places, with the persons indicated during the last
five years:
Time Period Place Name(s)/Current Address of Person(s) with whom Child Lived
10. It is in the best interests of the child(ren) that I have (check all that apply):
joint
Name of Children
sole
physical custody of .
joint
Name of Children
sole
legal custody of .
visitation with .
Name of Children
11. I am am not seeking alimony because .
12. (You do not have to complete paragraph 12 if you are not asking the court to make decisions
about your property). My spouse and/or I have the following property (check all that apply):
Motor vehicle(s)
Furniture
Bank account(s) and investment(s)
Family Use Personal Property
Other:
13. My grounds for limited divorce are (check all that apply):
Cruelty/Excessively Vicious Conduct Against Me - My spouse has persistently treated me
cruelly and has engaged in excessively vicious conduct rendering continuation of the marital
relationship impossible if I am to preserve my health, safety, and self-respect.
Cruelty/Excessively Vicious Conduct Against My Children - My spouse has persistently
treated my minor child(ren) cruelly and has engaged in excessively vicious conduct against
them rendering continuation of the marital relationship impossible if I am to preserve my minor
child(ren)'s health, safety, and self-respect.
Page 2 of 3
CC-DR 21 (Rev. 7/2010)
6. I have been a party, witness, or otherwise involved in the following cases about custody or
visitation of the child(ren):
Constructive Desertion - My spouse's actions have terminated the husband and wife
relationship and made it impossible for me to continue the marriage and preserve my health,
safety, or self-respect, and since these actions occurred, I have not had sexual intercourse with
my spouse.
Voluntary Separation - From on or about , my spouse and I by mutual
Month/Day/Year
and voluntary agreement have lived separate and apart from one another in separate residences,
without interruption, without sexual intercourse, with the express purpose and intent of ending
our marriage, and there is no reasonable expectation that we will reconcile.
FOR THESE REASONS, I request (check all that apply):
A Limited Divorce.
Joint
Sole
physical custody of the minor child(ren) and reasonable child support.
Joint
Sole
legal custody of the minor child(ren) and reasonable child support.
Visitation with the minor child(ren).
Child support (attach Form DOM REL 30 or DOM REL 31).
Health insurance for the child(ren).
Health insurance for me.
Use and possession of the family home for up to three years from the date of the limited divorce.
Use and possession of the family use personal property for up to three years from the date of the
limited divorce.
Transfer of family use personal property.
Alimony (attach Form DOM REL 31).
Resolution of personal property issues.
X
Any other appropriate relief.
X
I, solemnly affirm under the penalties of perjury,
that the contents of this document are true to the best of my knowledge, information and belief.
Date
Signature
Your Name
Page 3 of 3
CC-DR 21 (Rev. 7/2010)
Actual Desertion - On or about , my spouse, without just cause or reason,
Month/Day/Year
abandoned and deserted me, with the intention of ending our marriage. This abandonment has
continued without interruption up to and including the time of filing of this complaint.
