Fillable Printable Joint Petition without Minor Children - Wisconsin Court System
Fillable Printable Joint Petition without Minor Children - Wisconsin Court System
Joint Petition without Minor Children - Wisconsin Court System
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FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 1 of 3
Enter the name of the
county in which you are
filing this case.
STATE OF WISCONSIN, CIRCUIT COURT,
COUNTY
For Official Use
Enter the wife’s name.
In RE: The marriage of
Joint Petitioner-Wife:
First name Middle name Last name
Address
Address
City State Zip
and
Enter the wife’s address.
On the far right, check
divorce or legal
separation.
Joint Petition
Without Minor Children
Divorce-40101
Legal Separation-40201
Case No.
Enter the husband’s name.
Joint Petitioner-Husband:
First name Middle name Last name
Address
Address
City State Zip
Enter the husband’s
address.
Note: Leave case number
blank; the clerk will add
this.
Enter the wife’s date of
birth [month, day, year].
A.
We are providing the following information about the wife:
1.
Date of birth
2.
Immediately before filing this petition, the wife will have lived in this county for 30
days or more.
Yes No
For 2, 3 and 4, check yes
or no.
3.
Immediately before filing this petition, the wife will have lived in the state of
Wisconsin for 6 months or more.
Military personnel:
Please see Basic Guide to
Divorce/Legal Separation.
Yes No
4.
The wife is currently on active duty as a member of the Armed Forces of the
United States of America or its allies.
Yes No
Enter the husband’s date of
birth [month, day, year].
B.
We are providing the following information about the husband:
1.
Date of birth
For 2, 3 and 4, check yes
or no.
2.
Immediately before filing this petition, the husband will have lived in this county
for 30 days or more.
Yes No
Military personnel:
Please see Basic Guide to
Divorce/Legal Separation.
3.
Immediately before filing this petition, the husband will have lived in the state of
Wisconsin for 6 months or more.
Yes No
4.
The husband is currently on active duty as a member of the Armed Forces of the
United States of America or its allies.
Yes No
Enter the date [month,
day, year], city, and state
in which you were
married.
C.
We are providing the following marriage information:
1.
We were married on (Date) .
2.
We were married in (City) (State) .
3.
We are filing for:
Check a or b. If b, explain
why you are filing for a
legal separation and not a
divorce.
a.
Divorce: This marriage is irretrievably broken.
Joint Petition – Without Minor Children Page 2 of 3 Case No. ________________
FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 2 of 3
b.
Legal Separation: This marriage is broken and the reason we are
requesting a legal separation and not a divorce is
Check a or b.
4.
Previous Actions
This is the first time that either my spouse or I have filed for divorce or legal
separation from each other in Wisconsin or in any other state:
If b, enter the county and
state in which it was filed,
the case number assigned to
it and check yes or no to
indicate if the case has been
dismissed.
a.
Yes
b.
No: County
State
Case No.
Has this case been dismissed? Yes No
Check yes or no.
5.
This is the wife’s first marriage. Yes No
If no, respond to 5a-5d
with information about
the wife’s most recent
previous marriage.
a.
The wife was previously married to
b.
The marriage was terminated by: divorce. death.
c.
Date of the divorce or death
d.
The divorce was granted in:
Name of court
City State
If the wife had an
additional previous
marriage, respond to 5e-
5h.
e.
The wife was also previously married to
f.
The marriage was terminated by: divorce. death.
g.
Date of the divorce or death
h.
The divorce was granted in:
Name of court
City State
If the wife had more than 2 previous marriages, repeat 5e-5h on an additional sheet.
Check yes or no.
6.
This is the husband’s first marriage. Yes No
If no, respond to 6a-6d
with information about
the husband’s most recent
previous marriage.
a.
The husband was previously married to
b.
The marriage was terminated by: divorce. death.
c.
Date of the divorce or death
d.
The divorce was granted in:
Name of court
City State
If the husband had an
additional previous
marriage, respond to
6e-6h.
e.
The husband was also previously married to
f.
The marriage was terminated by: divorce. death.
g.
Date of the divorce or death
h.
The divorce was granted in:
Name of court
City State
If the husband had more than 2 previous marriages, repeat 6e-6h on an additional sheet.
D.
We are providing the following information regarding our children:
Check a or b.
1.
a.
No children were born to or adopted together by us before or during our
marriage.
If b, write the names and
dates of birth of all adult
children born to the wife
during the marriage.
b.
All children, who are currently age 18 or older, born to the wife during the
marriage include:
Name of Child
Date of Birth
Joint Petition – Without Minor Children Page 3 of 3 Case No. ________________
FA-4111V, 01/09 Joint Petition-Without Minor Children §767.215, Wisconsin Statutes
This form shall not be modified. It may be supplemented with additional material.
Page 3 of 3
2.
To the best of our knowledge, the wife in this marriage:
Check a or b.
a.
is currently pregnant. (An attorney [guardian ad litem] for the unborn child
will be required if the husband is not the father.)
b.
is not currently pregnant.
3.
We have made written agreements or received orders from the court about some
or all of the matters in this action such as maintenance (spousal support) or
property division.
Check a or b. If a, attach
a copy of the written
agreement to this
petition.
a.
Yes, and we have attached a copy of the written agreement to this
Petition.
b.
No
We consent to jurisdiction and waive service of summons
WE ASK THAT THE COURT:
If you are requesting
maintenance (spousal
support) at this time,
check yes. If not, check
no.
1.
Grant a judgment as requested.
2.
Enter an order granting maintenance.
Yes No
3.
Enter other orders as it deems just and equitable.
ACTS PROHIBITED BY STATUTE
In accordance with § 767.117 Wis. Stats., neither joint petitioners to this divorce or legal separation
action can participate in any of the following activities while this action is pending:
1. Harassing, intimidating, physically abusing or imposing any restraint on the personal liberty of the
other party or a minor child of either of the parties.
2. Encumbering, concealing, damaging, destroying, transferring, or in any other way disposing of
property owned by either or both of the parties, without the consent of the other party or an order of
the court or the Circuit Court Commissioner, except in the usual course of business, in order to secure
necessities or in order to pay reasonable costs and expenses of the action, including attorney fees.
A VIOLATION OF THE ABOVE PROHIBITIONS MAY RESULT IN PUNISHMENT FOR
CONTEMPT, WHICH MAY INCLUDE MONETARY PENALTIES, IMPRISONMENT, AND
OTHER SANCTIONS AS PROVIDED FOR IN SEC. 785.04 WIS. STATS.
These PROHIBITIONS apply until the action is dismissed, a final judgment in the action is entered, or
the court orders otherwise.
The wife must sign and
print her name. She must
enter the date of which she
signed her name.
Note: This signature does
not need to be notarized.
►
Wife
Print or Type Name
Date
The husband must sign
and print his name. He
must enter the date of
which he signed his name.
Note: This signature does
not need to be notarized.
►
Husband
Print or Type Name
Date
