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Fillable Printable Petition for Dissolution of Marriage Form- Montana

Fillable Printable Petition for Dissolution of Marriage Form- Montana

Petition for Dissolution of Marriage Form- Montana

Petition for Dissolution of Marriage Form- Montana

Do not file this page with the court.
DISSOLUTION OF
MARRIAGE
FORMS
APPROVED BY
The Missouri Supreme Court
July, 2012
Do not file this page with the court.
DISSOLUTION OF MARRIAGE FORMS PACKAGE
Introduction
The Unauthorized Practice of Law
These forms are provided at no cost to you by the Missouri Supreme Court
Committee on Access to Family Courts so that you may have access to the
Missouri Courts. It is a crime for another person to charge you a fee for preparing
these forms for you unless that person is a licensed lawyer. If anyone other than
a lawyer attempts to charge you for preparing these forms, you should notify the
Office of Chief Disciplinary Counsel, 3335 American Avenue, Jefferson City,
Missouri, 65109.
General Information about All Forms
Information that you enter on these forms can be saved on your computer ONLY if
you are using Adobe Acrobat version 8.0 or higher. They can be completed using
the free Adobe Reader, but you will not be able to save the information you enter.
The forms listed below are interactive. You can enter the information on
these forms before you print them. If you fill the forms in on your computer, much
of the information you enter on one form is automatically transferred to other
forms. For example, if you type your first name on the “Petition for Dissolution of
Marriage,” your first name will also appear on the other forms.
Some forms refer to the husband and wife as the parties, while other forms
refer to the parties as the Petitioner and the Respondent. The Parenting Plan
refers to the Mother and Father. It is assumed that you are the petitioner, or the
person filing the case. Because of this, you must indicate whether you are the
Husband or the Wife so that information from one form can be automatically
transferred to the other forms.
This package also contains bookmarks. These bookmarks help you to
navigate throughout these forms. In addition, there are “links” embedded in the
forms. These links are usually green, and can take you to a related location in the
forms.
If your spouse signs the “Answer” so that service of process is not required,
then you only have to file one copy of the “Petition for Dissolution of Marriage”,
“Statement of Income and Expenses”, “Statement of Property and Debt and
Proposed Separation Agreement”, and “Parenting Plan”. If your spouse does not
sign an “Answer”, then you must file one additional copy of all of these forms.
You should also keep a copy of these forms for your records.
Some additional forms may be required by some Missouri Courts. You should
check with your local court.
Do not file this page with the court.
TABLE OF CONTENTS
1. Petition for Dissolution of Marriage (Form CAFC001)
This is the first form you should complete. Information that you enter on this form
will be transferred to all the other forms in the package.
2. Certificate of Dissolution of Marriage (Form CAFC065)
Most courts require that you file two copies of the Certificate of Dissolution of
Marriage.
3. Statement of Income and Expenses (Form CAFC050)
This form requires that you list income and expenses for both you and your
spouse. A lawyer can assist you in finding out this information.
4. Statement of Property and Debt and Proposed Separation Agreement
(Form CAFC040)
READ THE INSTRUCTIONS ON THIS FORM CAREFULLY.
If both you and your spouse agree on the disposition of property and debt and
on all issues concerning maintenance, you may both sign this form. This
“Separation Agreement” can then be introduced into evidence at your hearing.
5. Respondent’s Answer to Petitioner’s Petition for Dissolution of
Marriage (Form CAFC010)
Your spouse may sign this form if he or she does not want to be personally
served. By signing this form, your spouse is allowing the court to decide your
case. Your spouse may also use this form to disagree with your statements on
your forms.
6. Judgment of Dissolution of Marriage (Form CAFC070)
This is a “proposed” judgment. Different courts handle the preparation of the
judgment in different ways. In some courts, the judge will direct you to prepare a
judgment, and in other courts, the judge will prepare the judgment.
7. Filing Information Sheet (Form CAFC067)
This form is required by most courts to enter the information about your case into
the Court’s computer system.
8. Parenting Plan (Form CAFC501)
This form is only required if there are unemancipated children of this marriage. If
there are no unemancipated children of this marriage, then you do not have to
print this form, nor do you have to file this form.
There are two parts to this form, Part A and Part B. Part A deals with custody
issues of the children, and Part B deals with support issues of the children. You
must complete both parts of the Parenting Plan.
If you have different custody or support arrangements for some of the
children, you must complete a separate Parenting Plan for each set of children.
Petition for Dissolution of Marriage Page 1 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
IN THE CIRCUIT COURT OF _________________________, MISSOURI
(County where court is located)
In re the Marriage of
_________________ _____________ ____________________ _________
(First) (Middle) (Last) (Jr./Sr./III)
Petitioner, (Your full name should be entered here) Case No. ____________
(Will be assigned when case is filed)
-and-
Division No. ____________
_________________ _____________ ____________________ _________ (Will be assigned when case is filed)
(First) (Middle) (Last) (Jr./Sr./III)
Respondent. (Enter your spouse’s full name here)
Petition for Dissolution of Marriage
1. How many petitions have you filed in this case?
This is the first petition I have filed in this case. (Original Petition)
This is the second petition I have filed in this case.
This is the third petition I have filed in this case.
Throughout this entire case, you will
always be the “Petitioner” and your husband
or wife will always be the “Respondent”.
Your husband or wife is also referred to as
your “spouse”.
2. Are you the Husband or the Wife?
I am the Wife.
I am the Husband.
3. What is your mailing address?
_________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
_________________________ _____________________________
(Telephone Number) (E-Mail Address)
This is the address that the court will
use to send information concerning your
case to you.
This address is not necessarily the
same as the address at which you reside.
Even if you do not wish to disclose the
address at which you reside, you MUST still
provide the court with a mailing address.
4. What are the last four numbers of your social security number?
XXX-XX- _____________
The last four digits of your social
security number are required by §452.312,
RSM0.
5. What is your spouse’s mailing address?
_________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
_________________________ _____________________________
(Telephone Number) (E-Mail Address)
This is the address that the court will
use to send information concerning your
case to your spouse. If you do not know
your spouse’s current address, you should
enter the last known address of your
husband or wife.
6. What are the last four numbers of your spouse’s social security
number?
XXX-XX- _____________
The last four digits of your spouse’s
social security number are required by
§452.312, RSMo. Do not leave this field
blank. If you do not know your spouses
social security number, enter “Unknown” in
this field.
If you change addresses,
make sure to tell the court
in writing your new
address.
Petition for Dissolution of Marriage Page 2 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
7. DIRECTIONS FOR SERVICE ON RESPONDENT
How will your spouse receive legal notice of this proceeding?
Before your case can proceed, your
spouse must be given notice that you have
filed this case. This notice can be given in
one of the methods described on this page.
Respondent has signed a verified “Answer to Petition for
Dissolution of Marriage” which is being filed with the “Petition for
Dissolution of Marriage.” Therefore, do not issue a summons.
If you check this box, you must file the
“Answer to Petition for Dissolution of
Marriage” at the same time you file this
petition. The “Answer” must be signed by
your spouse in front of a notary public.
Respondent has signed a verified “Waiver of Service and Entry of
Appearance” which is being filed with the “Petition for Dissolution of
Marriage. Therefore, do not issue a summons.
If your spouse signs a “Waiver of
Service and Entry of Appearance,he or she
has 30 days in which to file an answer to the
petition. The “Waiver of Service and Entry
of Appearance” must be signed by your
spouse in front of a notary public.
Respondent will voluntarily enter his/her appearance in this case
and therefore summons should be issued but held in the Sheriff’s
office for this County. If a verified “Waiver of Service and Entry of
Appearance” is not filed within thirty (30) days, this case may be
dismissed without further notice to Petitioner.
Your spouse can either sign an answer
or waiver within 30 days, or your spouse can
pick up a copy of the papers in the sheriff’s
office for this county within 30 days.
If you select this option, the clerk will
issue a summons, which will be “held” in the
sheriff’s office.
Summons should be served upon Respondent at his/her
residence:
________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
Respondent may be served either at
his/her place of employment or at his/her
home. You should check the appropriate
box.
Your spouse must be served within 30
days of the issuance of the summons.
IF YOU ARE GOING TO HAVE YOUR
SPOUSE SERVED, YOU MUST FILE
ANOTHER COPY OF ALL YOUR
DOCUMENTS IN THIS CASE TO BE
SERVED ON YOUR SPOUSE.
Summons should be served upon Respondent at his/her place of
employment:
_________________________________________ __________________
(Employer’s Name - if applicable) (Hours of Employment)
________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
Respondent cannot be served in Missouri. Therefore, service by
registered mail is requested. A copy of the “Affidavit for Service by
Mailis attached to this form. See Missouri Supreme Court Rule
54.12(b)
Service by registered mail is only
available if your spouse resides outside the
State of Missouri.
If you have service by mail, you are not
entitled to obtain any kind of money
judgment against your spouse for such
things as child support or maintenance.
The whereabouts of Respondent are unknown and there is no
way of contacting him or her. I have attempted to locate the
Respondent and have been unable to do so. Therefore, service by
publication will be required. A copy of the “Affidavit for Service by
Publication” is attached to this form. Child support, maintenance or
other money judgments will not be allowed against Respondent if
service is by publication. Publication must be made in the county
where this matter is filed in a newspaper of general circulation. See
Missouri Supreme Court Rule 54.12(c).
You can only obtain service by
publication if the whereabouts of your
spouse are unknown and you cannot locate
him or her by making all reasonable
attempts to find out where he or she can be
served.
If you have service by publication, you
are not entitled to obtain any kind of money
judgment against your spouse for such
things as child support or maintenance.
This option should only be utilized as a
last resort.
Other: ______________________________________________
NOTE: Must be authorized by
Supreme Court rule or statute.
ONE and only ONE box
should be checked on
this page.
Petition for Dissolution of Marriage Page 3 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
8. What is your age?
_______________
(Number of Years)
You should enter your age in years on
this line.
9. In what country do you currently reside?
______________________
(Country)
Read each question carefully. This question
requests the COUNTRY in which you reside.
It does not request the COUNTY in which
you reside.
10. In what state do you currently reside and for what length of
time have your resided in your state of residence?
_________________________ ______ ______ ______
(State of Residence) Years Months Days
(Length of Residence in this State)
You should enter state in which you
reside and the length of time you have been
a resident of the State. Missouri law
requires that one party to a dissolution of
marriage proceeding must have been a
resident of the State of Missouri for at least
90 days. If the time is less than four
months, state the number of days you have
resided in the state.
11. In what county do you currently reside and for what length of
time have you resided in your county of residence?
_________________________ ______ ______ ______
(Name of County) Years Months Days
(Length of Residence in this County)
The “City of St. Louis” is considered a
county. If you live in the City of St. Louis,
you should write “St. Louis City” in the blank.
Also you should enter the length of time
you have been a resident of the county.
12. What is your current employment status?
Employed
Unemployed
Self-employed
13. If you are employed or self-employed, where do you currently
work?
_________________________________________
(Employer’s Name or type of self-employment)
________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
If you are self-employed, enter a brief
description of the type of work you perform
such as “Landscaping” or “Day care” on the
line for the name of your employer. If you
are self-employed, you should also enter the
address information for your self-
employment.
14. What is your total monthly gross income from all sources?
________________________
(Total Monthly Gross Income)
Enter the total amount of gross income
you earn each month. “Gross income” is the
amount of money a person earns before
anything such as taxes is deducted. For a
more detailed definition of “gross income”
see Supreme Court Form No. 14
15. Can you support yourself through the combined income from
your employment and income from property that you will receive
in the dissolution?
Yes
No
This does not include supporting any
minor children.
16. What is your spouse’s age?
_______________
(Number of Years)
You should enter your spouse’s age in
years on the line.
Not the City
Not the Country
(See Explanation)
Petition for Dissolution of Marriage Page 4 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
17. In what country does your spouse currently reside?
_________________________
(Country)
18. In what state does your spouse currently reside and for what
length of time has your spouse resided in his or her state of
residence?
_________________________ ______ ______ ______
(State of Residence) Years Months Days
(Length of Residence in this State)
You should enter state in which your
husband or wife resides and the length of
time your spouse has been a resident of the
State. If the time is less than four months,
state the number of days your spouse has
resided in the state.
19. In what county does your spouse currently reside and for what
length of time has your spouse resided in his or her county of
residence?
_________________________ ______ ______ ______
(Name of County) Years Months Days
(Length of Residence in this County)
If you do not know in which county your
spouse resides and cannot find out this
information from any source such as family,
friends, telephone listings, or the internet,
then you should enter “Unknown”.
Also you should enter the length of time
your spouse has been a resident of the
county. The “City of St. Louis” is considered
a county.
20. If your spouse does not live in Missouri, did you and your
spouse live together in Missouri during your marriage?
Yes.
No.
Not Applicable. (My spouse currently resides in Missouri)
If you and your spouse have never lived
together in the State of Missouri during your
marriage and he or she does not voluntarily
enter his or her appearance in this
proceeding, the court will lack personal
jurisdiction over your spouse. This means
that the court cannot award any money
judgment to you.
It may be better to file this case in the
state where your spouse resides. You
should consult a lawyer for further
information.
21. What is your spouse’s current employment status?
Employed
Unemployed
Self-employed
Unknown
22. If your spouse is employed or self-employed, where does he
or she currently work?
_________________________________________
(Employer’s Name or type of self-employment)
________________________________________________________
(Street)
_________________________ __________________ ___________
(City) (State) (Zip)
If your spouse is self-employed, enter a
brief description of the type of work he or
she performs, such as “Landscaping” or
“Day care,” on the line for the name of your
employer. If your spouse is self-employed
you should also enter the address
information for his or her self-employment.
23. What is your spouse’s total monthly gross income from all
sources?
________________________
(Total Gross Monthly Income)
Enter the total amount of gross income
your spouse earns each month. “Gross
income” is the amount of money a person
earns before anything such as taxes is
deducted.
If you do not know the exact amount of
gross monthly income for your spouse, you
should enter your best estimate here.
Not the City
Not the Country
Petition for Dissolution of Marriage Page 5 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
24. Can your spouse support him or herself through the combined
income from his or her employment and income from property that
he or she will receive in the dissolution?
Yes
No
Unknown
This does not include supporting any
minor children born of the marriage.
25. Is your spouse on active duty in the military?
Yes
No
If your spouse is on active duty in the
armed forces of the United States, the
Servicemembers Civil Relief Act (SCRA)
may prevent you from obtaining a
dissolution of marriage without your
spouse’s consent. You should contact a
lawyer about this situation prior to filing this
petition.
26. On what date were you married? _____________
(MM/DD/YYYY)
You must answer this
question.
27. In what country, state and county did you get your marriage
license?
_________________________ __________________________
(Country) (State)
_________________________
(Name of County)
You should enter the Country, State
and County where you marriage is
registered.
This is not necessarily the same as the
county where you were married.
The City of St. Louis is considered a
county and is the only city in the state of
Missouri that is a county.
28. On what date did you and your spouse separate?
_____________
(MM/DD/YYYY)
The date of separation is not
necessarily the same as the date one party
moved out of the joint residence of the
parties. Under some circumstances, the
parties may be separated and still be
residing in the same residence.
29. Is there any reasonable likelihood that your marriage can be
preserved?
Yes
No
If you answered “Yes”, then the court
will not grant a dissolution of marriage but
may grant a legal separation.
30. Is your marriage irretrievably broken?
Yes
No
If you answered ‘No”, then the court will
not grant a dissolution of marriage but may
grant a legal separation.
31. State any arrangements which you and your spouse have
made for the maintenance of the other party or the custody and
support of any children.
____________________________________________________________________
____________________________________________________________________
If you have unemancipated children,
please state any arrangements you and your
spouse have concerning the support and
custody of the children. Maintenance is what
used to be called alimony. It refers to an
amount paid by one party to the other party
for his or her support. It is not the same as
child support.
32. Is Wife pregnant?
Yes
No
You should answer “Yes” if Wife is
pregnant even if Husband is not the father of
this child.
33. How many living children do you and your spouse have
together that were born after the date of your marriage?
_________________
(Number of Children)
Each one of these children
should be listed in your answers to
Questions 38 through 41.
Include in this number all living children
born to Wife during this marriage as a result
of sexual intercourse with Husband including
children who are grown. Do not include
deceased children.
You must enter
a date on this
line.
You must enter
a date on this
line.
Do not answer this question “N/A” or
“Not Applicable.” You MUST enter
a number on this line.
Petition for Dissolution of Marriage Page 6 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
34. How many living children did you and your spouse adopt?
_________________
(Number of Children)
Each one of these children
should be listed in your answers to
Questions 38 through 41.
Include in this number all living children
that were (a) born to Wife and subsequently
adopted by Husband; or (b) fathered by
Husband and subsequently adopted by
Wife; or (c) adopted by both parties. Include
in this number children who are grown. Do
not include deceased children.
35. How many living children do you and your spouse have
together that were born before the date of your marriage?
_________________
(Number of Children)
Each one of these children
should be listed in your answers to
Questions 38 through 41.
Include in this number all living children
born to Wife before this marriage as a result
of sexual intercourse with Husband including
children who are grown. You should attach
a copy of the birth certificate for these
children to your petition. If Husband is not
listed as the father on the birth certificate,
additional information may be required to be
included in your petition.
36. How many living children did Wife have with someone other
than Husband that were born after the date of their marriage? (This
number includes children born since the parties separated)
_________________
(Number of Children)
Each one of these children
should be listed in your answers to
Questions 38 through 41.
Include in this number all living children
born to Wife during this marriage as a result
of sexual intercourse with a man other than
Husband including any children who are
grown. Do not include deceased children.
Information in addition to the information on
this petition will be required before the court
may proceed with your case.
37. Enter the total number of children from lines 33, 34, 35, and 36.
_________________
(Number of Children)
Each one of these children
should be listed in your answers to
Questions 38 through 41.
Add the numbers you entered on lines
33, 34, 35, and 36 above and enter the total.
NOTE: If line 37 is zero, then you may skip Questions 38 through 49 and go directly to Question
50.
INSTRUCTIONS FOR QUESTIONS 38 THROUGH 41 PERTAINING TO CHILDREN
Questions 38 through 41 each have 10 subparts lettered ‘a’ through ‘j’. These subparts are arranged vertically in two columns on
each page. Each of these two columns represents the information for one child. Question 38 pertains to the first child, Question 39
pertains to the second child, and so on.
If you answered Question 37 with 0’, you should skip Questions 38 through 49 and go directly to Question 50.
If you answered Question 37 with 1’, you should answer Question 38 for the one child you listed in your answer to
Question 37 and if the child is not emancipated, you should also answer questions 42 through 49 inclusive.
If you answered Question 37 with 2’, you should answer Questions 38 and 39 for the two children you listed in your
answer to Question 37. If either of the children is not emancipated, you should also answer questions 42 through 49 inclusive.
If you answered Question 37 with ‘3’, you should answer Questions 38 through 40 for the three children you listed in
your answer to Question 37. If any of the children are not emancipated, you should also answer questions 42 through 49 inclusive.
If you answered Question 37 with ‘4’, you should answer Questions 38 through 41 for the four children you listed in your
answer to Question 37. If any of the children are not emancipated, you should also answer questions 42 through 49 inclusive.
If you answered Question 37 with a number greater than ‘4’, you should answer Questions 38 through 41 for the
four children you listed in your answer to Question 37. Additionally, you should attach additional pages answering all the questions
asked in Question 38 for each child you have in addition to the children you have described in Questions 38 through 41. If any of
the children are not emancipated, you should also answer questions 42 through 49 inclusive.
You must list the children even if they are adults or if they are in someone else’s custody. You
must also list each child that was born after the date of the marriage even if Husband is not the
father of the child.
Do not answer this question “N/A” or
“Not Applicable.” You MUST enter
a number on this line.
Do not answer this question “N/A” or
“Not Applicable.” You MUST enter a
number on this line.
Do not answer this question “N/A” or
“Not Applicable.” You MUST enter
a number on this line.
Do not answer this question “N/A” or
“Not Applicable.” You MUST enter
a number on this line.
Petition for Dissolution of Marriage Page 7 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
QUESTION 38
(To be answered if the answer to question 37 is one or more)
CHILD ONE
38a. What is the full name of this child?
a.
38b. What are the last four numbers of this child’s Social Security Number?
b. XXX-XX-
38c. What is the current address of this child?
c.
38d. What is this child’s age?
d.
38e. Check all of the following boxes that apply: (To be answered for each child)
This child is married or is on active duty in the military.
This child is self-supporting and the custodial parent has relinquished parental control over this child by express
or implied consent.
This child is over the age of 21, is not insolvent, and is not physically or mentally incapacitated from supporting
himself or herself.
This child is over the age of 18, has not yet reached the age of 21, is not insolvent, is not physically or mentally
incapacitated from supporting himself or herself, and one or more of the following is true:
This child is not currently enrolled in or attending high school or college.
This child graduated from high school, but has not been continuously enrolled in college since October 1
immediately following his or her graduation from high school.
This child graduated from high school and has been continuously enrolled in college since October 1
immediately following his or her graduation from high school, but has failed to complete at least 12 hours
each semester or complete at least 9 hours and work at least 15 hours per week during the same period.
(This provision does not apply to a child who has been diagnosed with a learning disability or whose physical
disability or diagnosed health problem limits the child’s ability to carry sufficient credit hours.)
If the circumstances of the child manifestly dictate, the court may waive the October 1 deadline for enrollment. “College” means any junior college,
community college, college or university at which the child attends classes regularly. As used in this form, “college” also includes any postsecondary
training or schooling for which the student is assessed a fee and attends classes regularly.
If you did not check any of the boxes in Question ‘38e’, you must answer the rest of the
information for this child on this page (parts ‘38f’ through ‘38j’) and you must also answer
questions 42 through 49 for this child. This child IS NOT emancipated and the court must make
orders with respect to custody and support of this child.
If you checked any of the boxes in Question ‘38e’, you do not need to answer the rest of the
information for this child and questions 42 through 49 do not apply to this child. This child IS
emancipated.
38f. With whom has this child primarily resided during the previous 60 days?
f.
38g. Who should have legal custody of this child? NOTE: Legal custody refers to
who will make the decisions concerning health, education and welfare for this child. §452.375.1(2),
RSMo.
g. Wife
Husband
Joint Husband/Wife
Third Person
38h. Who should have physical custody of this child? NOTE: Physical custody
refers to where this child will reside and what time this child spends with each parent. §452.375.1(3),
RSMo.
h. Wife
Husband
Joint Husband/Wife
Third Person
38i. Who is the father of this child? If Husband is not the father of this child, you must
state the name of each person who could be the father.
i. Husband
Other (State Name(s))
____________________
38j. If this child was born prior to the marriage, is Husband listed as the
father on the birth certificate?
j. Yes
No
Not Applicable
Petition for Dissolution of Marriage Page 8 of 12
Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov Form CAFC001-07/01/2012 This form is available for free at www.selfrepresent.mo.gov
QUESTION 39
(To be answered if the answer to question 37 is two or more)
CHILD TWO
39a. What is the full name of this child?
a.
39b. What are the last four numbers of this child’s Social Security Number?
b. XXX-XX-
39c. What is the current address of this child?
c.
39d. What is this child’s age?
d.
39e. Check all of the following boxes that apply: (To be answered for each child)
This child is married or is on active duty in the military.
This child is self-supporting and the custodial parent has relinquished parental control over this child by express
or implied consent.
This child is over the age of 21, is not insolvent, and is not physically or mentally incapacitated from supporting
himself or herself.
This child is over the age of 18, has not yet reached the age of 21, is not insolvent, is not physically or mentally
incapacitated from supporting himself or herself, and one or more of the following is true:
This child is not currently enrolled in or attending high school or college.
This child graduated from high school, but has not been continuously enrolled in college since October 1
immediately following his or her graduation from high school.
This child graduated from high school and has been continuously enrolled in college since October 1
immediately following his or her graduation from high school, but has failed to complete at least 12 hours
each semester or complete at least 9 hours and work at least 15 hours per week during the same period.
(This provision does not apply to a child who has been diagnosed with a learning disability or whose physical
disability or diagnosed health problem limits the child’s ability to carry sufficient credit hours.)
If the circumstances of the child manifestly dictate, the court may waive the October 1 deadline for enrollment. “College” means any junior college,
community college, college or university at which the child attends classes regularly. As used in this form, “college” also includes any postsecondary
training or schooling for which the student is assessed a fee and attends classes regularly.
If you did not check any of the boxes in Question ‘39e’, you must answer the rest of the
information for this child on this page (parts ‘39f’ through ‘39j’) and you must also answer
questions 42 through 49 for this child. This child IS NOT emancipated and the court must make
orders with respect to custody and support of this child.
If you checked any of the boxes in Question ‘39e’, you do not need to answer the rest of the
information for this child and questions 42 through 49 do not apply to this child. This child IS
emancipated.
39f. With whom has this child primarily resided during the previous 60 days?
f.
39g. Who should have legal custody of this child? NOTE: Legal custody refers to
who will make the decisions concerning health, education and welfare for this child. §452.375.1(2),
RSMo.
g. Wife
Husband
Joint Husband/Wife
Third Person
39h. Who should have physical custody of this child? NOTE: Physical custody
refers to where this child will reside and what time this child spends with each parent. §452.375.1(3),
RSMo.
h. Wife
Husband
Joint Husband/Wife
Third Person
39i. Who is the father of this child? If Husband is not the father of this child, you must
state the name of each person who could be the father.
i. Husband
Other (State Name(s))
____________________
39j. If this child was born prior to the marriage, is Husband listed as the
father on the birth certificate?
j. Yes
No
Not Applicable
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