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IN THE CIRCUIT COURT OF ________________________, MISSOURI
ST. LOUIS COUNTY
In re the Marriage of
_________________
_____________
____________________
_________
(First)
(Middle)
(Last)
(Jr./Sr./III)
Petitioner,
Case No. ____________
-and-
Division No. ____________
_________________
_____________
____________________
_________
(First)
(Middle)
(Last)
(Jr./Sr./III)
Respondent.
Judgment of Dissolution of Marriage
Parties
1.
As used herein, “Wife” refers to Petitioner and “Husband” refers to Respondent.
As used herein, “Husband” refers to Petitioner and “Wife” refers to Respondent.
2. Appearances
(Check all that apply)
Respondent remains in default as to the pleadings.
Petitioner appears in
Petitioner appears by
Guardian ad Litem
person.
attorney.
appears in person.
Respondent appears in
Respondent appears by
Cause submitted upon
person.
attorney.
affidavit of Petitioner.
Cause submitted upon
Third Party _____________
Third Party ___________
appears in person.
appears by attorney.
affidavit of Respondent.
3. The last four digits of Petitioner’s Social Security Number are ___________ and the last four
digits of Respondent’s Social Security Number are ___________.
4.
Respondent is not on active duty in the armed services of the United States now or any time
since the filing of the petition herein.
Respondent is on active duty in the armed services of the United States, but has waived his
or her rights pursuant to the Servicemembers Civil Relief Act of 2003.
Jurisdiction
5. Thirty (30) days have elapsed since the filing of the petition herein.
6.
The court has personal jurisdiction over Respondent.
The court does not have personal jurisdiction over Respondent.
7.
Petitioner has been a resident of the State of Missouri for at least ninety (90) days
immediately prior to the filing of the petition herein.
Respondent has been a resident of the State of Missouri for at least ninety (90) days
immediately prior to the filing of the petition herein.
Marriage
8. The parties were married on _____________________, and the marriage was registered in
______________________________________________________________________.
9. The parties separated on or about ________________________.
10. There is no reasonable likelihood that the marriage of the parties can be preserved, and the
marriage is therefore irretrievably broken.
Children
11. Wife is not now pregnant.
Judgment of Dissolution of Marriage – Page 1 of 4
Form CCFC187-02/11