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 wifes 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.
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.
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.
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.
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