Verified Petition for Dissolution of Marriage - Indiana

Please answer the questions below.

When you answer the questions, they will automatically fill in that information where it belongs on the

following forms that you will be filing with the court. Do not leave any questions blank. Any changes

you make must be made to these questions; you will not be able to modify your answers in the forms

themselves. Please have all of your information handy when you are answering these questions.

1. What is the name of the County where you will be filing this divorce? ________________________

4. What is your town, state, and ZIP Code?

____________________________________________________________

5. What is your telephone number, with area code? ______________________

6. What is your email address? _________________________________

7. If you have a fax machine number and want to receive service by fax machine, what is your fax machine

number, with area code? ______________________

10. What is your spouse’s street address?

____________________________________________________________

11. What is your spouse’s town, state and ZIP Code?

____________________________________________________________

12. Are there are other Court cases involving yourself and the other party? _____ Yes _____ No

13. If you selected “Yes,” for each case you and the other party are involved, what is the name of the Court and

Case Number. If you selected “No,” skip to the next question.

Caption:____________________________ Case Number: ________________________