Anda di halaman 1dari 2

IN THE CIRCUIT COURT OF COLE COUNTY, MISSOURI

IN RE THE MARRIAGE OF )
Jean Alicia Johnson )
101 Elm Street )
Jefferson City, Missouri 65101 )
SS#: 456-65-6890 )
Petitioner, ) CASE NO. ________
)
And ) Division ________
)
John Henry Johnson )
123 Standing Creek Drive )
Jefferson City, Missouri 65101 )
SS#: 298-56-5032 )
Respondent. )

PETITION FOR DISSOLUTION OF MARRIAGE

This Petition is for dissolution of marriage and it is alleged on oath as follows:

1. Petitioner resides at 101 Elm Street, Jefferson City, Missouri 65101 and has
resided in the State of Missouri for at least ninety (90) days immediately prior to the filing
of this Petition.

2. Petitioner and Respondent were married on January 14, 2000 in the state of
Missouri and the marriage is registered in Cole County, Missouri.

3. The parties separated on or about March 24, 2001.

4. There are two minor children born to or adopted by the Parties. The names
and dates of birth are: Cindy Alice Johnson, 01/21/01; Mark Anthony Johnson, 02/28/03.
The wife is not now pregnant.

5. Petitioner and Respondent entered into an Agreement resolving all issues of


the marriage, which is recorded in their Property Settlement Agreement and Child Care
Plan, a true and correct copy of which is attached to this Complaint as Exhibit A.

6. Petitioner is employed by Acme Cleaners, 1879 Short Street, Johnson City,


Missouri 65102 and Petitioner's social security number is 456-65-6890. Respondent is
employed by Mason Brick Construction, 1769 Crescent Avenue, Jefferson City, Missouri
65103 and Respondent's social security number is 298-56-5032 .

7. There is no reasonable likelihood that the marriage between Petitioner and


Respondent can be preserved, and therefore, the marriage is irretrievably broken.

WHEREFORE, Petitioner prays for its orders:

a. dissolving the marriage between the Petitioner and Respondent;

b. dividing the marital property between Petitioner and Respondent according


to law and settling all marital and non-marital property and debts of the parties and
resolving child issues as specified in the attached Property Settlement Agreement and Child
Care Plan;

c. and granting such other and further relief as to this Court seems just and
proper in the circumstances.

Wife wishes to retain the last name of Stinson upon the date of the divorce.
_______________________________
____

Signature of Petitioner

Jean Alicia Johnson

STATE OF MISSOURI )
)ss.
County of Jefferson )

On this _____ day of _________________, _____ before me the undersigned


notary public, personally appeared ________________________, the Petitioner
herein, who executed the foregoing Petition and acknowledged that the
statements contained therein are true and correct.

___________________________
________

Notary Public

My commission expires:

_________________

Anda mungkin juga menyukai