Request For Relief Dissolution Of Marriage No Minor Or Dependent Children {Form 127}

Rule 17.100--Form 127: Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children Caution: This form may require you to provide protected or sensitive information. Use this form only if you have filed a Petition for Dissolution of Marriage (101) and: · · Your spouse (Respondent) did not file an Answer, or Your spouse will not work with you to prepare a Settlement Agreement (128). If filing electronically and you include protected information on this form, fill out or update the Protected Information Disclosure form (111) if you have not already done so. If filing in paper, you may use form 111 to provide any protected information in full if you have not already done so. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for County where your case is filed County Upon the Petition of Equity case no. Petitioner Full name: first, middle, last and concerning Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children Respondent Full name: first, middle, last 1. Personal Information Fill in all information that you know. If you have been assaulted by your spouse and you fear for your safety, you may leave your address, phone number, and email blank. I am Check one A. B. Petitioner Respondent (1) Petitioner's birth year and present residence: Birth year Petitioner's present street address County City State ZIP code ( ) Email address Birth year Phone number (2) Respondent's birth year and present residence: Respondent's present street address County City State ZIP code ( ) Email address Phone number November 2013 Rule 17.100--Form 127 Page 1 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.100--Form 127: Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children, continued 2. Request for Relief A. Children Check all that are true (1) (2) (3) (4) There are no children under the age of 18 who are children of both Petitioner and Respondent. There are no children under the age of 18 who were adopted or born during this marriage. There are no children 18 years of age or older who still need support. Neither Petitioner nor Respondent is pregnant. B. Breakdown of marriage The marriage is broken down and cannot be saved. C. Counseling Counseling will not save the marriage. D. Waiting period before decree Check one (1) (2) More than 90 days have passed since Respondent was served with an Original Notice. Fewer than 90 days have passed since Respondent was served with an Original Notice, but I want the court to take action right away without a separate hearing. There are no children affected by this action. Neither Petitioner nor Respondent is pregnant. This paper explains how I would like to settle all issues in my divorce. E. Financial affidavits Check one (1) (2) I filed a Financial Affidavit (124). I certify that I have fully disclosed all income and the identity and value of all assets and debts. I am asking that the court not require me to file a Financial Affidavit. Explain F. Division of personal property Check one (1) All of the personal property obtained during the marriage has been divided. I ask that Petitioner will keep the personal property in Petitioner's possession, and Respondent will keep the personal property in Respondent's possession. If you check (1), skip to G. I ask that our personal property be divided as follows: Attach additional sheets if necessary. a. Petitioner will get the following as Petitioner's separate personal property: (2) b. Respondent will get the following as Respondent's separate personal property: November 2013 Rule 17.100--Form 127 Page 2 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.100--Form 127: Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children, continued G. Division of real estate For each parcel of real estate you own, provide the following information. Attach a separate sheet for each additional parcel. (1) Ownership of real estate Check one a. b. We do not own any real estate. If you check a, skip to H. We own real estate located at: Street address in the City of State of , County of . This land is described in the deed as follows: , and , (2) The real estate shall be: Check one a. b. c. d. Sold and the profit or debt divided % to Petitioner and to Respondent. Awarded to Petitioner, subject to all liens and mortgages. Awarded to Respondent, subject to all liens and mortgages. Other Explain % (3) Additional real estate Check this box if you are attaching separate sheets for additional parcels of real estate. H. Division of debts Check one (1) (2) There are no debts. I have listed all the debts I know about and ask that they be divided as follows: Attach additional sheets if necessary. a. Petitioner will pay the following debts: i. Business or person to whom a debt is owed (a) (b) ii. Account number, if any Last 4 numbers only iii. Total amount still owed $ $ November 2013 Rule 17.100--Form 127 Page 3 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.100--Form 127: Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children, continued (c) (d) (e) $ $ $ Check this box if you are attaching a separate sheet listing additional information about Petitioner's debts. b. Respondent will pay the following debts: i. Business or person to whom a debt is owed (a) (b) (c) (d) (e) ii. Account number, if any Last 4 numbers only iii. Total amount still owed $ $ $ $ $ Check this box if you are attaching a separate sheet listing additional information about Respondent's debts. c. For any debt we do not know about, the spouse who made the debt will pay that debt. I. Cash payment I ask that Check one (1) (2) Neither Petitioner nor Respondent pay any money to the other. Petitioner pay Respondent $ and debts by , 20 Month (3) Respondent pay Petitioner $ and debts by , 20 Month Day Year Day Year to equalize the division of property . to equalize the division of property . J. Spousal support (alimony) Check one I ask that: (1) (2) Neither Petitioner nor Respondent pay spousal support (alimony) to the other. Spousal support (alimony) be paid as follows: Continued on next page November 2013 Rule 17.100--Form 127 Page 4 of 6 American LegalNet, Inc. www.FormsWorkFlow.com Rule 17.100--Form 127: Request for Relief in a Dissolution of Marriage with no Minor or Dependent Adult Children, continued K. Name chan