100 Jefferson County Parkway
Golden, CO 80401
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Petitioner:
and
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Co-Petitioner/Respondent / Case Number: DR
Division:
AFFIDAVIT TO PARTICIPATE IN THE SIMPLIFIED DIVORCE PROCESS
1. The Parties to this dissolution of marriage action wish to proceed to entry of a decree as quickly and as simply as possible. By signature below, the Parties indicate the following is true and correct to the best of their knowledge, information and belief:
2. The Parties have filled out and have filed with this affidavit a proposed Decree of Dissolution of Marriage (JDF form 1116) and an Affidavit for Decree without Appearance of Parties (JDF Form 1201). The Parties checked the second box in paragraph 4 of the Affidavit indicating: There is no marital property to be divided and there are no marital debts and neither party requests spousal support/maintenance.
a. The Parties do not have any property acquired during the marriage, whether in Petitioner’s name, Respondent’s name or both names, including but not limited to, a town home, condominium, house, duplex, automobiles, retirement accounts, investment accounts or any property of any kind that would have a total value of more than $4,000.00.
b. The Parties do not have any debt acquired during the marriage, whether in Petitioner’s name, Respondent’s name or both names, with a total value owed of more than $2,500.00.
c. The Parties state their respective incomes are comparable and that the advisory maintenance calculation would not recommend a maintenance award of more than $200.00 payable from one party to the other.
3. The Parties indicate they have a full understanding of the financial resources and circumstances of the other party and that further financial disclosures are not needed or required.
4. The Parties hereby knowingly waive the requirement for an Initial Case Management Conference.
5. The Parties hereby knowingly waive the requirement of further financial disclosures.
6. The Parties hereby waive their right to a Temporary Orders hearing or a Permanent Orders Hearing and request the Court consider the Affidavit for Decree without Appearance of Parties and enter a Decree of Dissolution of Marriage after the 91 day waiting period has passed.
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Printed name of Petitioner Printed name of Co-Petitioner/Respondent
Petitioner: Co-Petitioner /Respondent:
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Signature Date Signature Date
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Address: Address:
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City State Zip Code City State Zip Code
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Home Phone # Cell # Home Phone # Cell #
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Attorney Signature, if any Attorney Signature, if any
Subscribed and affirmed, or sworn to before me Subscribed and affirmed, or sworn to before me in the County of ______, in the County of ______,
State of ______, this ______State of ______, this ______
day of ______, 20 _____. day of ______, 20 _____.
My Commission Expires: My Commission Expires:
Notary Public/Clerk/Family Court Facilitator Notary Public/Clerk/Family Court Facilitator