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District Court ___________________________ County, Colorado Court Address:

In re the Marriage of: Petitioner: and Co-Petitioner/Respondent: Attorney or Party Without Attorney (Name and Address):

COURT USE ONLY Case Number:

Phone Number: FAX Number:

E-mail: Atty. Reg. #:

Division

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MOTION TO CONVERT DECREE OF LEGAL SEPARATION TO DECREE OF DISSOLUTION OF MARRIAGE
The Petitioner Co-Petitioner/Respondent (check one) moves this Court to convert the Decree of Legal Separation to a Decree of Dissolution of Marriage pursuant to §14-10-120(2), C.R.S. In support of this Motion, I state the following: 1. 2. 3. The Court entered a Decree of Legal Separation in this case on At least six months have passed since the entry of the Decree of Legal Separation. Notice has been provided to the other party as set forth in the Certificate of Service (below). (date).

Therefore, I request that the Decree of Legal Separation be converted to a Decree of Dissolution of Marriage. If applicable, the Petitioner . Co-Petitioner/Respondent requests that the Court restore his/her prior name to

Date: __________________________

__________________________________________ Petitioner or Co-Petitioner/Respondent ____________________________________________ Address ____________________________________________ City, State, Zip Code ____________________________________________ (Area Code) Telephone Number (home) ____________________________________________ (Area Code) Telephone Number (work)

CERTIFICATE OF SERVICE
I certify that on ________________ (date), the original was filed with the Court; and, a true and accurate copy of the MOTION TO CONVERT DECREE OF LEGAL SEPARATION TO DECREE OF DISSOLUTION was served on the other party by: Hand Delivery or Faxed to this number ______________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ____________________________________________ ____________________________________________ ____________________________________________ (Your signature)
JDF 1321 R5/05 MOTION TO CONVERT DECREE OF LEGAL SEPARATION TO DECREE OF DISSOLUTION OF MARRIAGE