Free DISSOLUTION OF CIVIL UNION COMPLAINT - Connecticut


File Size: 365.6 kB
Pages: 2
Date: August 11, 2008
File Format: PDF
State: Connecticut
Category: Court Forms - State
Author: MPiela
Word Count: 824 Words, 4,888 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.jud2.ct.gov/webforms/forms/fm159a.pdf

Download DISSOLUTION OF CIVIL UNION COMPLAINT ( 365.6 kB)


Preview DISSOLUTION OF CIVIL UNION COMPLAINT
DISSOLUTION OF CIVIL UNION COMPLAINT
JD-FM-159A New 10-05 P.A. 05-10, P.B. § 25-2, et seq.

STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.gov

CROSS COMPLAINT CODE ONLY

CRSCMP

Complaint: Complete this form. Attach a completed Summons (JD-FM-3) and Notice of Automatic Court Orders (JD-FM-158). Amended Complaint. Cross Complaint: Complete this form and attach to the Answer (JD-FM-160) unless it is already filed.
JUDICIAL DISTRICT OF PLAINTIFF'S NAME (Last, First, Middle Initial) 1. PLAINTIFF'S BIRTH NAME IF DIFFERENT FROM ABOVE 3. DATE OF CIVIL UNION AT (Town) RETURN DATE (Month, day, year) DOCKET NO. DEFENDANT'S NAME (Last, First, Middle Initial) 2. DEFENDANT'S BIRTH NAME IF DIFFERENT FROM ABOVE

4. TOWN AND STATE, OR COUNTRY WHERE CIVIL UNION TOOK PLACE

5. (Check all that apply) The ("X" one) plaintiff defendant has lived in Connecticut for at least twelve months before the filing of this dissolution of civil union complaint or before the dissolution of civil union will become final. The ("X" one) plaintiff defendant lived in Connecticut at the time of the civil union, moved away, and then returned to Connecticut, planning to live here permanently. moved to Connecticut. The civil union broke down after the ("X" one) plaintiff defendant 6. A dissolution of the civil union is being sought because: (Check all that apply) This civil union has broken down irretrievably and there is no possibility of getting back together. Other (must be reason(s) listed in Connecticut General Statute § 46b-40(c)):

Check and complete all that apply for items 7-14. Attach additional sheets if needed. 7. 8. 9. No children were born to either the plaintiff or defendant after the date of this civil union. There are no minor children of this civil union. plaintiff defendant or have been adopted The following children have been born to the ("X" all that apply) before, on, or after the date of this civil union and the other party to this civil union is the parent/adoptive parent.
(List only children who have not yet reached the age of 23.)
NAME OF CHILD (First, Middle Initial, Last) DATE OF BIRTH (Month, day, year)

10.

The following children were born after the date of this civil union to the ("X" all that apply) and are not the children of the other party to this civil union.
NAME OF CHILD (First, Middle Initial, Last)

plaintiff

defendant

DATE OF BIRTH (Month, day, year)

11.

The ("X" all that apply)

plaintiff

defendant

is pregnant with a child due to be born on (date)

(Continued...)

PRINT

RESET

12. If there is a court order about any child listed above, name the child(ren) below and the person or agency awarded custody or providing support:
CHILD'S NAME CHILD'S NAME CHILD'S NAME NAME OF PERSON OR AGENCY NAME OF PERSON OR AGENCY NAME OF PERSON OR AGENCY

13. The ("X" all that apply) plaintiff defendant or any of the child(ren) listed above has received financial support from the State of Connecticut. ("X" one) Yes No Do not know If yes, send a copy of the Summons, Complaint, Notice of Automatic Court Orders and any other documents filed with this Complaint to the Assistant Attorney General, 55 Elm Street, Hartford, CT 06106, and file the Certification of Notice (JD-FM-175) with the court clerk. plaintiff defendant 14. The ("X" all that apply) support from a city or town in Connecticut. ("X" one) Yes (State city or town: or any of the child(ren) listed above has received financial ) No Do not know

If yes, send a copy of the Summons, Complaint, Notice of Automatic Court Orders and any other documents filed with this Complaint to the City Clerk of the town providing assistance and file the Certification of Notice (JD-FM-175) with the court clerk.

The Court is asked to order: (Check all that apply) A dissolution of civil union. A fair division of property and debts. Alimony. Sole custody. Child Support. Joint legal custody, Primary residence with: An order for the post-majority educational support of the child(ren) pursuant to C.G.S. § 46b-56c. And anything else the Court deems fair.
SIGNATURE ADDRESS PRINT NAME OF PERSON SIGNING JURIS NO. (If applicable) DATE SIGNED TELEPHONE (Area code first)

Visitation. Name change to:

· If this is a Complaint, attach a copy of the Automatic Court Orders before serving a copy on the Defendant. · If this is an Amended Complaint or a Cross Complaint, you must mail or deliver a copy to anyone who has filed an appearance and you must complete the certification below.

I certify that a copy of the above was mailed/delivered to all counsel and pro se parties of record on:
DATE MAILED OR DELIVERED NAME OF EACH PERSON SERVED* SIGNED (Attorney or pro se party) ADDRESS WHERE SERVICE WAS MADE (No., street, town, zip code)*

*If necessary, attach additional sheet with name of each party served and the address at which service was made.
JD-FM-159A (Back) New 10-05

PRINT

RESET