ANNULMENT
WITHOUT CHILDREN
1
Part 1: To File for Annulment in a
Non-Covenant Marriage
Without Minor Children
(Forms and Instructions)
© Superior Court of Arizona in Maricopa County
ALL RIGHTS RESERVED
DRAA1 5032- 043021
© Superior Court of Arizona in Maricopa County Page 1 of 1 DRAA1k-010119
ALL RIGHTS RESERVED
Law Library Resource Center
Checklist to file Petition for Annulment of marriage without children
Annulment in Arizona: An annulment in Arizona is a judgment of a marriage to be null and void. The annulment
legal process requires certain statements to the Court showing reasons the purported marriage is invalid from
the beginning, almost as if it had never taken place. The Arizona statutory definition of Annulment (A.R.S. § 25-
301) is not the same as annulment mandated by certain religions.
CHECKLIST
Use the forms and instructions in this packet ONLY if the following factors apply to your situation:
You want to file for an annulment of marriage, AND
You are NOT in a covenant marriage, AND
You and your spouse have no minor children with each other, AND
Either spouse lived in Arizona at least 90 days before you file the petition, or is a member of the
armed forces and has been stationed in Arizona at least 90 days before you file, AND
You understand that there are limited grounds for annulment [A.R.S. §§ 25-301 and 25-302] and
that the Judge will decide at your hearing or trial whether the grounds you state in your petition
are legal grounds for annulment, AND
You still believe your case is appropriate for annulment.
Do not use the annulment forms in this packet if:
You and your spouse have lived in Arizona less than 90 days, or
You and your spouse have minor children together contact an attorney for help.
READ ME: It is very important for you to know that when you sign a court document, you may be helping or
hurting your court case. Before you sign any court document, or get involved with a court case, it is important
that you see a lawyer to make sure you are doing the right thing.
© Superior Court of Arizona in Maricopa County Page 1 of 1 DRAA1t-043021
ALL RIGHTS RESERVED
Law Library Resource Center
Annulment without children
PART 1 Forms and Instructions: Petition and First Court Papers
This packet contains court forms and instructions to file annulment without children for
petitioner only. Items in bold are forms that you will need to file with the Court. Non-bold
items are instructions or procedures. Do not copy or file those pages!
Order
File Number
Title
1
DRAA1k
Checklist. You may use this packet if…
2
DRAA1ft
Table of Contents (this page)
3
DRAA10i
General information and instructions about how to
fill out the forms in this packet
4
DRSDS10f-a
Family Department Sensitive Data Coversheet
Without Children (No copies necessary)
5
DR11f
Summons
6
DR14f
Preliminary Injunction
7
DRAA10f
Petition for Annulment of a Non-Covenant
Marriage Without Minor Children
8
DRD16f
Notice of Right to Convert Health Insurance
9
DR16f
Notice Regarding Creditors
The documents you have received are copyrighted by the Superior Court of Arizona in
Maricopa County. You have permission to use them for any lawful purpose. These forms
shall not be used to engage in the unauthorized practice of law. The Court assumes no
responsibility and accepts no liability for actions taken by users of these documents,
including reliance on their contents. The documents are under continual revision and are
current only for the day they were received. It is strongly recommended that you verify on a
regular basis that you have the most current documents.
© Superior Court of Arizona in Maricopa County Page 1 of 4 DRAA10i- 010119
ALL RIGHTS RESERVED
Law Library Resource Center
General Information
Annulment - Without Minor Children
Annulment in Arizona: An annulment in Arizona is a judgment that a marriage is null and void.
The annulment legal process requires certain statements to the Court showing reasons the
purported marriage is invalid from the beginning, almost as if it had never taken place. You
must have a legal reason to file for annulment.
90 DAY Requirement to File for an Annulment in Arizona: You or your spouse must have
made Arizona your home, or have been stationed in Arizona while a member of the Armed
Forces, for AT LEAST 90 (Ninety) DAYS before you file the Annulment Petition with the Court.
If you cannot meet this requirement DO NOT buy these forms and DO NOT file for Annulment
at this time.
NOTE: The Arizona statutory definition of annulment (A.R.S. § 25-301) is not the same as
annulment defined by certain religions.
Covenant marriage: A covenant marriage in Arizona is a legally distinct kind of marriage in
which the marrying couple agrees to obtain pre-marital counseling and accept more strict
grounds for divorce. The Arizona Covenant Marriage emphasizes the belief that marriage is
more than just a contract between two individuals and requires specific statements of mutual
commitment. If you have questions as to whether your marriage is a covenant marriage, look
for the words covenant marriage” on your marriage license, or see an attorney for help.
These annulment forms may not be used if you have a covenant marriage.
Domestic Violence: Domestic violence is also known as domestic abuse, spousal abuse,
battering, and family violence. Domestic violence can be a pattern of abusive behaviors by
one partner against another in an intimate relationship such as marriage, dating, family, or
living together. Domestic violence has many forms, including physical aggression or assault
(hitting, kicking, biting, shoving, restraining, slapping, throwing objects), or threats thereof;
verbal abuse, sexual abuse, emotional abuse, controlling or domineering behavior,
intimidation, stalking, or passive abuse, such as neglect.
Court documents usually request your address and telephone number. If you are a victim of
domestic violence, you may protect yourself from further violence by protecting your
residential address. To do this, get a P.O. Box, or use another address. Also, you must file a
Request for Protected Address and ask that your address NOT be disclosed on court
papers.
Remember: Contact an attorney if you are unsure whether an annulment is right for your
situation. You may follow all the correct procedures and get all the way to your court hearing,
only to find the judge does not find legal grounds for an annulment. If that happens, you may
have to file additional forms for a divorce/dissolution instead. You could save time and money
to find legal advice before you begin the annulment paperwork.
© Superior Court of Arizona in Maricopa County Page 2 of 4 DRAA10i- 010119
ALL RIGHTS RESERVED
Instructions
How to complete forms for a Petition for Annulment
Without Minor Children
STEP 1: In black ink, please complete the following:
1. Form: Family Department/Sensitive Data Sheet. You are the Petitioner. Write in
the information requested about you, the Petitioner, and the Respondent.
Do not include your mailing address on this form if you are requesting address
protection.
Case Type: Mark only one box that matches the annulment legal procedure:
Annulment
Interpreter: Check “yes” or “no” to indicate whether you need a language
interpreter. If you check, “yes”, write in what language(s) are needed.
No additional copies are needed of this form. Do NOT serve this form on the
other party.
2. Form: Summons. Please fill in the following information.
Your name, street address (if not protected), city state, zip code, telephone
number (if not protected), attorney bar number (if you are represented by an
attorney).
Check the box if you are representing yourself.
Print your name (as Petitioner), then print the name of your spouse (the
Respondent).
Do not fill out the remainder of this form; the Clerk of Superior Court will finish
the form.
3. Form: Preliminary Injunction
Your name, street address (if not protected), city state, zip code, telephone
number (if not protected), attorney bar number (if you are represented by an
attorney).
Check the box if you are representing yourself.
Print your name (as Petitioner), then print the name of your spouse (the
Respondent).
Number 6 Description of the Parties: Under “Petitioner”, fill in your name,
height, driver’s license (last four numbers), your date of birth, and weight.
Checkmark the box of your gender. Under “Respondent” fill in your spouse’s
name, height, driver’s license (last four numbers), your spouse’s date of birth,
and weight. Checkmark the box of your spouse’s gender.
4. Form: Petition for Annulment of a Non-Covenant Marriage Without Minor
Children.
At the top of the form, please fill in your name, street address (if not protected),
city, state, zip code, telephone number (if not protected), attorney bar number
(if you are represented by an attorney).
Check the space if you are representing yourself.
Print your name (as Petitioner), then print the name of your spouse (the
Respondent).
© Superior Court of Arizona in Maricopa County Page 3 of 4 DRAA10i- 010119
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90 Day Residency Requirement: If you or your spouse has lived in Arizona at
least 90 days before you file this petition, check the box.
Items 2 through 4: Fill in your information (except your protected address),
about your spouse, and your marriage. Also note the length of time both you
and your spouse have lived in Arizona.
Item 5: Check the box that describes the condition of the wife at the time you
file this petition.
Item 6: Grounds for the Annulment. This section is highly important. Please
check at least one reason for requesting the Court grant you the annulment
OR write your reason on the lines provided at the bottom of the list, and check
the “Other Reason” box. (If you are unsure about the meaning of any of the
listed reasons, please consult A.R.S. §§ 25-301, 302, or an attorney.)
Items 7 and 8: Check the box which best describes both you and your spouse’s
property and debts surrounding the marriage. Then LIST the description of
property and amount of debts for Parts A and B.
Request(s) to the Court: If you wish the Court to consider an additional order,
fill in Item 4 with WHAT you want and WHY you want the Court to order it.
When you are filing this Petition with the Court Clerk, you will sign the oath in
front of the clerk.
5. Form: Notice of Right to Convert Health Insurance: This is an important document
that explains what to do about your healthcare coverage. Read it carefully;
fill in your name as Petitioner, and your spouse’s name as Respondent. Be
sure to include a copy of this form when you serve your spouse with the
entire annulment packet.
6. Form: Notice Regarding Creditors: This is an important document that tells you and
your spouse that you are BOTH responsible for community debts to
creditors, even though the Court may order or decree that only one of you
are responsible. This notice must be served on your spouse. Also, please
read this notice to learn how to obtain information from your creditors about
account balances.
STEP 2: MAKE Two (2) copies of the following FORMS:
Summons
Preliminary Injunction
Petition for Annulment without Minor Children
Notice of Right to Convert Health Insurance
Notice Regarding Creditors
Set aside the form Family Department / Sensitive Data Coversheet. DO NOT
COPY this form.
STEP 3: ADD the Family Department / Sensitive Data Coversheet FORM to the
original set of forms. Separate this original set of forms from the copies you
have made.
© Superior Court of Arizona in Maricopa County Page 4 of 4 DRAA10i- 010119
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3 SETS: You should have a total of 1 original set of forms, plus 2 copies
of the forms (your photocopies from STEP 2 above).
STEP 4: TAKE your 3 sets of papers to the Clerk of Superior Court filing counter at one
of the locations listed below. The Court is open Monday through Friday from
8:00 a.m. to 5:00 p.m.
Clerk of Superior Court Clerk of Superior Court
CENTRAL COURT BUILDING SOUTHEAST COURT COMPLEX
201 West Jefferson, 1st floor 222 East Javelina Avenue, 1st floor
Phoenix, Arizona 85003 Mesa, Arizona 85210
Clerk of Superior Court Clerk of Superior Court
NORTHEAST COURT COMPLEX NORTHWEST COURT COMPLEX
18380 North 40
th
Street 14264 West Tierra Buena Lane
Phoenix, Arizona 85032 Surprise, Arizona 85374
STEP 5: HAND all 3 SETS of papers to the Clerk and pay your filing fee. You should
go to the Superior Court at least two (2) hours before it closes, as the
Superior Court closes daily at 5:00 p.m.
FEES: A list of current fees is available from the Law Library Resource
Center and from the Clerk of Superior Court’s website.
If you cannot afford the filing fee and/or the fee for having the papers served
by the Sheriff or by publication, you may request a deferral (payment plan)
when you file your papers with the Clerk of Superior Court. Deferral
Applications are available at no charge from the Law Library Resource
Center.
WAIT for the Court Clerk to give you back the following: 1) your copy of the
set of papers, and 2) your spouse’s copy of the set of papers.
STEP 6: READ the packet called the “Service of Court Papers” at the Law Library
Resource Center to find out how to serve the other party (your spouse).
© Superior Court of Arizona in Maricopa County DRSDS10f_Ann 071519
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Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case No.
Petitioner / Party A
ATLAS No.
Respondent / Party B
FAMILY DEPARTMENT SENSITIVE DATA
COVERSHEET WITHOUT CHILDREN
(CONFIDENTIAL RECORD)
Fill out. File with Clerk of Superior Court. Social Security Numbers should appear on this form only
and should be omitted from other court forms. Access Confidential pursuant to ARFLP 43.1(f).
A. Personal Information:
Petitioner / Party A Respondent / Party B
Name
Gender
Male or Female
Male or Female
Date of Birth (Month/Day/Year)
Social Security Number
WARNING: DO NOT INCLUDE MAILING ADDRESS ON THIS FORM
IF REQUESTING ADDRESS PROTECTION
Mailing Address
City, State, Zip Code
Contact Phone
Receive texts from Court to
contact phone number above?
Yes No texts
Yes No texts
Email Address
Current Employer Name
Employer Address
Employer City, State, Zip Code
Employer Telephone Number
Employer Fax Number
B. Type of Case being filed - Mark only one category. (
*
) Mark this box only if no other case type applies
Dissolution (Divorce)
Annulment
Other*
Legal Separation
Order Protection
C. Do you need interpreter?
No Yes If Yes,
What language? _________________
DO NOT COPY THIS DOCUMENT. DO NOT SERVE THIS DOCUMENT TO THE OTHER PARTY.
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County Page 1 of 2 DR11f 010119
ALL RIGHTS RESERVED
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Name of Petitioner / Party A
SUMMONS
And
Name of Respondent / Party B
WARNING: This is an official document from the court that affects your rights. Read this carefully.
If you do not understand it, contact a lawyer for help.
FROM THE STATE OF ARIZONA TO:
Name of Opposing Party
1. A lawsuit has been filed against you. A copy of the lawsuit and other court papers are served on you
with this “Summons.
2. If you do not want a judgment or order entered against you without your input, you must file a written
“Answer” or a “Response” with the court, and pay the filing fee. Also, the other party may be granted
their request by the Court if you do not file an Answer” or Response”, or show up in court. To file
your “Answer” or “Response” take, or send, it to the:
Office of the Clerk of Superior Court, 201 West Jefferson Street, Phoenix, Arizona 85003-2205 OR
Office of the Clerk of Superior Court, 18380 North 40
th
Street, Phoenix, Arizona 85032 OR
Office of the Clerk of Superior Court, 222 East Javelina Avenue, Mesa, Arizona 85210-6201 OR
Office of the Clerk of Superior Court, 14264 West Tierra Buena Lane, Surprise, Arizona 85374.
After filing, mail a copy of your “Response” or “Answer” to the other party at their current address.
For Clerk’s Use Only
Case No.:
Case No.
© Superior Court of Arizona in Maricopa County Page 2 of 2 DR11f 010119
ALL RIGHTS RESERVED
3. If this “Summons” and the other court papers were served on you by a registered process server
or the Sheriff within the State of Arizona, your “Response” or Answer” must be filed within
TWENTY (20) CALENDAR DAYS from the date you were served, not counting the day you were
served. If you were served by “Acceptance of Servicewithin the State of Arizona, your “Response
or “Answer” must be filed within TWENTY (20) CALENDAR DAYS from the date that the Acceptance
of Service was filed with the Clerk of Superior Court. If this “Summons” and the other papers were
served on you by a registered process server or the Sheriff outside the State of Arizona, your
Response must be filed within THIRTY (30) CALENDAR DAYS from the date you were served, not
counting the day you were served. If you were served by Acceptance of Service” outside the State
of Arizona, your “Response” or Answer” must be filed within THIRTY (30) CALENDAR DAYS from
the date that the Acceptance of Service was filed with the Clerk of Superior Court. Service by a
registered process server or the Sheriff is complete when made. Service by Publication is complete
thirty (30) days after the date of the first publication.
4. You can get a copy of the court papers filed in this case from the Petitioner at the address listed at
the top of the preceding page, or from the Clerk of Superior Court's Customer Service Center at:
601 West Jackson, Phoenix, Arizona 85003
18380 North 40
th
Street, Phoenix, Arizona 85032
222 East Javelina Avenue, Mesa, Arizona 85210
14264 West Tierra Buena Lane, Surprise, Arizona 85374.
5. If this is an action for dissolution (divorce), legal separation or annulment, either or both spouses
may file a Petition for Conciliation for the purpose of determining whether there is any mutual
interest in preserving the marriage or for Mediation to attempt to settle disputes concerning legal
decision-making (legal custody) and parenting time issues regarding minor children.
6. Requests for reasonable accommodation for persons with disabilities must be made to the division
assigned to the case by the party needing accommodation or his/her counsel at least three (3)
judicial days in advance of a scheduled proceeding.
7. Requests for an interpreter for persons with limited English proficiency must be made to the division
assigned to the case by the party needing the interpreter and/or translator or his/her counsel at least
ten (10) judicial days in advance of a scheduled court proceeding.
SIGNED AND SEALED this date
CLERK OF SUPERIOR COURT
By
Deputy Clerk of Superior Court
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner / Party A
PRELIMINARY INJUNCTION
AND
Name of Respondent / Party B
WARNING: This is an official Order from the court. It affects your rights. Read this Order
immediately and carefully. If you do not understand it, contact a lawyer for help.
Your spouse has filed a Petition for Dissolution” (Divorce) or “Petition for Annulment” or “Petition for Legal
Separation” with the court. This Order is made at the direction of the Presiding Judge of the Superior Court of
Arizona in Maricopa County. This Order has the same force and effect as any order signed by the judge. You and
your spouse must obey this Order. This Order may be enforced by any remedy available under the law,
including an Order of Contempt of Court.” To help you understand this Order, we have provided this
explanation. Read the explanation and then read the statute itself. If you have any questions, you
should contact a lawyer for help.
EXPLANATION: (What does this Order mean to you?)
1. ACTIONS FORBIDDEN BY THIS ORDER: From the time the “Petition for Dissolution” (Divorce) or
“Petition for Annulment” or “Petition for Legal Separation” is filed with the court, until the
judge signs the Decree, or until further order of the court, both the Petitioner and the Respondent
shall not do any of the following things:
FOR CLERK’S USE ONLY
© Superior Court of Arizona in Maricopa County DR14f-010119
ALL RIGHTS RESERVED Page 1 of 3 Use only most current version
Case No.
You may not hide earnings or community property from your spouse, AND
You may not take out a loan on the community property, AND
You may not sell the community property or give it away to someone, UNLESS you have
the written permission of your spouse or written permission from the court. The law allows for
situations in which you may need to transfer joint or community property as part of the
everyday running of a business, or if the sale of community property is necessary to meet
necessities of life, such as food, shelter, or clothing, or court fees and attorney fees
associated with this action. If this applies to you, you should see a lawyer for help, AND
Do not harass or bother your spouse or the children, AND
Do not physically abuse or threaten your spouse or the children, AND
Do not take the minor children, common to your marriage, out of the State of Arizona for any
reasons, without a written agreement between you and your spouse or a Court Order, before
you take the minor children out of the State.
Do not remove, or cause to be removed, the other party or the minor children of the parties
from any existing insurance coverage, including medical, hospital, dental, automobile and
disability insurance. Both parties shall maintain all insurance coverage in full force and effect.
STATUTORY REQUIREMENTS: Arizona Law, A.R.S. §25-315(A) provides:
1(a). RESTRICTIONS ON PROPERTY OF THE MARRIAGE: That both parties are enjoined from
transferring, encumbering, concealing, selling, or otherwise disposing of any of the joint, common or
community property of the parties, except if related to the usual course of business, the necessities
of life, or court fees and reasonable attorney fees associated with an action filed under this article,
without the written consent of the parties or the permission of the court.
1(b). REQUIREMENTS OF BEHAVIOR: That both parties are enjoined from molesting, harassing,
disturbing the peace, or committing an assault or battery on, the person of the other party or any
natural or adopted child of the parties.
1(c). RESTRICTIONS ABOUT YOUR MINOR CHILDREN: That both parties are enjoined from removing
any natural or adopted minor child(ren) of the parties, then residing in Arizona, from the jurisdiction
of the court without the prior written consent of the parties or the permission of the court.
1(d). RESTRICTIONS ABOUT INSURANCE: That both parties are enjoined from removing, or causing to be
removed, the other party or the minor children of the parties from any existing insurance coverage,
including medical, hospital, dental, automobile and disability insurance. Both parties shall maintain all
insurance coverage in full force and effect.
2. EFFECTIVE DATE OF THIS ORDER: This Order is effective against the person who filed for divorce,
annulment, or legal separation (the Petitioner) when the Petition was filed with the court. It is effective
against the other party (the Respondent) when it is served on the other party, or on actual notice
of the Order, whichever is sooner. This Order shall remain in effect until further order of the court,
or the entry of a Decree of Dissolution, Annulment, or Legal Separation.
© Superior Court of Arizona in Maricopa County DR14f-010119
ALL RIGHTS RESERVED Page 2 of 3 Use only most current version
Case No.
3. ORDER TO PETITIONER: You must serve a copy of this Order upon the Respondent, along with a copy
of the Petition for Dissolution, Annulment or Legal Separation, the Summons, and other required court
papers.
4. WARNING: This is an official Court Order. If you disobey this Order, the court may find you in contempt of
court. You may also be arrested and prosecuted for the crime of interfering with judicial proceedings
and any other crime you may have committed by disobeying this Order.
5. LAW ENFORCEMENT: You or your spouse may file a certified copy of this Order with your local
law enforcement agency. You may obtain a certified copy from the Clerk of the Court that issues this
Order. If any changes are made to this Order and you have filed a certified copy of this Order with your
local law enforcement agency, you must notify them of the changes.
6. DESCRIPTION OF THE PARTIES:
Petitioner:
Name: Gender: Male Female
Height: Weight:
Driver’s License (last 4 nos.)
Date of Birth:
Respondent:
Name: Gender: Male Female
Height: Weight:
Driver’s License (last 4 nos.)
Date of Birth:
GIVEN UNDER MY HAND AND THE SEAL OF THE COURT this day of , .
CLERK OF SUPERIOR COURT
By: , Deputy Clerk
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© Superior Court of Arizona in Maricopa County Page 1 of 6 DRAA10f - 010119
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Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
MARICOPA COUNTY
Regarding the matter of: Case Number: ________________
_________________________________________
Name of Petitioner / Party A
PETITION FOR ANNULMENT
OF NON-COVENANT MARRIAGE
WITHOUT MINOR CHILDREN
AND
__________________________________________
Name of Respondent / Party B
STATEMENTS TO THE COURT, UNDER OATH or AFFIRMATION:
I, ________________________________, hereby state to and petition the Court, the following true statements:
1. 90 DAY RESIDENCY REQUIREMENT:
I have, and/or my spouse has lived or been stationed (while a member of the Armed Forces)
in Arizona for AT LEAST 90 days before filing this action. If this statement is NOT true, you must wait
until one of you has resided in Arizona 90 days before you can file for annulment.
2. INFORMATION ABOUT ME:
Name:
Date of Birth:
Address:
Occupation:
How long have you lived in AZ? _______ Yrs._______ Mos.
For Clerk’s Use Only
Case Number: ________________
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3. INFORMATION ABOUT MY SPOUSE:
Name:
Date of Birth:
Address:
Occupation:
How long has your spouse lived in AZ? _____ Yrs.______ Mos.
4. INFORMATION ABOUT OUR PURPORTED MARRIAGE:
Date of our Marriage:
Month/day/ year
City, State, Country of marriage:
Is your marriage a covenant marriage? YES NO
If you disagree with what your spouse claims about the type of marriage you have, please attach to
this form, a copy of your marriage license to show what kind of marriage you have.
5. CHILDREN AND PREGNANCY: (Check one)
No children have been conceived from the marriage
Party A is NOT pregnant
-OR-
Party A IS pregnant: Due Date_______________ AND Party B is NOT a parent of the child.
Party B is NOT pregnant
-OR-
Party B IS pregnant: Due Date_______________ AND Party A is NOT a parent of the child.
6. GROUNDS (REASONS) FOR THE ANNULMENT: Under oath, I pledge to the court that the
marriage between my spouse and me is void for the following reason(s): (Check at least one reason,
pursuant to A.R.S. § 25-302).
Absence of Mental Capacity Refusal of Intercourse
Absence of Physical Capacity Secret Attempt not to Abide by
Absence of a Valid Marriage License Antenuptial Agreement
Blood Relationship Underage
Concealment of prior Marital Status Undissolved Prior Marriage
Duress Misrepresentation as to Religion
Fraud Proxy Marriage
Lack of Contractual Intent
Case Number: ________________
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EXPLANATION: If you marked any box(es) in the list above, briefly explain the reason(s) you chose
that ground(s) for annulment:
Other Reason(s) for annulment. If you have a reason for annulment OTHER THAN the ones
listed above, please explain:
(Length of marriage is not a reason or defense)
7. A. PROPERTY ACQUIRED BEFORE THE MARRIAGE: (Check all boxes that apply)
I do not have any property that I brought into the marriage.
My spouse did not bring any property into the marriage.
I have property that I brought into the marriage.
My spouse brought property into the marriage.
B. PROPERTY ACQUIRED DURING THE MARRIAGE: (Check all boxes that apply)
My spouse and I did not acquire any property during the marriage.
My spouse and I acquired property during the marriage.
We propose dividing the property acquired during the marriage as follows:
DESCRIPTION of PROPERTY
PARTY A’s (Check
if it applies)
PARTY B’s (Check
if it applies)
8. A. DEBTS INCURRED DURING THE MARRIAGE: (Check all boxes that apply)
My spouse and I did not incur any debts during the marriage.
My spouse and I incurred debts during the marriage.
Case Number: ________________
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DESCRIPTION & AMOUNT of Debt
PARTY A’s (Check
if it applies)
PARTY B’s (Check
if it applies)
B. SEPARATE DEBTS: (Check all boxes that apply)
I do not have any debts that were incurred before the marriage.
My spouse does not have any debts that were incurred before the marriage.
I have separate debt that I incurred before the marriage that should be paid as described
below:
My spouse incurred separate debt before the marriage that should be paid as described
below:
DESCRIPTION & AMOUNT of Debt
PARTY A’s (Check
if it applies)
PARTY B’s (Check
if it applies)
REQUESTS TO THE COURT:
I declare all the above information to be true; I respectfully requests the Court:
1. ANNULMENT: I request (1) a decree of the Court declaring the marriage between Party A and Party B
null and void, and (2) grant an annulment of that marriage.
2. PROPERTY:
Confirm ownership of property acquired before the marriage, and
Fairly divide any property acquired during the marriage as follows:
Case Number: ________________
© Superior Court of Arizona in Maricopa County Page 5 of 6 DRAA10f - 010119
ALL RIGHTS RESERVED
DESCRIPTION of PROPERTY
To PARTY A
To PARTY B
3. DEBT: Order each party to pay debts as requested in this Petition.
DESCRIPTION & AMOUNT of Debt
PARTY A’s
Responsibility
PARTY B’s
Responsibility
4. NAME CHANGE: (Optional. Complete this section ONLY if you want your name restored to a former
name)
My complete married name is:
I want my married name restored to: (List complete maiden name or legal name before this marriage)
WARNING: If you are not the person who is requesting to have your former name restored, the
Court must have a written request from the person who wants his/her name restored.
Case Number: ________________
© Superior Court of Arizona in Maricopa County Page 6 of 6 DRAA10f - 010119
ALL RIGHTS RESERVED
5. OTHER ORDERS I AM REQUESTING: (Explain request here)
UNDER OATH OR AFFIRMATION
I swear or affirm under penalty of perjury that the contents of this document are true and correct to the best
of my knowledge and belief.
Date Signature
STATE OF
COUNTY OF
Subscribed and sworn to or affirmed before me this:
By
(Date)
.
(Notary seal)
Deputy Clerk or Notary Public
Approved by Arizona Department of Insurance DRD16f 043021
ALL RIGHTS RESERVED Page 1 of 2
NOTICE OF YOUR RIGHTS ABOUT HEALTH INSURANCE COVERAGE WHEN
A PETITION FOR DISSOLUTION (DIVORCE) IS FILED
(A.R.S. §20-1377 and §20-1408)
Petitioner/Party A: Case #:
Respondent/Party B:
Warning: This is an important legal notice. Your rights to health insurance coverage could
be affected after your divorce is final. Read this notice carefully. If you do not understand
this notice, you should call an attorney for advice about your legal rights and obligations.
IMPORTANT INFORMATION IF YOU ARE ON YOUR SPOUSE'S INSURANCE
PLAN: When a Petition for Dissolution of Marriage (papers for a divorce decree) is filed,
you and/or your children may continue to be covered under your spouse's health insurance
policy. Arizona law allows the dependent spouse and/or children to continue to be covered,
but you must take some steps to protect your rights.
WHAT INSURANCE COVERAGE APPLIES TO YOU, AND HOW TO GET IT: If you
are covered by your spouse's health insurance, and you want to continue to be covered after
the divorce is final, you must contact the insurance company as soon as possible, and you
must start to pay the monthly insurance premium within 31 days of the date the insurance
would otherwise stop.
If you decide you want to be covered, the insurer can choose whether to continue coverage
under the current policy, or to change the policy to your name. If the policy is changed to
your name, it is called a "converted"; policy. If the policy is converted by the insurer, the
insurer must provide you the same or the most similar level of coverage available, unless
you ask for a lower level of coverage.
WHAT COVERAGE APPLIES TO YOUR CHILDREN: If you choose to continue
coverage as a dependent spouse, you can also choose to continue coverage for your
dependent children if you are responsible for their care or support.
For Clerk’s Use Only
Approved by Arizona Department of Insurance DRD16f 043021
ALL RIGHTS RESERVED Page 2 of 2
PREEXISTING CONDITIONS OR EXCLUSIONS FROM INSURANCE COVERAGE:
Whether the insurance is continued or converted, the insurance must be provided to you
without proof of insurability and without exclusions for coverage other than what was
previously excluded before the insurance was continued or converted.
LIMITS ON RIGHTS TO INSURANCE COVERAGE FOR YOU AND YOUR
CHILDREN: You may not be entitled to continued or converted coverage if you are eligible
for Medicare or for coverage by other similar types of insurance which together with the
continued coverage would make you over-insured. However, dependent children of a person
who is eligible for Medicare may be covered by a continuance or a conversion. If you have
questions about coverage, check with the insurer and/or the spouse's employer.
OTHER OPTIONS FOR COVERAGE: Divorce is considered to be a life changing event
that, under the federal
Consolidated Omnibus Budget Reconciliation Act ("COBRA"), may
qualify you and/or your dependents with the
right to continue health coverage under the
spouse's group plan, if the employer has 20 or more employees. To
find out more about
your COBRA rights, you can visit the United States Department of Labor ("USDOL")
website
at https://www.dol.gov/ and search for COBRA, or you can call the USDOL at 1-
866-487-2365. Divorce is also
a life-changing event under the federal Affordable Care
Act, which qualifies you and/or your dependents for a
special enrollment period to obtain
an individual health insurance policy regardless of any health conditions.
Additional
information is available at https://www.healthcare.gov/ or by calling 1-800-318-2596.
Warning to the spouse filing the petition for dissolution (Divorce): This Notice must be
served on your spouse together with the Petition for Dissolution, the Summons, and the
Preliminary Injunction.
ARIZONA LAW REQUIRES all actions for DIVORCE or LEGAL SEPARATION to
include this NOTICE and for the person filing for Divorce or Legal Separation
to SERVE this NOTICE on the other party. (ARS §25-318(F)).
Person Filing:
Address (if not protected):
City, State, Zip Code:
Telephone:
Email Address:
ATLAS Number:
Lawyer’s Bar Number:
Representing Self, without a Lawyer or Attorney for Petitioner OR Respondent
SUPERIOR COURT OF ARIZONA
IN MARICOPA COUNTY
Case Number:
Name of Petitioner / Party A
NOTICE REGARDING CREDITORS
Name of Respondent / Party B
YOU AND YOUR SPOUSE ARE RESPONSIBLE FOR COMMUNITY DEBTS. The court
usually requires/orders one spouse or the other to pay certain community debts in, or through, the Decree of
Dissolution or Legal Separation. A court order that does this is binding on the spouses only, not the creditors.
You and your spouse are legally responsible for these community debts whether you are married, divorced, or
legally separated. These debts are matters of contract between both of you and your creditors (such as
banks, credit unions, credit card companies, utility companies, medical providers and retailers). On request, the
court may impose a lien against the separate property of a spouse to secure payment of certain community
debts.
CONTACT CREDITORS: You may want to contact your creditors to discuss the debts and the effects of
your divorce/legal separation on your debts. To assist you in identifying your creditors, you may obtain a copy
of your spouse's credit report by making a written request to the court for an order requiring a credit reporting
agency to release the report to you. The credit report will help you identify accounts, account numbers and
account balances. In addition, within thirty (30) days after receipt of a request from a spouse who is party to a
divorce or legal separation, which includes the court and cause number of the action, creditors are required,
by law, to provide information as to the balance and account status of any debts for which you or your spouse
may be liable to the creditor.
WARNING: If you do not understand this notice, you should contact an attorney for advice about your
legal rights and obligations.
The following page contains a sample form you may choose to mail to creditors to
get information about debts owed by you or your spouse. It is not a required form.
DO NOT FILE THE NEXT PAGE WITH THE COURT.
For Clerk’s Use Only
© Superior Court of Arizona in Maricopa County DR16f-041017
ALL RIGHTS RESERVED
Case No.
REQUEST FOR ACCOUNT INFORMATION FROM CREDITORS
You may use this form to request information about debt owed by you or your spouse.
If so, send to the creditor. DO NOT FILE THIS PAGE WITH THE COURT.
DATE:
CREDITOR’S NAME:
CREDITOR’S ADDRESS:
Regarding: Superior Court of Arizona in Maricopa County
Case Name:
Case Number:
Pursuant to Arizona State Law (ARS §25-318), this letter requests the balance and account status of any debt for
which the following individuals may be liable to you. (Arizona law requires that you provide this information
within thirty (30) days of receipt of this letter.)
INFORMATION ABOUT DEBTORS/SPOUSES:
Your Name:
Your Address:
Your Phone Number:
Your Spouse’s Name:
Your Spouse’s Address:
INFORMATION ABOUT THE ACCOUNT:
Account Number(s):
If you have any questions or if I can be of further assistance, please feel free to contact me.
Sincerely,
Your name:
Your signature:
© Superior Court of Arizona in Maricopa County DR16f-041017
ALL RIGHTS RESERVED