(Name of County Where This Document Filed)
(Petitioner’s Name) Petitioner, )
vs. ) Case No:
_____________________________________ )
(Respondent’s Name) Respondent. )
NOW COME (Type or Print Petitioner=s Name)_______________________________________________, Petitioner,
and (Type or Print Respondent=s Name)________________________________________________________, Respondent,
without counsel, and hereby petition this Honorable Court for a dissolution of marriage between Petitioner and
Respondent. In support of this Petition for Dissolution of Marriage, the parties state as follows:
1. The Petitioner is presently _______ years of age; Petitioner’s occupation is ___________________
______________________; Petitioner resides at (Street Address)______________________________,
(City)_________________, (State)_______, and [ ]has [ ]has not resided in the State of Illinois
for at least ninety (90) days immediately preceding the filing of this Petition for Dissolution of
2. The Respondent is presently _____ years of age; Respondent’s occupation is __________________
______________________; Respondent resides at (Street Address)_____________________________,
(City)_________________, (State)_______, and [ ]has [ ]has not resided in the State of Illinois for at
least ninety (90) days immediately preceding the filing of this Petition for Dissolution of Marriage.
3. The Petitioner and Respondent have been married for less than eight (8) years prior to the filing of this
petition; they were married on (Month,Day,Year)__________________________; and the marriage was
registered in __________________________________ County, (State)____________________.
4. No children were born to the Petitioner and Respondent during their relationship; no children were
adopted by the parties; and (Wife’s Name)_________________________________, to her knowledge, is
not pregnant.
5. Irreconcilable differences have caused the irretrievable breakdown of their marriage; efforts at
reconciliation have failed and future attempts at reconciliation would be impracticable and not in the
best interests of the parties.
6. Neither party is dependent on the other party for spousal support (also known as alimony or
maintenance), or each party is willing to waive the right to spousal support. Both parties understand that
consulting with attorneys may help determine eligibility for spousal support. Both Petitioner and
Respondent waive any rights to maintenance.
7. Neither Petitioner nor Respondent has any interest in real property (real estate).
8. The parties have disclosed to each other all assets and their tax returns for all years of the marriage.
9. Neither party has a gross annualized income in excess of $30,000; the Petitioner’s gross annual income
from all sources is $_______________; the Respondent’s gross annual income from all sources is
$______________; and the total annual income of the parties is less than $60,000.
10. The total fair market value of all marital property, after deducting all encumbrances, is less than $50,000
and the parties have executed a written agreement dividing all assets in excess of $100.00 in value and
allocating responsibility for debts and liabilities between the parties. A copy of the written agreement,
signed by both parties, is filed with this Petition.
11. (Optional): (Party’s Name)______________________________________________=s former/maiden
name was (maiden or former Name) _______________________________________.
WHEREFORE, the parties pray as follows:
A. That the parties be awarded a Judgment of Dissolution of Marriage dissolving the bonds of matrimony
existing between them.
B. That the written agreement of the parties dividing marital assets, debts and liabilities, a copy of which is
filed with this Petition, be incorporated into the final order and judgment of this Court granting the
Petition for Dissolution of Marriage.
C. (Optional): (Party’s Name)______________________________________________=s name be returned
to his/her former/maiden name of .
(Maiden or former Name)
D. That this Court grant the parties such other and further relief as may be just.
____________________________________ ___________________________________
Petitioner (Petitioner’s Signature) Respondent (Respondent’s Signature)
Under penalties provided by law pursuant to Section 1-109 of the Code of Civil Procedure, each of the
undersigned certifies that the statements set forth in this instrument are true and correct.
__________________________________ ____________________________________
Petitioner (Petitioner’s Signature) Respondent (Respondent’s Signature)
Date________________________ Date______________________
Form 555 Petition for Joint Simplified Dissolution of Marriage Rev. 1-16