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Representing Self, Without a Lawyer IN THE SUPERIOR

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Name:
Mailing Address:
Daytime Telephone:
Representing Self, Without a Lawyer
IN THE SUPERIOR COURT OF ARIZONA, YAVAPAI COUNTY
Regarding the matter of
1300DO
PETITION FOR ANNULMENT
Petitioner OF NON-COVENANT MARRIAGE
and
WITHOUT MINOR CHILDREN
Respondent
STATEMENTS TO THE COURT, UNDER OATH
GENERAL INFORMATION:
1. INFORMATION ABOUT ME, THE PETITIONER
Name: Date of Birth:
Address:
Occupation:
How long I, the Petitioner, have lived in Arizona: years months.
2. INFORMATION ABOUT MY PURPORTED SPOUSE, THE RESPONDENT
Name: Date of Birth:
Address:
Occupation:
How long my purported spouse, the Respondent, has lived in Arizona: years months.
3. INFORMATION ABOUT OUR PURPORTED MARRIAGE
Date of purported marriage:
City and state or country where purportedly married:
4. 90-DAY RESIDENCY REQUIREMENT
[ ] I have, and/or [ ] my purported 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 CANNOT FILE FOR ANNULMENT UNTIL IT BECOMES TRUE.)
For Clerk’s Use Only
Superior Court of Arizona in Yavapai County Page 1 of 3 DRA11f
June 2012
5a. PROPERTY ACQUIRED DURING THE PURPORTED MARRIAGE
[ ] My purported spouse and I did not acquire any property during the marriage.
[ ] My purported spouse and I acquired property during the marriage.
5b. PROPERTY ACQUIRED BEFORE PURPORTED MARRIAGE (Check all boxes that apply.)
[ ] I do not have any property that I brought into the purported marriage.
[ ] My purported spouse did not bring any property into the purported marriage.
[ ] I have property that I brought into the purported marriage.
[ ] My purported spouse brought property into the purported marriage.
6a. DEBTS INCURRED DURING THE PURPORTED MARRIAGE: (check one box)
[ ] My purported spouse and I did not incur any debts during the purported marriage.
[ ] My purported spouse and I incurred debts during the purported marriage. We should divide the
responsibility for the debts incurred during the purported marriage as follows:
DESCRIPTION OF DEBT/ AMOUNT OF DEBT: PETITIONER RESPONDENT
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
6b. SEPARATE DEBTS. (Check all boxes that apply.)
[ ] I do not have any debts that were incurred prior to the purported marriage.
[ ] My purported spouse does not have any debts that were incurred prior to the purported
marriage.
[ ] I have separate debt that I incurred prior to the purported marriage that should be paid as
described below:
[ ] My purported spouse incurred separate debt prior to the purported marriage that should be paid
as described below:
DESCRIPTION OF DEBT/ AMOUNT OF DEBT: PETITIONER RESPONDENT
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
[ ] [ ]
Superior Court of Arizona in Yavapai County Page 2 of 3 DRA11f
June 2012
7. CHILDREN AND PREGNANCY (check one)
[ ] No children have been conceived of the purported marriage.
[ ] Purported Wife is not pregnant
OR
[ ] Purported Wife is pregnant: Due date AND purported Husband is not the father
of the child.
OTHER STATEMENTS TO THE COURT UNDER OATH: You must tell the Court the truth. Lying to the
Court is a crime and the Court can punish you for lying.
The purported marriage between Petitioner and Respondent was and is void for the following
reasons:
REQUESTS TO THE COURT:
A. ANNULMENT: Annul the parties’ purported marriage.
B. PROPERTY: Make a fair division of any property acquired during the purported marriage and confirm
ownership of property acquired before purported marriage.
C. DEBTS: Order each party to pay debts as requested in this Petition.
D. OTHER ORDERS I AM REQUESTING (Explain request here):
OATH AND VERIFICATION
STATE OF )
County of ) ss
I, the Petitioner, being duly sworn and under oath, state that I have read this Petition. All the
statements in the Petition are true, correct, and complete to the best of my knowledge and belief.
Signature
SUBSCRIBED AND SWORN to before me this day of , 20 , by
.
My Commission Expires: NOTARY PUBLIC
Superior Court of Arizona in Yavapai County Page 3 of 3 DRA11f
June 2012
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Representing Self, Without a Lawyer IN THE SUPERIOR

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Completed 17 August 2021

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