Personal Jurisdiction – Agreement or Default IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT - DOMESTIC RELATIONS DIVISION IN RE THE MARRIAGE/CIVIL UNION OF: _____________________________, PETITIONER, AND _____________________________, RESPONDENT. ) ) ) ) ) ) ) ) ) CASE NO. ___________________ CALENDAR:__________________ JUDGMENT FOR DISSOLUTION OF MARRIAGE/CIVIL UNION This cause coming on to be heard for prove up on the Verified Petition for Dissolution of Marriage/Civil Union, Petitioner appearing pro se, and (check one): □ personal service having been had on Respondent and Respondent having been found in default, or □the Respondent having filed a pro se appearance and the parties being in agreement, The court having heard the testimony of (check one): hereby FINDS: 1. Respondent (check one) □Petitioner □Respondent □Both parties, □ did □ did not appear in court. 2. The Court has jurisdiction of the parties and the subject matter. □ (Check if applicable) This Court has jurisdiction over the children pursuant to Uniform Child-Custody Jurisdiction and Enforcement Act. 3. Petitioner was a resident of the State of Illinois on the date the petition was filed and for 90 days preceding these findings. 4. The parties were married/ obtained a civil union on_______________________(date) in __________________________________________(city and state) or (country) 1 . 5. The grounds of ________________________________________ have been proven by competent testimony. 6. (Check one): □ No children were born to or adopted by the parties. □ The following children were born to or adopted by the parties: NAME DATE OF BIRTH a. ____________________________________________________________________________ b.____________________________________________________________________________ c.____________________________________________________________________________ d.____________________________________________________________________________ e.____________________________________________________________________________ 7. (Check all that apply): □ Petitioner is pregnant. □ Respondent is pregnant. □ Neither party is pregnant. 2 Based on the testimony of the Petitioner which has been transcribed for the record and the evidence received, IT IS HEREBY ORDERED THAT: A. The parties are awarded a Judgment of Dissolution of Marriage/Civil Union and the bonds of matrimony/civil union existing between Petitioner and Respondent are hereby dissolved. B. CUSTODY (Check one): □ _______________________(Petitioner or Respondent) is awarded the sole custody, care, and control of the child(ren) and is a fit and proper person to have the sole custody, care and control of the child(ren). It is in the child(ren)’s best interest that _______________________(Petitioner or Respondent) be awarded the sole custody, care, and control of the child(ren). □ The parties are awarded joint custody of the minor child(ren). Both parties are fit and proper persons to have the joint care, custody, control and education of the minor child(ren). It is in the best interests of the minor child(ren) that the parties have joint care, custody and control of the minor child(ren) with __________________________________ (Respondent or Petitioner) having residential custody. The Joint Parenting Agreement between the Petitioner and Respondent dated __________________, 2011, attached hereto, is made a part of this Judgment and all provisions of said Agreement are expressly ratified, confirmed, approved and adopted as the order of this Court to the same extent and with the same force and effect as if said provisions were in this paragraph set forth verbatim as the Judgment of this Court; each of the parties shall perform under the terms of said Agreement. □ The parties have no minor children. C. VISITATION (Check one): □The non-custodial/non-residential parent will have rights of reasonable visitation on such terms as attached here as Exhibit A. □ Visitation is reserved. □ The parties have no minor children. D. CHILD SUPPORT (Check one): □The non-custodial parent shall pay the custodial parent child support in the amount of $______________, per ___________________. 3 □ The parties have no minor children. E. CHILD(REN)’s HEALTH EXPENSES(Check one): □________________________ shall provide health insurance for the children. All medical, dental, psychological and optometric expenses not covered by insurance shall be paid _____ % by Mother and _____ % by Father. □ The parties have no minor children. F. LIFE INSURANCE (Check one): □________________________ shall maintain the children as irrevocable beneficiaries on the first $___________________ of life insurance that he/she has or may hereafter acquire for so long as that parent has an obligation of support. □ The parties have no minor children. G. CHILD(REN)’S POST HIGH SCHOOL EXPENSES(Check one): □The child(ren)’s post high school expenses shall be determined pursuant to statute. □ The parties have no minor children. H. MAINTENANCE (Check all that apply): □ Petitioner is barred from receiving maintenance. □ Respondent is barred from receiving maintenance. □ ____________________________ (Petitioner or Respondent) shall pay to _________________________(Petitioner or Respondent) $______________ per _____________ for maintenance until ____________________(date). □ Maintenance for __________________________ (Petitioner or Respondent) is reserved. 4 I. Except as otherwise provided herein, each party is awarded all property in their own names and in their own possession and control. J. Petitioner is awarded the following property: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ K. Respondent is awarded the following property: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ L. Except as provided herein, each of the parties shall pay and be solely for any and all debts incurred by them since the date of separation and in their own names, and they will indemnify each other and hold each other harmless therefrom. M. Petitioner shall pay the following debts: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ 5 N. Respondent shall pay the following debts: _______________________________________________________ _______________________________________________________ _______________________________________________________ _______________________________________________________ O. ______________________________ (Petitioner or Respondent) is granted leave to resume the use of his/her former name: _______________________________. P. This court expressly retains jurisdiction of this cause for the purpose of enforcing all of the terms of this Judgment for Dissolution of Marriage/Civil Union. ____________________________________ Petitioner (Printed Name) Date ____________________________________ Respondent (Printed Name) Date ____________________________________ Petitioner (Signature) Date ____________________________________ Respondent (Signature) Date ENTER:_________________________________________ JUDGE __________________________________________ DATE NAME____________________________________________ ADDRESS_________________________________________ CITY, STATE, ZIP__________________________________ TELEPHONE______________________________________ 6