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Petition for: Dissolution Legal Separation

Clear Print District Court _____ County, Colorado Court Address: In re the Marriage of: Petitioner: and Co-Petitioner/Respondent: COURT USE ONLY. Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: E-mail: FAX Number: Atty. Reg. #: Division Courtroom Petition for: Dissolution Legal Separation If Children Are Part of This Action, Please Check Here 1. This Petition is filed pursuant to 14-10-106. 2. The Marriage is irretrievably broken. 3. Information about the Petitioner: Check if in Military Full Legal Name: _____ Date of Birth: _____. Length of Current Residency in Colorado: (Years/months) Dates: Current Mailing Address: Apt.

protection/restraining orders, termination of parental rights, and adoptions. Identify name of court, case number, state, date, and type of proceeding if any. Name of Court Case Number State Date of Proceeding Type of Proceeding 16. The following people are not parties in this matter, but have physical custody of the child(ren) or claim rights of

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  Rights, Adoption, Parental, Termination, And adoption, Termination of parental rights

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