t ‘ FILED BY ’- Name of Person Filing: Donna M. DeSantis ‘
In this case I am: lZl Petitioner [3 Respondent ~ “mew, In this case I am: E Representing Myself (No Attorney), or M‘Cfigg tagmmmc» If Represented by Attorney: Attorney Bar Number: mBH-fi‘fipogfit be My Address: (if not protected) 11132 E. Villa Park Street ‘ _ _ 7 0’” City, State, Zip Code: Chandler Arizona 1 ‘ . .. ‘ Telephone Numbers: (480) 782-5551 3 OCT ‘8 PHD I”: 35 U’ SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTY PAID
DONNA M. DESANTIS Case Number: ft; 2 O I 3 – U 9 4 5 2 5,
Petitioner ATLAS Number: (if applicable) JOHN M!CHAEL LAGOS PETITION FOR DISSOLUTION OF A Respondent NON-COVENANT MARRIAGE (DIVORCE)
WITH MINOR CHILDREN STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION:
1. INFORMATION ABOUT ME, THE PETITIONER:
Name: Donna M. DeSantis Address: 11132 East Villa Park Street, Chandler, Arizona 85248 Date of Birth: July 24, 1955
Job Title: Physician l have lived in Arizona for 21 years andlor months
2. INFORMATION ABOUT THE RESPONDENT:
Name: John Michael Lagos Address: 11132 East Villa Park Street, Chandler, Arizona 85248
Date of Birth: June 12, 1959
Job Title: Proiect Manager Respondent has lived in Arizona for 21 years and/or __ months
3. INFORMATION ABOUT, MY THE MARRIAGE:
Date of Marriage: Au ust 2 1986 City and state, or country where we were married: East Lansdowne, Pennsylvania
The following statements MUST BE TRUE for you to use this document and to qualify for divorce in Arizona AND you must check the boxes to indicate that the statements are true or your case may not proceed.
EWe do not have a covenant marriage (if not sure, refer to the lNSTRUCTIONS for information). Our marriage is broken beyond repair (“irretrievably broken’) and there is no hope of reconciliation.
We have tried to resolve our problems through Conciliation Services or going to Conciliation Services would not work.
This court has jurisdiction to determine physical custody and authority for legal decision- making (legal custody) over our minor child(ren) common to the parties because the minor child(ren) haslhave lived with Petitioner or Respondent in Arizona for at least the past 6 months.
4. 90 DAY REQUIREMENT: (This statement MUST be true before you can file for divorce in Arizona). I OR [:I my spouse have lived, in Arizona or have been stationed in Arizona while a member of the Armed Forces, for at least 90 days before I filed this action
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DOMESTIC VIOLENCE: (if you intend to ask for joint iega/ decision making authority (faint custody), there must have been no significant domestic violence in your marriage. A.R.S. 25—40303.
Check the box to make a true statement): Significant domestic violence, [:1 has OR E has not occurred during this marriage.
The parties agree address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
CHILDREN OF THE PARTIES WHO ARE LESS THAN 18 YEARS OLD:
Listed below are children still under the age of 18 born to or adopted by my spouse and me during our marriage, or where indicated, born before. Husband is the father of the children listed below.
Child’s Name: Jessica Taylor Lagos
Birthdate: November 1 1996 El Born prior to marriage Address: 11132 E. Villa Park Street, Chandler, AZ 85248
Length of Time at Address: 2 years
Child’s Name: Michael John Lagos
Birthdate: June 1 1999 El Born prior to marriage
Address: 11132 E. Villa Park Street, Chandler, AZ 85248 Length of Time at Address: 2 years
Child’s Name:
Birthdate: Cl Born prior to marriage
Address: Length of Time at Address:
Child‘s Name:
C] Born prior to marriage
Birthdate: . ._____.._______——
Address: Length of Time at Address:
PREGNANCY and PATERNITY: (Check one box)
>14 Wife is not pregnant, OR
B Wife is pregnant.
The baby is due on (date), (and, check one box below): I] The Petitioner and Respondent are the parents of the child, OR [Z] Husband is not the parent of the child, OR
E The Petitioner and Respondent are the parents of the child, OR
[3 Petitioner is not the parent of the child, 0R.
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I: Respondent is not the parent of the child.
[3 A minor child or minor children were born before the marriage. The husband is the father of that minor childlthose minor children named below. 7 7
COMMUNITY PROPERTY. (Check one box)
I] My spouse and I did not acquire any community property during the marriage, OR [:1 My spouse and I acquired community property during the marriage, and we should divide it as follows:
Petitioner Respondent Value
[3 Real Estate IOCated [:l [I
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
E] Household furniture and appliances: Petitioner Respondent Value [I [II $____ El E1 $____
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
B Household furnishings: Petitioner Respondent Value 13 E] $.— D E] $— 12! D $______
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
I] Other items: Petitioner Respondent Value El El 35—…— D D $___.__ El E] $___
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
I] Pensionlretirement fundlprofit sharinglstock planl401 K: (See Attachment)
Petitioner Respondent Value D II! $____ [3 E] s D E] $_______
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
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El Motor vehicles: Petitioner Respondent Value Make: Year: __ E) CI 3 Model: El D VIN:
Lien Holder:
The parties agree to address division vehicles in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
SEPARATE PROPERTY: (Check all boxes that apply.)
I do not have any property that I brought into the marriage or separate property.
My spouse, the Respondent does not have any property that he or she brought into the marriage or separate property.
I have property that brought into the marriage or I have separate property. i want this property awarded to me as described below. .
My spouse, the Respondent, has property that he or she brought into the marriage or has separate property. I want this property awarded to my spouse as described below.
DUDE
Separate Property: (On the next page. list the property and the value of the property, and check the box to tell the court who should get the property.)
Description of Separate Property Petitioner Respondent Value III I] s EI III $—
The parties agree to address division of property in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree Dissolution of Marriage.
COMMUNITY DEBTS: (check one box)
E] My spouse and I did not incur community debts during the marriage, OR [3 We should divide the responsibility for the debts incurred during the marriage as follows:
DESCRIPTION OF DEBT Petitioner Respondent Amount Owed E] E] $ El E] $.— EI III $
SEPARATE DEBTS: (check all boxes that appiy.) E] My spouse and I do not have any debts that were incurred prior to the marriage or separate debt; [I i have separate debt or debt that I incurred prior to the marriage which should be paid by
me as described below; [I My spouse has separate debt or debt that he or she incurred prior to the marriage that should be paid by my spouse as described below.
Petitioner Respondent
CI El ‘—
The parties agree to address debts in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage
TAX RETURNS: (check this box if this is what you want). C] After the judge or commissioner signs the Decree of Dissolution of Marriage (Divorce), we
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will. subject to IRS Rules and Regulations, pay federal and state taxes as follows: For previous years (the years we were married, not including the year the Decree was signed), the parties will file joint federal and state income tax returns. in addition, for previous calendar years, both parties will pay, and hold the harmlessfrom 1/z of all additional income taxes if any and other costs and each will share equally in any refunds. For the calendar year (the year that the Decree is signed) and all future calendar years, each party will, subject to IRS Rules and Regulations. file separate federal and state income tax returns. Each party will give the other party all necessary documentation to do so.
The parties agree to address tax returns in accordance with the Comprehensive Mediated
Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
11. SPOUSAL MAINTENANCEISUPPORT (ALIMONY) (check the box that applies to you): El Neither party is entitled to spousal maintenancelsupport (alimony), 0R
E] Petitioner OR [:1 Respondent is entitled to spousal maintenanceisupport because: (Check one or more of the box(es) below that apply. At least one reason must apply to get spousal maintenancelsupport.)
Person lacks sufiicient property to provide for his/her reasonable needs.
Person is unable to support himself/herself through appropriate employment.
Person is the custodian of a child(ren) whose age or condition is such that the person should not be required to seek employment outside the home.
Person lacks the learning ability in the labor market adequate to support himself/herself; and ‘
D Person contributed to the educational opportunities of the other spouse or has a marriage of long duration and is now of an age that precludes the possibility of gaining
employment adequate to support himself/herself. The parties agree to address spousal maintenance in accordance with the Comprehensive Mediated
Settlement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
El EDD
12. WRITTEN AGREEMENT: (Check box only if true.)
D My spouse and l have a written agreement signed by both of us about the maintenance of a spouse. division of property/debt, where the children will live. authority for legal decision- making concerning the children (legal custody). parenting time and child support; and
[j l have attached a copy of the written agreement. The parties are in the process of mediating will submit a written agreement that will be attached to the Decree of Dissolution of Marriage.
REQUESTS TO THE COURT:
A. DISSOLUTION (DIVORCE):
Dissolve our marriage and return each party to the status of single person;
RESTORE NAME:
I took the name of my spouse at the time of marriage and I want to restore my last name to the
name I used before this marriage or to my maiden name. My comglete married name is:
i want my name restored to: (List complete maiden name or legal name before the marriage):
m
WARNING: If you are not the person who is requesting to have your form name restored. the court must have a written request from the party who wants his or her name restored to change the name.
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8. PATERNITY and MINOR CHILD(REN)’S NAMES: Declare the husband to be the father of the following named minor child(ren) born before marriage and (optional) change the legal name of those minor children to be the name listed on the right below.
Current Legal Name (OPTIONAL) Change the name of the child to:
New Name _I_ —I— —I—
C. PRIMARY RESIDENTIAL PARENT, PARENTING TIME, AND AUTHORITY FOR LEGAL DECISION MAKING (CUSTODY):
The parties agree to address all legal decision making (custody) and parenting time issues in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and attached to
the Decree of Dissolution of Marriage.
Declare which parent shall be “Primary Residential Parent” for each minor child as follows:
E] Declare Mother as primary residential parent for the following named children:
C] Declare Father as primary residential parent for the following named children:
Subject to parenting time, as follows:
C.1 . PARENTING TIME: Award parenting time as follows: E] Reasonable Parenting time rights to the non-primary residential parent, OR
I] Supervised parenting time between the children and I] Mother OR I] Father OR
[I a No parenting time rights to D Mother OR [3 Father.
Supervised or no parenting time is in the best interests of the childtren) becausez”
[j Explanation continues on attached pages made a part of this document by reference.
a. Name this person to supervise: b. Restrict parenting as follows
c. Order cost of supervised parenting time (if applicable) to be paid by: 1:] Mother El Father, OR 1:! Shared equatly by the parties.
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AUTHORITY FOR LEGAL DECISION MAKING (CUSTODY): Award legal authority to make decisions concerning the child(ren) as follows:
El AWARD SOLE AUTHORITY FOR LEGAL DECISION-MAKING to: D Mother D Father
0R E AWARD JOINT AUTHORITY FOR LEGAL DECISION-MAKING to BOTH PARENTS
Mother AND Father agree to act as joint legal decision makers concerning the minor child(ren) and will submit a Parenting Plan and Joint Legal Decision Making Agreement signed by both parties. (For the court to order “joint legal decision making, there must have been no “significant” domestic violence according to Arizona law. A.R.S. § 25—40303)
CHILD SUPPORT: Order that child support will be paid by: D Petitioner OR D Respondent in a reasonable amount as determined by the court under Arizona Child Support Guidelines. Support payments will begin on the first day of the first of the entry of the divorce decree. These payments. and a fee for handling, will be paid through the Support Payment Clearinghouse and collected by automatic Income Withholding Order.
MEDICAL, DENTAL, VISION CARE FOR MINOR CHILDREN: Order that
D Mother is responsible for providing: D medical D dental D vision care insurance. D Father is responsible for providing: D medical D dental D vision care insurance.
Petitioner and Respondent will pay for all reaSOnabIe unreimbursed medical, dental, and health- related expenses incurred for the child(ren) in proportion to their respective incomes.
TAX EXEMPTION: The parties will claim the children as income tax dependency exemption on federal and state income tax returns as follows:
Parent entitled to claim Name of child in Tax Year: D M III F D M Cl F D M D F El M El F
D Pattern shall repeat for subsequent years.
SPOUSAL MAINTENATNCE (ALIMONY): D Order spousal support to be paid by D Wife, or D Husband in the amount of per month beginning with the first day of the month after the Judicial Officer signed the Decree and continuing until the person receiving spousal maintenance remarries or either party is deceased, or for a period of months. These payments, and a fee for handling, wilt be paid through the Support Payment Clearinghouse.
COMMUNITY PROPERTY: Make a fair division of all community property.
COMMUNITY DEBTS: Order each party to pay community debts as requested in the Petition, and to pay any other community debts unknown to the other party. Order each party to pay and hold the other party harmless from debts incurred by himlher since the parties separation on
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or the date the Respondent was served with the Petition for Dissolution.
J. SEPARATE PROPERTY: Award each party hisfher separate property and make each party pay his/her own separate debt; ‘ ‘
The parties agree to address all spousal maintenance, property and debt issues in accordance with the Comprehensive Mediated Settlement Agreement, to be signed and
attached to the Decree of Dissolution of Marriage.
K. OTHER ORDERS I AM REQUESTING (Explain request here):
__________________________.__.____.__—-————————————— __________________________________———-——-—-—-————————-
OATH OR AFFIRMATION OR VERIFICATION
I swear or affirm that the information on this document are true and correct under penalty of perjury.
@ij 3:! 112 raflgr :
Signature Date Sworn to or affinned before me this: C I; i: Q . 9-0 B by e I0l . Tl
Printed Name
Seal/My Commission Expires: Deputi rglerk or Notary guélc I i
OFFICIAL SEAL PAMELA J.TIRPAK Notary Public – Arizona ‘ ‘ « MARICOPA COUNTY ‘ My Commission Expires JANUARY 31. 2016
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