‘ 1 MICHAEL K. We Clerk of the Superior Court
Name of Person Filing: Thomas Garrett Hopkins . – . In this case I am: petitioner [3 Respondent BY Sl’iEfla mush. Dearly
in this case I am: El Representing Myself (No Attorneyfisgiw? 93/ 1412614 T159 1455313‘
If Represented by Attorney: Attorney Bar Number: #:1331011 mm My Address: (if not protected) 4035 E. Summeri’iaweor;r4 f“ D N 3935“ me‘oonafi
City. State, Zip Code: Phoenix Arizona 85
Telephone Numbers: i480) 404-6489 _ m muff 338“
SUPERIOR COURT OF ARIZONA IN MARieditAitiggbfiigg33.3%,l2 3“”
FN2014—001i86
THOMAS GARRETT HOPKINS Case Number: Petitioner ATLAS Number: (if‘ applicable) SUSAN D. HOPKINS PETITION FOR DISSOLUTION OF A Respondent NON—COVENANT MARRIAGE (DIVORCE) WITHOUT CHILDREN
STATEMENTS TO THE COURT, UNDER OATH OR AFFIRMATION:
1. INFORMATION ABOUT ME, THE PETITIONER:
Name: Thomas Garrett Hopkins Address: 4035 E. Summerhaven Phoenix AZ 85044
Date of Birth: November 28 1961
Job Title: Physician ‘ _ _____z_________——— I have lived in Arizona for 27 years and 1 month
2. INFORMATION ABOUT THE RESPONDENT:
Name: Susan D. Hopkins Address: 4102 E. Goldfinch Gate Lane, Phoenix, AZ 85044 ’
Date of Birth: January 28I 1959 .__ _______ _ ._ .__ Job Title: Clinical Pharmacist
Respondent has lived in Arizona for 31 years andfor _ months
3. INFORMATION ABOUT, MY THE MARRIAGE:
Date of Marriage: May 16, 1987 City and state, or country where we were married: Rancho Santa Fe CA
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. We do not have a covenant marriage (if not sure, refer to the INSTRUCTIONS 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. ‘
4. 90 DAY REQUIREMENT: (This statement MUST be true before you can file for divorce in Arizona). IX“ OR B 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
OSuperior Court of Arizona in Mal-ice c my .- ALL RIGHTS RESERVED pa w page 1 of 6 ‘QQ‘RDCfif 011013 a
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DOMESTIC VIOLENCE: (if you intend to ask for joint legal decision making authority coin: custody), there must have been no significant domestic violence in your marriage. ARS. 25403.03. Check the box to make a true statement): w , ,
Significant domestic violence [:1 has OR 12 has not occurred during this marriage.
PREGNANCY: (Check one box)
EX] Wife is not pregnant,
COMMUNITY PROPERTY. (Check one box) – D My spouse and I did not acquire any community property during the marriage, OR >14 My spouse and I acquired community property during the marriage, and we should divide it as follows: – Petitioner Respondent Value
[I Real Estate located . El [:1 $___.__
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 El El 5_ El 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 of Dissolution of Marriage.
[3 Household furnishings: Petitioner Respondent Value El El $___ D E] $__ El Cl $___
The parties agree to address division of property in accordance with the Comprehensive Mediated Settiement Agreement, to be signed and attached to the Decree of Dissolution of Marriage.
[3 Other items: Petitioner Respondent Value ‘ E] El $___ El Cl $____ El Cl $_____
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.
El Pensionlretirement fundlprofit sharinglstock planl401 K:
Petitioner Respondent Value El El $___ El El 3
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El 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.
D Motor vehicles: Petitioner Respondent Value Make: Year: I] E] 3 Model: I] [:1 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 hexes 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.
l 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 El El $__ El El $___
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)
I] My spouse and I did not incur community debts during the marriage, OR C] We should divide the responsibility for the debts incurred during the marriage as follows:
DESCRIPTION OF DEBT Petitioner Respondent Amount Owed El E] $_____ El El $___._ El El $
8.b. SEPARATE DEBTS: (check all boxes that apply.)
E] My spouse and I do not have any debts that were incurred prior to the marriage or separate debt;
[:I l have separate debt or debt that l incurred prior to the marriage which should be paid by me as described below;
D My spouse has separate debt or debt that he or she incurred prior to the marriage that
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should be paid by my spouse as described below.
DESCRIPTION OF DEBT
Petitioner Respondent Amount Owed
El El $ 7
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
9. TAX RETURNS: (check this box if this is what you want).
Cl
After the judge or commissioner signs the Decree of Dissolution of Marriage (Divorce), we 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 harmless from ‘/2 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.
10. SPOUSAL MAINTENANCEISUPPORT (ALIMONY) (check the box that applies to you):
El CI
Neither party is entitled to spousal maintenance/support (alimony), OR
Petitioner 0R D Respondent is entitled to spousal maintenancelsupport because: (Check one or more of the box(es) beiow that apply. At least one reason must apply to get spousal maintenance/support.)
Person lacks sufiicient property to provide for hisrher 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/herseif.
[:1 DEC]
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.
11. WRITTEN AGREEMENT: (Check box only if true.)
E]
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
I 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.
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REQUESTS TO THE COURT:
A.
DISSOLUTION (DIVORCE):
D 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 complete married name is:
I want my name restored to: (List complete maiden name or legai name before the marriage):
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.
SPOUSAL MAINTENATNCE (ALIMONY): I] Order spousal support to be paid by El Wife, or [3 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, will 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 or the date the Respondent was served with the Petition for Dissolution.
SEPARATE PROPERTY: Award each party hislher separate property and make each party pay hislher own separate debt. ‘
OTHER ORDERS I AM REQUESTING (Explain request here):
~_________________.____._—___———-———-———-—————-———-—-
W
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OATH OR AFFIRMATION OR VERIFICATION
I swear or affirm that the information on this document are true and correct
flax/{Wail .5M‘ 6“ (r Signa ure Date Sworn to or affirmed before me this: ?//;’ by E /‘/512 4,. 71;.
Printed Name
f é % ,2; £4 /é Seal/My Co mission Expi 5: Deputy Clerk or Notary Public
NOTARY PUBLIC STATE OF ARIZOHA
under penalty of perjury.
-. ‘ in; TINA BAKER,
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