Summary Dissolution Request Form
This is a joint process, so no individual attorney-client privilege exists between spouses using this joint process. Please note that the spouse completing the form acknowledges and agrees that no attorney-client privilege exists between the spouse completing this form, and their spouse, concerning the information provided to Attorney. The information contained in this form, and provided to attorney by either spouse, may be provided to the other spouse, as part of this Joint Summary Dissolution process. The other Spouse must jointly agree to use, and actively participate in, this Summary Dissolution process.
Will your spouse agree to participate in the Summary Dissolution process and sign the summary dissolution form with you?
Yes
No
Have you or your spouse lived in California for the past six months?
Yes
No
Have you or your spouse lived in a California County for the past three months?
Yes
No
Which California County are you filing this Summary Dissolution petition in? (If you both live in different counties, select one to use for filing.)
Full Legal Name
First Name
Last Name
Your Email Address
example@example.com
Your Phone Number
Please enter a valid phone number.
Your Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Spouse's Legal Name
First Name
Last Name
Spouse's Phone Number
Please enter a valid phone number.
Spouse's Email Address
example@example.com
Spouse's Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of marriage you both agree on
-
Month
-
Day
Year
Date
Date of separation you both agree on
-
Month
-
Day
Year
Date
Is the date of marriage less than 5 years from the date of separation?
Yes
No
If you both have the same address, does your lease end in under one year?
Yes
No
Do you or your own real property (including separate property)?
Yes
No
Do you or your spouse want spousal support?
Yes
No
What is your current monthly income?
What is your spouse's current monthly income?
Will you complete and exchange the required Income and Expense Declaration with your spouse?
Yes
No
Will you complete the required worksheets or Declaration of Disclosure forms with your spouse?
Yes
No
Please list you and your spouses separate assets.
Yours
Spouse's
A. Bank accounts, credit union accounts, retirement funds, cash value of insurance policies, etc.
B. Items owned outright (for example stocks, bonds, household items, tools, interest in business, jewelry. Do not include cars)
C. Items being bought on credit. Do not include cars. Include item name, fair market value, amount owned, and net fair market value (net value is fair market value minus amount owed).
Please list the division of your community property.
Item + Value
Amount You Receive
Amount Spouse Receives
A. Bank accounts, credit union accounts, retirement funds, cash value of insurance policies, etc.
B. Items owned outright (for example stocks, bonds, household items, tools, interest in business, jewelry. Do not include cars)
C. Items being bought on credit. Do not include cars. Include item name, fair market value, amount owned, and net fair market value.
Are your total assets including both separate and community property less than $53,000 (excluding cars)?
Yes
No
Please list your community debts (excluding car loans).
Item
Amount Owed
You Will Pay
Your Spouse Will Pay
Debt 1
Debt 2
Debt 3
Debt 4
Debt 5
Are your community debts less than $7,000 (excluding car loans)?
Yes
No
Would you, or your spouse, want to have their former name restored? If yes, what is the full name to be restored?
Yes
No
Would you, or your spouse, want to have their former name restored? If yes, what is the full name to be restored?
Are you and your spouse entering into the process voluntarily, free from coercion and without exerting any coercion, free from duress, and without anything else promised or offered from your spouse outside of what you both agree to in this Summary Dissolution process?
Yes
No
Submit
Should be Empty: