This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
STATE OF ILLINOIS,
CIRCUIT COURT
PETITION FOR DISSOLUTION OF
MARRIAGE / CIVIL UNION
(DIVORCE NO CHILDREN)
For Court Use Only
Instructions
Petitioner (First, middle, last name)
Directly above, enter
county where you will
file this case.
Enter your name as
Petitioner.
v.
Respondent (First, middle, last name)
Case Number
Enter the name of
your spouse/partner as
Respondent.
The Circuit Clerk will
add a Case Number.
Read the How to Get a
Divorce (No Children)
for definitions and how
to go court.
In 2a, if you check
“Yes,” enter the date
you started living in
Illinois.
In 2b, if you check
“Yes,” enter the date
the Respondent started
living in Illinois.
In 3a, enter your age.
In 3b, check all boxes
that apply to you.
If you are employed,
enter your job title.
In 3c, if you want to go
back to a former name,
check “Yes” and enter
that name.
In 4a, enter the
Respondent’s age.
In 4b, check the box
that applies. If you
check “Yes,” enter the
Respondent’s current
complete address. If
you check “No,” you
must have tried to find
Respondent’s address.
In 4c, check all boxes
that apply to the
Respondent.
If the Respondent is
employed, enter his/her
job title.
1.
I am the Petitioner in this case.
2.
I am providing the following information about where I live and where the
Respondent (my spouse/partner) lives:
a.
I live in Illinois:
Yes, since:
No
Date
b.
Respondent lives in Illinois:
Yes, since:
No
Do not know
Date
3.
I am providing the following information about myself:
a.
Age:
b.
I am employed (check all that apply):
Yes
No
I receive Social Security benefits
I am employed as:
Job Title
c.
I would like to go back to using my maiden or a former name:
Yes
No
Former Last Name:
Last
4.
I am providing the following information about the Respondent (my spouse/partner):
a.
Age:
b.
I know the Respondent’s current address:
Yes
Address:
Street, Apt #
City
State
ZIP
No, but I tried to find the Respondent and could not find his/her current address.
c.
The Respondent is employed (check all that apply):
Yes
No
Do not know
Respondent receives Social Security benefits
The Respondent is employed as:
Job Title
DV-P 103.3
Page 1 of 3
(11/21)
Enter the Case Number given by the Circuit Clerk: _________________________________
In 4d, check the box
that applies.
If the Respondent is on
active duty with the
military, you cannot
use this form, unless
the Respondent files an
appearance.
In 5, check whether it
is a marriage or civil
union.
In 5a, enter the date
you were
married/united.
In 5b, enter the county,
state, and country
where the
marriage/civil union
happened.
In 5c, check “Yes” if
this is the first time you
or Respondent have
filed for divorce from
each other.
In 5d, enter the date
you separated.
In 7a, check “Yes” if
you or the Respondent
have unpaid debts from
after the date of the
marriage/civil union.
Check “No” only if you
are sure there are no
unpaid debts.
In 8a, check “Yes” if
either of you got any
personal property
(clothing, car,
furniture, etc.) after the
date of the
marriage/civil union.
Check “No” only if you
are sure there is no
personal property.
In 9a, check “Yes” if
together you and the
Respondent own a
home, have a
mortgage, or have a
contract for deed.
In 9b, check “Yes” if
you own a home, have
a mortgage, or have a
contract for deed.
In 9c, check “Yes” if the
Respondent owns a
home, has a mortgage, or
has a contract for deed.
In 10a, check the box
that applies to you.
In 10b, check the box
that applies to the
Respondent.
d.
The Respondent is currently on active duty as a member of the Armed Forces of the
United States of America:
Yes
No
Do not know
5.
I am providing the following information about the
Marriage
Civil Union:
a.
We were married/united on:
Date
b.
We were married/united in:
County
State
Country
c.
This is the first time that either the Respondent or I have filed for divorce from each
other in Illinois or any other state:
Yes
No
d.
We have been separated since:
Date
e.
Irreconcilable differences have caused the irretrievable breakdown of the marriage or civil
union.
6.
No children were born or adopted during this marriage/civil union and neither party is
pregnant.
7.
I am providing the following information about the debts that the Respondent
and I have after the date we got married/united (both individually and as a couple):
a.
The Respondent and I have debts we got after the date of our marriage/civil union that
are still owed (either together or individually):
Yes
No
8.
I am providing the following information about the personal property including
bank accounts that the Respondent and I own (both individually and as a couple):
a.
The Respondent and I own personal property and/or bank accounts obtained during the
marriage/civil union:
Yes
No
9.
I am providing the following information about real estate:
a
The Respondent and I own or are buying real estate together:
Yes
No
b.
I own or am buying real estate separately:
Yes
No
c.
The Respondent owns or is buying real estate separately:
Yes
No
Do not know
10.
I am providing the following information about pension/retirement accounts:
a.
I have pension or retirement accounts:
Yes
No
b.
The Respondent has pension or retirement accounts:
Yes
No
Do not know
DV-P 103.3
Page 2 of 3
(11/21)
Enter the Case Number given by the Circuit Clerk: _________________________________
In 11, check yes if you
have any claims that you
are owed for money
damages or injuries,
whether you have filed
the case or not.
In 12a, check “Yes” if
you can support
yourself. Check “No” if
you need support from
the Respondent.
In 12b, check “Yes” if
the Respondent can
support himself/herself.
Otherwise check “No”
or “Do not know.”
11.
I have a claim for money for injuries or damages that I have suffered (worker's
compensation, personal injury, accident, etc.)
Yes
No
12.
I am providing the following information about maintenance/spousal support:
a.
I am able to support myself without maintenance/spousal support:
Yes
No
b.
Respondent is able to support himself/herself without maintenance or spousal support:
Yes
No
Do not know
I ASK THE COURT TO ORDER:
A.
A Judgment of Dissolution of Marriage/Civil Union (Divorce No Children) for me and my
spouse/partner.
B.
That I get to keep all of my non-marital/non-civil union property.
C.
That the Respondent gets to keep all of his/her non-marital/non-civil union property.
D.
A fair division of the marital/civil union property.
E.
A fair division of the debts obtained during the marriage/civil union.
F.
That maintenance/spousal support be awarded to:
Me
Respondent
Neither
G.
That after the divorce I be allowed to return to using my former name:
Not applicable
Yes
No
In F, check “Me” if
you want to get spousal
support from the
Respondent; check
“Respondent” if you
want to pay spousal
support to the
Respondent; or check
“Neither” if you do not
want to get or pay
spousal support.
In G, check “Yes” if
you want to go back to
using a former name.
Under the Code of
Civil Procedure, 735
ILCS 5/1-109,
making a statement
on this form that you
know to be false is
perjury, a Class 3
Felony.
I certify that everything in the Petition For Dissolution Of Marriage / Civil Union (Divorce
Children) is true and correct. I understand that making a false statement on this form is
perjury and has penalties provided by law under 735 ILCS 5/1-109.
/s/
Your Signature
Street Address
Print Your Name
City, State, ZIP
Email Address
Telephone
Attorney # (if any)
GETTING COURT DOCUMENTS BY EMAIL: You should use an email account that you do not share with anyone
else and that you check every day. If you do not check your email every day, you may miss important information, notice
of court dates, or documents from other parties.
If you are completing
this form on a
computer, sign your
name by typing it. If
you are completing it
by hand, sign and
print your name.
Enter your complete
address, telephone
number, and email
address, if you have
one. If you need to
keep your address
secret from your
spouse because of
domestic violence,
you may use another
address. That address
must be one at which
you can receive mail
about the case.
DV-P 103.3
Page 3 of 3
(11/21)
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