Thomas Hopkins vs Susan Hopkins – Maricopa Family Court

thomas_hopkins_vs_susan_hopkins

‘ 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

COM 4 ~7.a.

Case Number:

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

Page 2 of 67.b.

8.a.

Case Number:

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

Page 3 of 6Case Number:

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.

Page 4 of 6Case Number:

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

Page 5 of 6Case Number:

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,

‘tmfi‘ hymen-uqu .4… . q“

Page 6 of 6

flSnrwrinr P.an nf Ari-mna in Marianna (Ir-mu nnl on 4 n5 n4 n4 4 a

Donna Desantis vs John Lagos Maricopa Family Court

donna_desantis_vs_john_lagos

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

Page 1 of 8Case Number:

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.

Page 2 of 88.a.

Case Number:

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.

Page 3 of 88.b.

9.a.

9.1).

10.

Case Number:

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

Page 4 of 8Case Number:

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.

Page 5 of 8Case Number:

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.

Page 6 of 80.2.

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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

Page 7 of 8Case Number

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

Page 8 of 8

Matthew Kelly vs. Melanie Kelly-Brit – Maricopa Family Court

matthew_kelly_vs_melanie_kelly_britt

MICHAELK. JEANES Clerk of the Superior Court By sheila panicki, Denny

Date 10/20/2014 Time 14:64:17

Matthew J. Kelly Descriptim 811381111: 1126 W. Elliot Road, #2032 –——– CRSEll 17132014095670 Chandler, AZ 85224 11H) 11 (480)221-0083 mum WI}in 601 338.00 mkelly@kelly—mccoy.com W» ——

181911. min $56.00

Razeiptli 24096045

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA

IN AND FOR THE COUNTY OF MARICOPA FC2014-095670

In re the Marriage of:

MATTHEW J. KELLY,

No.

PETITION FOR DISSOLUTION OF NON-COVENANT MARRIAGE

and (With Children) MELANIE M. KELLY,

Petitioner,

Respondent.

Petitioner Matthew J. Kelly, for his Petition for Dissolution of Non-Covenant Marriage, alleges as follows:

1. Petitioner, Matthew J. Kelly (“Petitioner”), was born on October 21, 1974 (age 39), his Social Security Number is listed on the Family Court Sensitive Data Coversheet included with this Petition, and his occupation is attorney. Petitioner’s address is 1126 W. Elliot Road, #2032, Chandler, AZ 85224, and he has been domiciled in Arizona for more than 90 days.

2. Respondent, Melanie M. Kelly (“Respondent”), was born on July 1, 1973

(age 41), her Social Security Number is listed on the Family Court Sensitive Data

Coversheet included with this Petition, and her occupation is physician assistant.I)

N

\DOONQU’I-b

10 11 12 13 14 15 16 17

‘18

19 20 21 22 23 24 25 26 27 28

Respondent’s address is 1633 W. Manor Street, Chandler, AZ 85224, and she has been domiciled in Arizona for more than 90 days.

3. The parties were married on June 8, 1996, in Flagstaff, Coconino County, Arizona and since that time have been and are now husband and wife. —-

4. This marriage is not a covenant marriage.

5. The parties’ marriage is irretrievably broken and there is no reasonable prospect of reconciliation. The conciliation provisions of A.R.S. § 25-38109 either do not apply or have been met. Petitioner has complied with, or prior to finalizing this case, will comply with the domestic relations education provisions of A.R.S. § 35—3 52.

6. The parties have three children in common: Lucas Matthew Kelly, age 12; Owen Rivers Kelly, age 9; and Tate Skinner Kelly, age 6. The children’s residential address, Social Security Number and date of birth are not listed to maintain confidentiality and privacy, but instead are listed on the Family Court Sensitive Data Coversheet filed simultaneously herewith.

7. Petitioner has not participated as a party or witness or in any other capacity in any other proceeding concerning the custody of or visitation with any child listed herein.

8. Petitioner does not know of any proceeding that could affect the current proceeding, including proceedings for enforcement and proceedings relating to domestic violence, protective orders, termination of parental rights and adoptions.

9. Petitioner does not know of any person who is not named as a party in this proceeding that has physical custody of, or claims rights of legal custody or physical custody of, or visitation with any child subject of this action.

10. Wife is not currently pregnant.

11. Neither party has committed an act of domestic violence against the other party.

12. This Court currently has jurisdiction to determine custody of the minor

children common to the parties because the minor children have lived with Petitioner or 21 Respondent in Arizona for at least the last six months or other factors exist that confer jurisdiction upon Arizona in accordance with A.R.S. § 25—1031(A).

13. Upon information and belief, the parties have reached the following

hWN

agreements on custody, parenting time, child support and spousal maintenance: Child Custody: The parties shall have joint custody. Parenting Time: The parties shall have essentially equal parenting time. Child Support: Except in the event of a substantial and continuous change in

circumstances, no party shall have a child support obligation to the other party.

\OOO‘QOM

Spousal Maintenance: Neither party shall be entitled to spousal maintenance.

10 WHEREFORE, based upon the foregoing, Petitioner respectfully requests that the 11 Court:

12 A. Order that the marriage between the parties be dissolved, and the parties 13 restored to the status of single persons.

14 B. Award both parties the joint legal custody of the parties’ minor children in 15 accordance with the agreements of the parties set forth in a written parenting plan to be 16 submitted to the Court and such other provisions determined by the Court to be in the best 17 interests of the children.

18 C. Award essentially equal parenting time in accordance with the written 19 parenting plan to be submitted with the final Decree or Judgment, or alternatively in the 20 best interests of the children. I

21 D. Order that, except in the event of a substantial and continuous change in

22 circumstances, neither party be awarded child support.

23 E. Order that neither party be awarded spousal maintenance.

24 F. Order the equitable division of the parties’ assets and liabilities;

25 G. Confirm the parties’ respective sole and separate assets;

26 H. Order that each party pay all debts incurred by him or her, respectively,

27 from the date this Petition is served;

28 I. Order each party to pay their own attorneys’ fees and costs; and 310 ll 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28

J. Order such other and further relief as this Court deems appropriate.

DATED: October 20, 2014.

STATE OF ARIZONA

County of Maricopa

Petitioner Matthew J. Kelly, being first duly sworn upon oath, states that he is the Petitioner in the above-entitled matter; that he has read the foregoing Petition and that the

)

) ss.

)

Q

Matthew J. Kelly Petitioner

same is true, correct and complete to the best of his knowledge and belief.

SUBSCRIBED AND SWORN to before me this 20th day of October 2014, by

Matthew J. Kelly.

My Commission Expires:

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Matthew J. Kelly

(wt

Notary Public

0m SEN. LISA PIJSKO

MARICOPA COUNTY m Comm. mm 16. 2015

Patterson vs East Valley Medical Group

patterson_vs_east_valley

i PATTERSON,

vs.

CATHOLIC HEALTHCARE WEST = ARIZONA, an Arimna corporation, dba 5 CHANDLER REGIONAL HOSPITAL 1 ‘ (fka EAST VALLEY REGIONAL ; HEALTH SYSTEM, dba CHANDLER

’ HEALTH CARE ASSOCIATES, LTD,

i 13.0., dba CHANDLER SURGERY : CENTER ASSOCIATES; WWI-ER.

, EAST VALLEY OFFICE ASSOCIATES, 1 a partnership; EAST VALLEY MEDICAL OFFICE ASSOCIATES II, a

OFFICE ASSOCIATION, a partnership;

‘» L. EASTON, DD. and JOHN DOE

LAW OFFICES

Hassle-r Pmumao Pomens a Cuuumennm Puc

PARK WHOM m 101 831 EAST cm POST OFFICE BOX 13388 PHOENIX. “EDNA anon-sun (cm 371-3544 FAX (502) m WBWOWHLWA’IT-HET

Frank 1. Powers (Bar No. 013369)

‘ Attorneys for Plaintifl’

By MI W: Demty Date 0351/2000 Time 12:54 PM Descriptim Qty meow: —-— GASES: W ———~ GIUIL BER 38mm? 901 1619.09

—-——~.—-—……___

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA

IN AND FOR THE COUNTY OF MARICOPA I

RUSSELL FAT-mason, mm spouse ) ofGLORIA PATTERSON, deceased, ) and on behalfof JOSEPH )

‘i PATTERSON and LAWRENCE BROWN, )

mvingnatwalchfldrenofGiflRIA

P1. .3;

REGIONAL HOSPITAL); WOMEN’S

an Arizona oorporafion; H C. WATTERS,

MEDICAL ASSOCIATES, a parma’sbip;

partnership; EAST VALLEY MEDICAL

H. C. WATI‘ERS, 13.0., and JANE DOE WATTERS, husband and wife; DIANE

VVVVVVVVVVVVVVVVVVWVVVVVVVV

N“ omega-006138

COMPLAINT

(Medical Negligence)

2613-002«omummhmmé-

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N 00

. .

EASTON, wife and husband; EAST ) VAIJEY FMY MEDICAL, P.C., an ) Adzona corporation, aka EAST VALLEY ) FMY MEDICINE; CARDIAC ) DIAGNOSTIC INSTITUTE, L.L.C., an ) )

~ Afizona limited liability corporation; –

VICTOR BONELA, MD, dba CARDIAC ) INSTITUTE GENERAL PARTNERSHIP; ) CHANDLER DIAGNOSTIC m

a Wship; VICTOR R BONHLA, MD. and JANE DOE BONBLA,

husband and wife; BRUCE EICH, MD. and JANE DOE EICH,

husband and wife; OLE-GEORG TDRIUSEN, MD. and JANE DOE TORJUSEN, 1111is and wife;

BONNIE HARE, NP. and JOHN DOE HARE, wife and husband; MARY MAUDE WYER, NP. and JOHN DOE mm wife and husband; MARY MARGARET WYEK RN. and JOHN ROE MEYER, wife and husband; LINDA YESS, GNP. and JOHN DOE YESS, wife and lmsband; JOHN and JANE DOES I-V; BLACK

and WHITE CORPORATIONS I—V,

VVVVVWVUVWWWWVVVVVV

Defendants.

PlaintiffRussell Patterson, through counsel, for his claim against the Defendants,

alleges as follows:

I.

The Parties at all times relevant hereto were residents of andior doing business in

Maficopa County, State of An’zona.

All events complained of owned within Malicopa County, Arizona

11.III.

Plainfifi’Russell Patterson is the surviving spouse of Gloria Patterson, now He brings this claim on behalf of himself individually, as well as Ioseph Patterson and Lawrence Brown, surviving natural adult children of Gloria Patterson.

IV.

Defiandant Catholic Healthcare West Arizona, an Arizona corporation, dba Chandler Regional Hospital (formerly known as East Valley Regional Health System dba Chandler Regional Hospital) is a foreign corporation authorized to conduct business within the State of Arizona, with aprincipal place ofbusiness and/or agents andlor property within Mmicopa County, Arizona. Said Defendant is authorized to engage in the business of providing health care and medical services to memba’s ofthe public, and said Defendant and its employees and agents provided services to Gloria Patterson, deceased.

V.

Defendant Women ’s Health Care Associates, Ltd is an Anmna commotion organized and ezdslingunderthelaws ofthe State ofArizona, withitsprinoipalplamofbusiness andior agents andfor property within Maficopa County, Arizona. Said Defendant is authorized to engage in the husinessofprovldinghwlthcareandmedical servicestomembers ofthe public, and saidDefendant and its elnployees and agents provided services to Gloria Patterson, deceased.

V’L

Defendant Chandler Surgery Center Associates is a registered fictitious name for H. C. Wetters, D.O., organized and existing under the laws of the State of Arizona, with its principal place of business and/or agents andlor property within Marieopa County, Said Defendant

ismflrofizedtoengageinthebusinessofprovidinghealthcareandmedionl sewicestomembersof

.3- 2513-002mmwmmhwmw-

N MN MNNNHHHI—IHHHHHH

the public, and said Defendant and its employees and agents provided services to Gloria Patterson, deceased? VII.

Defmdant Warner Medical Associates is a partnership organized and under the laws of the State of Arizona, with its principal place of business and/bf agents and/or property within Maficopa County, Arizona. Said Defendant is authorized to engage in the business of providing health care and medical services to members of the public, and said Defendant and its employees and agents provided services to Gloria Patterson, deceased.

VIII.

Defendant East Valley Ofiice Associates is a partnership organized and existing under the laws of the State of Arizona, with its principal place of business and/or agents and/or property within Mp3 County, Arizona. Said Defendant is authorized to engage in the business ofprovidinghealthcare andmedical servicesto membersofthe public, and saidDefendarnandits employees and agents provided services to Gloria Patterson, deceased.

IX

Defendant East Valley Medical Office Associates II, is a permership organized and existing under the laws of the State of Arizona, with its principal place of business and/or agents andfor property within Maficopa County, Arizona. Said Defendant is authorized to engage in the business ofproviding health care and medical services to members ofthe public, and said Defendant and its employees and agents provided services to Gioria Patterson, deceased.

I X. Defendant East Valley Medical Ofice Association is a partnership organized and

existingunderthelawsofflieStateofArizona,withitspfincipalpiaoeofbusinessand/oragem

.4. ‘ 2613-002

Susan Robinson vs Donna Desantis and East Valley Family Physicians

robinson_vs_desantis_east_valley_family_physicians

1

0501-wa

10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26

MICHAEL K. JERNES Clerk of the Superior Court

BY RUBERT HILL; Deputy

Date 08/27/2002 Time 02:27 Pfl J. Gregory Osborne (8.3. No. 006422) Damflpflm my fimmfi TOLMAN & OSBORNE, P . c. —-——- {3931511 WSW—01656.3 .4.– 1920 E. Southern Avenue, Suite 104 cmfi_mufimflfim1 m1 $300 Tempe, Arizona 85282 —————_—_—~_—m~__~i. ‘l__ (480) 897—1020 TUTHL 914011111 mm

fiaeip- r ‘r Attorneys for Plaintiffs Tfimmm£wmo

SUPERIOR COURT OF ARIZONA

MARICOPA COUNTY

CV2002-016663

STEVE AND SUSAN ROBINSON, Case NO. CV

husband and wife, Plaintiffs,

)

)

)

)

)

VS. ) COMPLAINT )

DONNA M. DESANTIS, M.D. and‘ ) JOHN DOE DESANTIS, wife and ) husband; EAST VALLEY FAMILY ) PHYSICIANS,P.L.C., an Arizona ) Corporation; JOHN AND JANE DOES ) I-V; BLACK AND WHITE CORPORA— ) TIONS VI—X; ABC PARTNERSHIPS ) XIvXV, ) )

)

)

(Tort: Non—Motor Vehicle; Medical Malpractice)

Defendants.

_____________————————————-—-—

For their complaint, plaintiffs allege as follows:

1. Plaintiffs are residents of Maricopa County,

Arizona.

2. Defendants Donna M. DeSantis, M.D. and John Doe DeSantis are now, and at all times material hereto were, residents of Maricopa County, Arizona; the true name of John Doe DeSantis is not presently known to plaintiffs but plaintiffs will seek leave of court to amend their complaint to reflect the true name at such

time as it becomes known. At all times material hereto defendantp—a

nomadic.”th

NNNNNNNHHF‘V—IHHF‘HD—lp—J mmhwmwommwmmhwrur—o

Donna M. DeSantis, M.D. acted on behalf of and in furtherance of

her marital community. 3. East Valley Family Physicians, P.L.C. is an.Arizona

Corporation and licensed health care provider. At all times

material hereto, Dr. DeSantis was acting as the agent, servant and/or employee of East Valley Family Physicians, P.L.C.

4. Defendants John Does I—X, Jane Does 17X, Black Corporations I—X, and White Partnerships I—X are the officers,

and/or employees of defendants and their

directors, agents

spouses, who at all times material hereto acted within the course and scope of their employment and/or agency relationship with

defendants and on behalf of and in furtherance of their respective

marital communities; the true names and identities of these defendants are not presently known to plaintiffs, but plaintiffs will seek leave of court to amend their complaint to reflect the true names, together with the appropriate allegations concerning

the conduct of each defendant as it relates to their respective

negligence in rendering health care individually or collectively

as a principal, agent, employee, administrator, manager or director of defendants. 5. At all times material hereto, defendants held

themselves out to the public, and particularly to plaintiff Susan

Robinson, to be health care providers capable of treating

injuries, illnesses and conditions, including those of plaintiff

Susan Robinson, by and through their employees and agents

including the individual and corporate defendants; as such,

-2-1

0501-th

(I)

10 11 12 13 14 15 16 I7 18 19 20 21 22 23 24 25 26

defendants represented to the public and to plaintiffs that they were possessed of and exercised that degree of learning, skill, care, knowledge and diligence required of health care providers of

their respective specialties in the State of Arizona.

6. All acts complained of herein occurred in Maricopa County, Arizona. 7. The amount in controversy exceeds the ‘minimum

amount required for jurisdiction in this Court.

8. During 2001, plaintiff Susan Robinson presented

herself to defendants for examination, diagnosis and treatment of

her complaints.

9. Defendants, including their agents and servants,

were negligent in consulting on, examining, diagnosing and treating plaintiff Susan Robinson.during the above—mentioned times in that they failed to exercise the degree of care and skill

ordinarily exercised by competent physicians, health care

providers, and medical supplier/consultants in similar cases under

similar circumstances.

10. As a direct and proximate result of said

negligence, plaintiff Susan Robinson sustained. permanent and

grievous physical injuries to his person which have caused her pain and substantial discomfort and which will continue in the future to cause pain and discomfort.

11. As a direct and proximate result of the negligence plaintiff Robinson has required the

of defendants, ‘Susan

attendance of physicians and will require further medical care and

_3_LOCDNO‘U‘J-‘bWNH

NNNNNNNI—‘HHHI—‘r—IO—‘Hr—IH mmhwmwowmwmmewmwo

attention in the future; the cost of such future medical care and treatment is not presently known or ascertainable but will be proven at the trial of this matter.

12. As a direct and proximate result of the negligence of defendants, and the injuries suffered thereby, plaintiff Susan Robinson has undergone and will continue to undergo severe physical and mental pain and suffering.

13. As a direct and proximate result of the negligence of defendants, and the injuries suffered thereby, plaintiff Susan Robinson has suffered a loss of earnings.

14. As a direct and proximate result of the negligence of defendants, and each of them, and the injuries suffered by his wife, Susan Robinson, plaintiff Steve Robinson has been deprived

of the care, comfort, consortium and advice of his wife and is

entitled to damages therefore. WHEREFORE, for judgment against

plaintiffs pray

defendants as follows:

1. For reasonable damages for medical expenses incurred by plaintiff Susan Robinson as of the date of the Complaint, plus an amount to be determined as and for the reasonable future medical expenses to be incurred by plaintiff Susan Robinson.

2. For reasonable damages as and for the past and future physical and mental pain and suffering, and embarrassment

caused by the injury sustained by plaintiff Susan Robinson.

3. For reasonable damages for lost wages and loss of

earning capacity sustained by plaintiff Susan Robinson.

-4-0‘01th

\1

10 11 12 13 14 15 16 17 18 19 20 21 22 23

24 25

26

4. For reasonable loss of consortium damages to Steve

Robinson for the loss of care, comfort, consortium and advice of

Susan Robinson. 5. For plaintiffs“ costs incurred and expended in this

lawsuit.

6. For such other and further relief as this Court may

deem just and appropriate.

. Gr ry Osborne 920 Southern, Suite 104 Temp , Arizona 85282

Attorneys for Plaintiffs

Timothy Baker vs Mindy Baker Maricopa County Family Court

timothy_baker_vs_mindy_baker_maricopa

,—

Thomas J. Griggs (LD. No.006690)

LAW OFFICES Killian, Nicholas, Fischer,

Wirken, Cook & Pew, P.L.C.

SUITE 200 40 NORTH CENTER STREET no. BOX 1467 MESA, ARIZONA 85211 (602) 461-4600

Attomeysfor Petitioner

IN THE SUPERIOR COURT OF THE STATE OF ARIZONA IN AND FOR THE COUNTY OF MARICOPA

In re the marriage of TIMOTHY P. BAKER

Petitioner, PETITION FOR DISSOLUTION OF MARRIAGE With Children)

and

MINDY K. BAKER

Respondent.

Petitioner, TIMOTHY P. BAKER, by his undersigned attorneys, for his Petition

for Dissolution of Marriage, alleges as follows:

I That the petitioner’s true name is TIMOTHY P. BAKER, that petitioner’s birthdate is June 6, 1963, that petitioner’s address is 11625 South Appaloosa, Phoenix, Arizona 85044; that petitioner’s occupation is medical doctor; that the respondent’s true name is MINDY K. BAKER, that respondent’s birthdate is September 20, 1963, that respondent’s address is 3935 East Park Avenue, Phoenix, Arizona 85044; that Respondent is presently

unemployed, but is employable. Respondent is not pregnant at this time.

WIOSQ 01II That the petitioner and respondent have been domiciled in the State of Arizona for period of ninety (90) days prior to the filing of this Petition. III That the petitioner and respondent were married on or about the 11th day of June, 1983 in Phoenix, Arizona, and ever since that time have been and now are husband and wife. IV That the marriage between the petitioner and respondent is irretrievably broken and there is no reasonable prospect of reconciliation. V That the conciliation provisions ofA.R.S. § 25-38109 either do not apply or have been met. VI That there have been born as issue of this marriage two children, both of whom are minors, namely: GARRETT R. date of birth October 19, 1991; and EMILY S. date of birth April 30 1993; and within the last five years have lived with both Petitioner and Respondent at the 11625 South Appaloosa, Phoenix, Arizona address and prior to that at 4831 East Boston Street, Chandler, Arizona 85226. That there shall be a sole custody order issued in this case with Respondent/Wife as the custodial parent for the parties’ minor children. Petitioner has not participated as a party, witness, or in any other capacity, in any other litigation, concerning the custody of the minor children in this or any other State, has no information of any custody proceedings concerning the minor children pending in a court of this or any other state, and knows of no person not a party to these proceedings who has physical custody of the minor children or claims to have

custody or visitation rights with respect to the minor children.

00105620] ‘2’In

VII That the Petitioner is an able-bodied man currently employed and capable of paying a reasonable amount as and for child support both pendente lite and permanently; that the petitioner lacks sufficient funds and property to provide for these matters and is

unable to support herself and the minor children of the parties. Therefore, Petitioner

alleges that he has committed to the Respondent that he should also pay Spousal

maintenance. VIII

That there are no written agreements between the parties as to support, custody and visitation of the children and maintenance of either spouse. The parties have had

discussions which Petitioner believes will result in written agreements.

IX That the parties hereto have acquired community, joint and common property, and

joint, common and community debt. There should be an equitable division of joint,

common and community property and debt. X

That each party shall be. responsible to pay his or her own attorneys fees and costs

incurred in this matter. WHEREFORE, the petitioner requests as follows: 1. That the Court order a Decree of Dissolution of Marriage, dissolving the

marriage existing between the parties and that the parties be restored to the status of

single persons; 2. That there be a sole custody order issued in this case with regard to the

custody of the minor children with Respondent/Wife being the custodial parent in this

case, subject to guideline access for the Father as a minimum;

ODWSGZDI3. That the Petitioner be ordered and required to pay to the petitioner a reasonable amount to be determined by the Court as and for child support for the benefit of the parties’ minor children;

4. That Petitioner shall pay to the Respondent spousal maintenance to be allocated in this matter;

5. That the Court fix its order equitably ordering the payment and discharge of the community obligations of the parties;

6. That the Court fix its order equitably dividing the property acquired by the parties during their marriage;

7. That the Court affirm to the parties their sole and separate property, if any;

8. For such other and further relief as the Court may deem just and proper in

the law.

9. That each party be responsible to pay his or her attorneys fees and costs

incurred in this matter.

DATED this [2: day of . , 1994.

KILLIAN, NICHOLAS, FISCHER, WIRKEN, COOK & FEW, P.L.C.

Attorneys For Petitioner

omosazm ’4’STATE OF ARIZONA ) County of Maricopa SS-

TIMOTHY P. BAKER, being first duly sworn upon his oath, deposes and says that he is the Petitioner in the foregoing Petition for Dissolution of Marriage; that he has read the foregoing instrument and knows the contents thereof; that the facts alleged therein are

true except those alleged upon information and belief and as to those, he believes them to be true. % . B R

SUBSCRIBED AND SWORN to before me this [,2 day of

m m, [M 1 , 1994, by TIMOTHY P. BAKER.

N0 Pu lc

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My Commission Expires:

1012521qu

0010562131 ‘5‘