#91014 IN THE CIRCUIT COURT OF COOK COUNTY, ILLINOIS COUNTY DEPARTMENT-DOMESTIC RELATIONS DIVISION In Re the Marriage of ) ) ) Petitioner, ) ) and ) Case ) ) Respondent. ) JUDGMENT OF DISSOLUTION OF MARRIAGE This cause coming on to be heard upon the duly verified Petition for Dissolution of Marriage previously filed herein by Petitioner, (name) , the Respondent having been served and having failed to file an Appearance or Response and being held in default, the Court having heard the evidence and testimony adduced by the Petitioner in support of said Petition, and being fully advised in the premises finds as follows: 1. That this Court has jurisdiction of the parties and the subject matter of this cause. 2. That the Petitioner presently resides in the State of Illinois, and have so resided for a period in excess of ninety (90) days prior to the making of these findings. 3. That the parties hereto were lawfully joined in marriage on (date of marriage), in (place of marriage). 4. That the parties separated on or about (date of separation), and have not since lived together as husband and wife. 5. As a result of the marriage, one child was born to the parties, namely, (name of child), born (date of child’s birth); and that no other children were born to, or adopted by, the parties and the Respondent is not now pregnant. 6. That the Petitioner has substantially proved the material allegations of her Petition for entry of the Judgment for Dissolution of Marriage, and that grounds for the entry of dissolution exist in that, without guilt or provocation on the part of the Petitioner, the Respondent has been guilty of extreme and repeated mental cruelty against the Petitioner. 7. That the following marital property was acquired by the parties during the marriage: 8. That the following marital debts remain outstanding as of the date of this Judgment of Dissolution. 9. That the minor child(ren) of the marriage presently reside with the Petitioner and the Petitioner is a fit and proper person to have their care, custody, control and education. IT IS THEREFORE, ORDERED, ADJUDGED AND DECREED AS FOLLOWS: A. That the bonds of matrimony previously existing between the Petitioner, (name), and the Respondent, (name), are hereby dissolved as to both Parties, pursuant to the Illinois Marriage and Dissolution of Marriage Act. IT IS FURTHER ORDERED, ADJUDGED AND DECREED AS FOLLOWS: A. That the Petitioner shall have the sole care, custody, control and education of the minor child(ren) of the parties, subject to reasonable visitation of the Respondent. B. That the Respondent shall have visitation on the following schedule: alternate weekends from Friday at 6 PM to Sunday at 7 PM, alternating holidays and two weeks in the summer, Father’s Day every year and the father’s birthday every year. The mother shall have the children with her on Mother’s Day every year and on her birthday every year. Holiday visitation shall take precedence over regularly scheduled time with the children. C. That the Respondent shall pay, as and for child support, the amount of (amount) dollars each (pay period), which sum represents (percentage) per cent of his net income from all sources. D. That the Respondent shall provide the Petitioner with a copy of his W-2 form and his five most recent pay stubs as of February 15th, each year. E. That both parties shall name the minor child(ren) as beneficiaries on any medical insurance which is available through their employer so long as they have a duty to support said child(ren). F. That the Petitioner shall be responsible for the ordinary medical expenses of the minor child(ren) and the Respondent shall be responsible for the extraordinary medical expenses. Extraordinary medical expenses shall include orthodontia, psychiatric treatment or hospitalization. G. That both parties shall name the minor child(ren) as irrevocable beneficiaries of any life insurance policy available through their employer, up to the first $50,000.00 until said minor child(ren)finish college or reach age 23, whichever is sooner. H. The Petitioner’s right to maintenance is reserved for two years, which shall be the time at which the youngest minor child is attending school full time. The Respondent is barred from receiving maintenance. I. The mother shall have the right to resume the use of her maiden name of (MAIDEN NAME). J. Illinois shall retain jurisdiction of the parties and the subject matter for future consideration of any issues arising out of this Judgment of Dissolution of Marriage. ENTER:__________________________________ JUDGE Xxxxxx Xxxxxxxxxx Attorney for Petitioner/Respondent Legal Assistance Foundation of Metropolitan Chicago 111 W. Jackson Blvd. Chicago, Il 60604 (312) 341-1070 Atty No.
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