This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
DV-J 106.1
Page 1 of 6
(04/18)
STATE OF ILLINOIS,
JUDGMENT OF DISSOLUTION OF
MARRIAGE / CIVIL UNION
(DIVORCE WITH CHILDREN)
For Court Use Only
CIRCUIT COURT
COUNTY
Instructions
Directly above, enter
the county where you
filed this case.
Enter the full name of
Petitioner,
Respondent, and the
case number as listed
on the Petition for
Dissolution of
Marriage/Civil Union
(Divorce with
Children).
Petitioner (First, middle, last name)
v.
Respondent (First, middle, last name)
Case Number
DO NOT complete
this section.
filed by the Petitioner. The court heard the testimony of
Petitioner
Respondent
DO NOT complete 1a
and 1b.
1.
Present in Court:
a.
Petitioner present:
Yes
No
DO NOT complete 2a,
2b, or 2d.
represented by Lawyer:
b.
Respondent present:
Yes
No
In 2c, check the box
that applies to the
Respondent. If the
Respondent is on
active duty, you cannot
get a divorce unless
the Respondent files
an appearance.
represented by Lawyer:
2.
Jurisdiction:
a.
This court has jurisdiction of the subject matter and
Petitioner
Respondent
b.
Respondent is in default:
Yes
No
c.
Respondent is currently on active duty as a member of the Armed Forces of the United
States of America:
Yes
No
Unknown
In 3a, check the box
that applies to you.
d.
This Court has jurisdiction under the Uniform Child-Custody Jurisdiction and
and Enforcement Act:
Yes
No
In 3b, check the box
that applies to the
Respondent.
3.
Residency Requirement:
a.
Petitioner has been living in Illinois at least 90 days immediately before the filing of
In 4, check whether it
is a marriage or civil
union.
the Petition or immediately before the time of this hearing:
Yes
No
In 4a, enter the date
you were
married/united.
b.
Respondent has been living in Illinois at least 90 days immediately before the filing
of the Petition or immediately before the time of this hearing:
Yes
No
In 4b, enter the place
the marriage/civil
union took place.
4.
Information about the
Marriage
Civil Union:
a.
Parties were married/united on:
If this is an agreement,
enter initials on each
page.
Date
b. Parties were married/united in:
County
State
Country
Petitioner's initials:
Respondent's initials:
Enter the Case Number given by the Circuit Clerk: _________________________________
DV-J 106.1
Page 2 of 6
(04/18)
5.
Grounds for Dissolution:
Irreconcilable differences have caused the irretrievable breakdown of the marriage or civil
union and efforts at reconciliation have failed or future attempts at reconciliation would be
impracticable and not in the best interests of the family.
In 6a, part one, check
“Yes” if
you are
pregnant.
6.
Children of the Marriage/Civil Union:
a.
Petitioner is pregnant:
In 6a, part two, check
“Yes” if the child is
Respondent’s.
Yes
No
The unborn child is Respondent’s:
Yes
No
Unknown
In 6b,
part one, check
“Yes” if
t
he Responde
nt
is pregnant.
b.
Respondent is pregnant:
Yes
No
Unknown
In 6b, part two, check
“Yes” if the child is
yours.
The unborn child is Petitioner’s:
Yes
No
Unknown
c.
The minor children (under the age of 18) born to or adopted together by the parties before
In 6c, check “None” if
y
ou have no children
with the Respondent
who are under the age of
18. Otherwise, list the
names and birthdates of
the children.
or during the marriage/civil union are:
None
Name
Date of Birth
1.
2.
3.
I have listed additional minor children on the attached Additional Minor Children form.
In 6d, check “None” if
you have no children
with the Respondent
who are 18 or older.
Otherwise, list the
names and birthdates
of the children and
select “Yes” or “No”
for whether each child
is disabled or enrolled
in school.
d.
The adult children (age 18 or older) born to or adopted together by the parties before or
during the marriage/civil union are:
None
Name
Age
Disabled
In School
1.
Yes
No
Yes
No
2.
Yes
No
Yes
No
3.
Yes
No
Yes
No
I have listed additional adult children on the attached Additional Adult Children form.
In 6e, check “None” if
the only children you
had during the
marriage/civil union
are listed in 7c and 7d.
If you or the
Respondent separately
had or adopted other
children during the
marriage/civil union,
list their names and
birthdates here.
e.
The other children born to or adopted by either Plaintiff or Respondent, but not both,
this marriage/civil union are:
None
Name
Date of Birth
Born To or Adopted By
1.
Petitioner
Respondent
2.
Petitioner
Respondent
3.
Petitioner
Respondent
I have listed additional children on the attached Additional Other Children form.
DO NOT complete 7.
7.
Allocation of Parental Responsibility:
a.
No minor children.
b.
It is in the best interests of the minor children that the Parenting Plan of
Petitioner
Respondent
Both Parties (agreement)
be approved by the court.
c.
It is in the best interests of the minor children that the court enter its own Parenting
Petitioner's initials:
Plan.
Respondent's initials:
Enter the Case Number given by the Circuit Clerk: _________________________________
DV-J 106.1
Page 3 of 6
(04/18)
Complete sections 8a,
8b and 8c if you and
your spouse have an
agreement, otherwise,
DO NOT complete
these sections.
8.
Real Estate:
a.
Parties have an interest in real estate, which is an asset of the marriage/civil union:
Yes
No
b.
The address of the real estate is:
In 8d, check "Yes" if
either of you owned real
estate before you were
married/united.
Complete and attach the
Non-Marital Real
Estate form.
Street, Apt #
City
State
ZIP
c.
A legal description of the real estate is attached to this Judgment:
Yes
No
d.
Petitioner or Respondent has an interest in non-marital real estate: Yes No
The non-marital real estate is listed on the attached Non-Marital Real Estate form.
Complete sections 9a,
9b, and 9c if you and
your spouse have an
agreement, otherwise,
DO NOT complete
these sections.
9.
Maintenance (also known as alimony):
a.
These parties have waived the right to maintenance:
Petitioner
Respondent
Neither party
b.
This party is entitled to maintenance:
Petitioner
Respondent
Neither party
Other:
c.
The amount awarded is
$
based on guidelines; OR
deviation from guidelines based upon these findings:
THEREFORE, IT IS ORDERED, ADJUDGED AND DECREED AS FOLLOWS:
A.
The parties are awarded a Judgment of Dissolution of Marriage/Civil Union and the
bonds of matrimony/civil union existing between Petitioner and Respondent are
hereby dissolved.
If you and your spouse
have an agreement,
check the first box and
the box for “Both
Parties”, otherwise,
DO NOT complete B.
B.
Allocation of Parental Responsibility:
1.
That the Parenting Plan of the following party is approved and made a part of this
court order:
Petitioner
Respondent
Both Parties (agreement)
2.
That the Court has entered its own Parenting Plan, which is made a part of this
order.
3.
Other orders:
C.
Support for Minor Children:
1.
An Order for Support shall be entered.
If you have a Support
Order in another case
enter the information
in C2.
2.
Support shall continue as ordered in court case:
Court case number
located in:
County
State
3.
Child support is reserved (no child support is ordered at this time).
If you and your spouse
have an agreement,
complete D,
otherwise, DO NOT
complete D.
D.
Claiming Children as Dependants on State and Federal Tax Returns:
1.
The right to claim children as dependants on state and federal tax returns belongs to:
Petitioner
Respondent for all tax years
Petitioner
Respondent for even-numbered tax years
Petitioner
Respondent for odd-numbered tax years
Petitioner's initials:
Each party shall have the right to claim one-half of the children each tax year. If there
Respondent's initials:
is an odd-number of children, Petitioner shall claim the additional child in
Enter the Case Number given by the Circuit Clerk: _________________________________
DV-J 106.1
Page 4 of 6
(04/18)
even
odd-numbered years and Respondent shall claim the additional
child in
even
odd-numbered years.
2.
This order does not address the right to claim the children as household residents for
the purpose of applying for earned income credit.
3.
If a party has a duty to pay child support for the minor children and is awarded the right to
claim one or more of the minor children as dependents for tax purposes, that right may
only be exercised if that party is current in their child support obligation by January 15
of the year following the relevant tax year.
If you and your spouse
have an agreement,
complete E,
otherwise, DO NOT
complete E.
E.
Support for Adult Children (for education or disabled child):
1.
Support is ordered as follows:
Petitioner
Respondent
will pay:
2.
Support for adult children is reserved (no support is ordered at this time).
In F1, DO fill in the
name of creditor and
amount owed for debts
after the date of
marriage/civil union in
the chart. If you and
your spouse have an
agreement, check who
is to pay the debts,
otherwise, DO NOT
check who is to pay
the debt.
F.
Debts and Liabilities:
1.
These debts shall be paid by parties as follows:
Debt
(Name of Creditor)
Amount
Owed
To be paid by:
Petitioner
Respondent
Both Equally
1.
$
2.
$
3.
$
4.
$
5.
$
6.
$
7.
$
I have listed additional debts on the Additional Debts and Liabilities form.
If you and your spouse
have an agreement,
complete F2,
otherwise, DO NOT
complete F2.
2.
Debts not included in the chart above shall be paid by the parties as follows:
Each party will be responsible for 50% of each joint debt.
Each party will pay all of the debts in their own name.
3.
Parties shall indemnify and hold the other party harmless for the debts they are assigned.
If you and your spouse
have an agreement,
complete G,
otherwise, DO NOT
complete G.
G.
Pension and Retirement Accounts:
1.
Each party is awarded the pension and retirement accounts in their own name.
2.
Petitioner is awarded
%
of the marital/civil union portion of
Respondent’s pension/retirement accounts.
3.
Respondent is awarded
%
of the marital/civil union portion of
Petitioner’s pension/retirement accounts.
4.
Petitioner
Respondent shall prepare a Qualified Domestic Relations Order.
5.
Other orders:
Petitioner’s initials:
Respondent's initials:
Enter the Case Number given by the Circuit Clerk: _________________________________
DV-J 106.1
Page 5 of 6
(04/18)
If you and your
spouse have an
agreement, complete
H, otherwise, DO
NOT complete H.
H.
Real Estate:
1.
Petitioner
Respondent is awarded the marital real estate and shall pay
the other party
$
for their interest in the real estate.
2.
The marital real estate shall be sold.
“Marital real estate” is
an interest in real estate
obtained during the
marriage or civil
union.
The net proceeds of the sale (sale price minus costs of sale) shall be divided with
Petitioner to receive
%
Respondent to receive
%
3.
Until the marital real estate is sold, mortgage payments will be paid by
Petitioner
%
Respondent
%
4.
Until the marital real estate is sold, real estate taxes will be paid by
Petitioner
%
Respondent
%
5.
Until the marital real estate is sold, insurance will be paid by
Petitioner
%
Respondent
%
6.
Until the marital real estate is sold, cost of maintaining the property will be paid by
Petitioner
%
Respondent
%
7.
Petitioner
Respondent is entitled to claim mortgage payments for
federal and state tax purposes.
8.
Petitioner
Respondent is entitled to claim property tax payments for
federal and state tax purposes.
9.
Petitioner
Respondent will refinance the debt on the real estate to
remove the other party from the obligation by:
Date
10.
Petitioner
Respondent will sign a quitclaim deed transferring their
interest to the other party by:
Date
11.
Other orders:
If you and your
spouse have an
agreement, complete
I, otherwise, DO
NOT complete I.
I.
Personal Property and Bank Accounts:
1.
Parties shall keep the property and bank accounts in their own name or possession.
2.
Personal property of the marriage/civil union shall be divided as follows:
Chart: DO list the
personal property
obtained during the
marriage/civil union
in the chart. If you and
your spouse have an
agreement, check who
gets the property,
otherwise, DO NOT
check who gets the
property.
Personal Property and Bank Accounts
(Be specific in your description of each piece of property)
Property goes to:
Petitioner
Respondent
1.
2.
3.
4.
5.
6.
7.
8.
I have attached an Additional Personal Property & Bank Accounts form.
3.
Any personal property exchange required by this order shall take place within 30 days
of the date of this Judgment.
4.
Other orders (including pets):
Petitioner’s initials:
Respondent's initials:
Enter the Case Number given by the Circuit Clerk: _________________________________
DV-J 106.1
Page 6 of 6
(04/18)
If you and your spouse
have an agreement,
complete J, otherwise,
DO NOT complete J.
J.
Maintenance:
1.
Parties are forever barred from claiming maintenance from the other.
2.
An Order for Support shall be entered.
4.
Other orders:
In K, if you or the
Respondent want to go
back to a former
name, check the box
and enter the former
last name.
K.
Former Name:
1.
Petitioner is permitted to resume using the former last name of:
Former Last Name
2.
Respondent is permitted to resume using the former last name of:
Former Last Name
If you and your spouse
have an agreement,
complete L,
otherwise, DO NOT
complete L.
L.
Other Relief:
1.
None
2.
Relief as follows:
M.
This court reserves jurisdiction over the parties and the subject matter for purposes
of enforcing this Judgment.
Petitioner’s initials:
Respondent's initials:
DO NOT complete
this section. The judge
will sign and date
here.
ENTERED:
Judge
Date
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