Colorado Separation Agreement TemplateColorado Separation Agreement TemplateColorado Separation Agreement Template
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District Court ____________________________ County, Colorado
Court Address:
In re the Marriage of:
Petitioner:
and
COURT USE ONLY

Co-Petitioner/Respondent:
Attorney or Party Without Attorney (Name and Address):

Case Number:

Phone Number:
FAX Number:

Division

E-mail:
Atty. Reg. #:

Courtroom

LEGAL SEPARATION
PURSUANT TO § 14-10-106, C.R.S.
******IF CHILDREN ARE PART OF THIS ACTION, PLEASE CHECK HERE ******
PETITION FOR:

DISSOLUTION OF MARRIAGE

1. This Petition is for Dissolution of Marriage or Legal Separation.

2. The Marriage is irretrievably broken.

3. Information about the Wife:

Petitioner Co-Petitioner/Respondent

Check if in Military

Full Legal Name: ___________________________________________ Date of Birth: _________________
Length of Current Residency in Colorado:

(Years/months) Dates:

Current Mailing Address:
City:

State:

Zip Code:

Email Address:

Home Phone #:
Cell Phone #:

4. Information about the Husband:

Petitioner Co-Petitioner/Respondent

Ch