I.  PARTIES
Petitioner - the person filing for divorce
First name:		Middle:		Last:
Street Address:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
County:	Select a County Austin Bee Bell Bexar Brazoria Brazos Burnet Cameron Cass Collin Dallas Denton El Paso Fayette Fort Bend Goliad Guadalupe Harris Hidalgo Johnson Lubbock McLennan Midland Moore Nueces Potter Randall Schleicher Tarrant Upton Victoria Waller Webb Williamson	Phone:
Respondent - your spouse
First name:		Middle:		Last:
Street Address:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
County:	Select a County Austin Bee Bell Bexar Brazoria Brazos Burnet Cameron Cass Collin Dallas Denton El Paso Fayette Fort Bend Goliad Guadalupe Harris Hidalgo Johnson Lubbock McLennan Midland Moore Nueces Potter Randall Schleicher Tarrant Upton Victoria Waller Webb Williamson	Phone:
Is your spouse on active duty in the U.S. military?		Yes No
II.  DISCOVERY
The discovery level in this case is Level 2.
III.  JURISDICTION
1.  Texas residency (select the button that applies):		I have lived in Texas for the last six months. My spouse has lived in Texas for the last six months. My spouse and I have lived in Texas for the last six months.
2.  County residency (select the button that applies):		I have lived in this county for the last 90 days. My spouse has lived in this county for the last 90 days. My spouse and I have lived in this county for the last 90 days.
IV.  MARRIAGE AND SEPARATION
1.  Date of Marriage: (Month/Day/Year)
2.  Date of Separation: (Month/Day/Year)
V.  CHILDREN
1.  Pregnancy
a.  Is the wife in this marriage pregnant?			No Yes
b.  If yes, is the husband the biological father of this child?			No Yes
2.  Children you and your spouse have together
List all natural and adopted children of this marriage who are under 18. If you have an adult disabled child, talk to a lawyer to see if child support is appropriate in your case.)
Child's Name Date of Birth Place of Birth State where child lives now a. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming b. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming c. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming d. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
3.  Court Orders involving these children
Are there any court orders in effect now for any of the children listed above?				No Yes
4.  Children's Health Insurance (Check all boxes that apply)
The children have private health insurance now. The insurance is through:				Mom's work Dad's work Individual policy Other (explain):
The children do NOT have private health insurance now. I ask the court to order the				mother to provide insurance. father to provide insurance.
5.  Custody, Visitation, and Child Support
My spouse and I agree to try to make an agreement about custody, visitation, and support. If we cannot make an agreement, I want the court to make decisions on these issues that are best for our children.
6.  Family Information (Click one button)
I will fill out and file the Family Information form when I file the Divorce Order, as required by Texas Family Code Section 105.006. I ask the Court for permission not to fill out the Family Information form because I believe that providing this information could put me and/or my child(ren) in danger.
7.  Children's property
List any property, other than personal items, owned by the children of this marriage.
8.  Children born during the marriage, but husband is not the father
Did the wife have children with another man while married to the husband?				No Yes
VI.  PROPERTY
List all property that you owned before you were married, including real estate, and all gifts, inheritance, or money damages you received from a lawsuit during your marriage, if the money was not compensation for lost wages. Complete the section for each property type you need to list as separate property:
1. House located at:
Street Address:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
2.  Land located at:
Street Address:
City:		State:	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming	Zip:
3.  Cars, trucks, motorcycles or other vehicles:
Item Year Make Model Vehicle Identification No. (VIN) 1 2 3
4.  Inheritance, gifts, or money from a lawsuit (not for lost wages) given only to you (describe):
5.  Other property that you owned before you were married (describe):
VII.  NAME CHANGE
Does the wife in this marriage wish to change her name back to her name before the marriage?					Yes No
If yes, change name to: (First/Middle/Last)
VIII.  PROTECTIVE ORDER
Does either spouse have a protective order against the other?					Yes No
IX.  NOTICE
This is an uncontested divorce and my spouse will sign a Waiver of Service or voluntarily file an Answer?					Yes No