Divorce - Helsley, Lyona_7/16/2018 • . Ig - 203 -cool 08 -007
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STATE OF LNDLANA ) IN THE SUPERIOR' .IRCUIT COURT
) SS: 2c 1 1 30.5 % fi�nn t7
COUNTY OF _ ) CASE NO. 1/ /
IN RE THE MARRIAGE OF:
• FILED
Petigoner, • JUL 0 8 2013
v
Clerk Gibson Circuit Court
)nn iC A . ()O.; I
Respondent. I FIL �j D
DECREE OF DISSOLUTION OF.MARRIAGE AND SETTLEMENT AGP3OUN GNL018
The parties having submitted their Senlement Agreement and the Cott having en and
considered the Verified Petition for Dissolution of Marriage and Verified Waiver ofP �
submitted by the parties now appro\es•the following agreeinetit GIBBON COUNTY
AUDITOR
I. The pail.
ariies'were married on cJ� �l„i/}ry��l, ;7la5and separated on
2. �w
`-N•d . _ 't l •• .: • - . - has been a
contmubus'resident'of ( ', 1!1 :•ti• County for the last three months,
and the State of Indiana for the last'six months prior to the filing of the Verified Petition
. for Dissolution offvfarriage.
3: Wife is not pregnant and there are no children of the marriage.
4. Neither party is a member of the military.
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5. The parties have agreed on the following debt division:
[ The parties already have divided their debts.
Petitioner will be sole_ly responsible for and shall hold Respondent harmless front
the following debts:
Nome of Creditor Amount of Debt
P:12.2 I of? Form -2
Approve„by Stale Coon; rimi:iisn-.uon 07/09
‘.4 PS(
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❑ Respondent will be solely responsible for, and shall-hold Petitioner harmless from
the following debts:
Name of Creditor - - Amount of Debt
6. The parties have agreed on the following vehicle division: -
Q There are no vehicles to divide.
❑- Petitioner will have sole possession of the following vehicles, and Respondent
shall execute all documents necessary to transfer title of said vehicles within thirty
(30)days of the date of this Order:
Vehicle#1, Make,Model, and Year - -
Vehicle#2, Make, Model, and Year --
❑ Respondent will have sole possession of the_following vehicles, and Petitioner
- shall execute all documents necessary to transfer title of said vehicles within thirty
(30)days of the date of this Order:
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Vehicle#1,Make,Model, and Year
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Vehicle#2,Make,Model, and Year
7. The parties have agreed on the following property division:
[✓7 The parties already have divided all items of property.
❑ Petitioner will have sole possession of the following items of property:
❑ Respondent will have sole possession of the following items of property:
Page I of 2 Form TCM-TR3.1-2
Approved by State Court Administration 07/09
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iffs
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8. The marriage has suffered an irretrievable breakdown and should be dissolved.
9. Change of names:
lir Wife would like her maiden name or previous married name of
Lvroa 11 c1s113
restored to her.•
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0 Wife does not want to change her name.
The parties have disclosed all relevant documents and exchanged all information on value of
property, pensions, real estate, and other assets and debts. The parties agree that this division of
property is/is not an approximate equal division of the assets and debts. The parties agree that if
this division is not a nearly equal division,that the deviation from the presumptive equal division
should be accepted by the Court because it is the parties' agreement and neither party has been
forced or threatened to accept this agreement:
..,..,..
I a'a under the penalties of perjury that the foregoing representations are true, "sv-�---•
IA
Yourgignature }[1 �y.L
STATE OF INDIANA )
SS: 161;,= :._
COUNTY OF G; oS ar, ) " ".,......
Before me, 1-(ar jAin�e(I , a notary pub 'c in and for G,bsem County, State of
Indiana,personally appeared Lto,w Off(I , and he being first duly sworn upon
his/her oath, says that the facts alleged in the foregoing instrument are true.
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Date 5 02013
NOTARY UBLIC tiw tS c �c
MY COMMISSION EXPIRES: • ) PeSi'cCutif oCe;bseinC°1-4-niLi
Io IS-03-0I(0
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Spouse's Signatur 5
1 1
STATE OF INDIANA ) 1 �; f
) SS: >. .. ~_.
COUNTY OF 6b5an ) 1 ,.
Before me, . ate, a notary public in and for 6,bscrn County, State of
Indiana,personally appeared 14a✓k_- oc,c' / , and he being first duly sworn upon
his/her oath,says that the facts alleged in the foregoing instrument are true.
Dale - 5-'90"S
NO
NO' A Y PUBLIC 1�1onikT^J CJl
MY COMMISSION EXPIRES: &sidervt ofG,bs6-) Coan43
/o-f1-2-0I (o
Page I of 2 Form TCM-TR3.l-2
Approved by State Court Administration 07/09
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IT IS THEREFORE ORDERED by the Co. e p. ies' 'age is hereby dissolved,
and the terms of their agreement as set out abt 1. I be i corpo ate i to this Order.
. c., ri\A„l'
Date i"' ,Judi, 1
Distribution: -
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Op-All-1J O; ,I neli POP. '411.1. 0 - - -
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Page 1 of 2 Form TCM-TR3.1-2
Approved by State Court Administration 07/09
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