Toledo Diocesan Tribunal Received ______www.toledodiocese.org Prot. N. ______1933 Spielbusch Avenue Toledo, OH 43604 Dispensation/sanation?  Y  N For office use only

PETITION FOR A DECREE OF ABSENCE OF CANONICAL FORM (c. 1108)

MYSELF MY FORMER SPOUSE Full Name (Maiden Name) Street Address City, State, Zip Phone Number Baptized Catholic  Religion at Marriage  Baptized Catholic Never Baptized Catholic   Never Baptized Catholic

THE WEDDING CEREMONY THE DIVORCE / DISSOLUTION Date Date Location Location County County City, State City, State Officiated  minister  civil magistrate Type  divorce  dissolution

QUESTIONS REGARDING CANONICAL FORM

1. Prior to the marriage, was a dispensation from canonical form obtained from Catholic Church authorities? ......  Yes  No

2. Were there any extraordinary circumstances (e.g., danger of death, unavailability of minister, etc.) which prevented exchanging consent according to canonical form, that is, in the presence of a priest/deacon and two witnesses? (see footnote 1 below if yes)......  Yes1  No

3. Was this marriage ever validated (“blessed”) by giving consent in the presence of a priest/deacon and two witnesses?......  Yes  No

4. To your knowledge, was a sanatio in radice ever obtained for this marriage? ......  Yes  No

5. (For marriages which took place between November 27, 1983 and April 9, 2010). At some time prior to the wedding, did one or both of the baptized Catholic parties leave the Church by a formal act placed before an authority in the Church? (see footnote 2 below if yes)......  Yes2  No

6. Have alimony and child support payments been met by the obligated party?......  Yes  No

1 If yes, please attach a written explanation of these and the ceremony itself. Be sure to include your name and signature. 2 If yes, please attach an explanation with the following information: (1) which Catholic party/parties left the Church by a formal act, (2) the date of this formal act, and (3) a description of how this was accomplished, including the party’s intention, the precise action placed, and the person who received the formal act. Be sure to include your name and signature. Absence of Form Petition to Toledo Tribunal | Updated July 17, 2020 | Page 1 CHILDREN OF THIS MARRIAGE Name DOB Name DOB Name DOB Name DOB Name DOB Name DOB (attach additional sheets as needed)

The following documents are required with this petition:  A recent (last 6 months) copy of the baptismal certificate(s) of all Catholic parties with all notations included (indicate that you need this for a Tribunal process when you ask);  A copy of the civil Application for Marriage License with attached Certificate of Marriage;  A copy of the civil Divorce/Dissolution judgment decree with appropriate Separation Agreement(s).

I understand that the ordinary expenses involved in filing this petition are $50 and agree to make full payment. I have enclosed $______with this petition. Checks should be made out to “Diocese of Toledo.”

I swear before God and my conscience that all the information given in this petition is true insofar as I know.

Petitioner Signature Date

Case Sponsor Signature Date Case Sponsor Full Name Case Sponsor Address Case Sponsor Parish

Absence of Form Petition to Toledo Tribunal | Updated July 17, 2020 | Page 2