Court of Queen's Bench: Family Law Statement of Claim for Divorce
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AI Summary
This document is a Statement of Claim for Divorce filed in the Court of Queen's Bench of Alberta. It outlines the details of the marriage, including the date and place, as well as the separation date. The document includes particulars of both the plaintiff and the defendant, including addresses and dates of birth. The grounds for divorce are based on separation. The claim addresses issues of custody, access, and support for children. It also references a pre-nuptial agreement regarding property division. The plaintiff is seeking a divorce judgment, custody, access arrangements, child support, and potentially spousal support. The document confirms compliance with the Divorce Act (Canada) and is signed by the solicitor of the plaintiff.

Family Law
1. Statement of Claim for Divorce
COURT FILES NO 5928/PJC
COURT Court of Queen’s Bench of
Alberta
JUDICIAL CENTRE Calgary
PLAINTIFF Ms. Trueba, also known as nee
Jacquelyn Marie Chamberlin
DEFENDANT Mr. Charles James Trueba
DOCUMENT STATEMENT OF CLAIM FOR DIVORCE
ADDRESS FOR SERVICE AND
CONTACT INFORMATION 2115501 East Lake Boulevard NE, Airdrie, Alberta T4A 0G6
OF PARTY FILING THIS
DOCUMENT
NOTICE TO THE DEFENDANT
THE PARTIES
1. (I)(a) The date of the marriage was: July 2, 2002
(b) The place of the marriage was: Lethbridge
(II)(a) The parties started to cohabit on: March 1, 2001
(b) The parties ceased cohabiting on: October 15, 2017
(III) Particulars respecting the plaintiff
Address 65 Silver Springs Cove NW, Calgary, Alberta T2N 5P2
Date of birth April 3, 1980
Place of birth Saskatoon, Saskatchewan
Surname at birth Chamberlin
Clerks Stamp
1. Statement of Claim for Divorce
COURT FILES NO 5928/PJC
COURT Court of Queen’s Bench of
Alberta
JUDICIAL CENTRE Calgary
PLAINTIFF Ms. Trueba, also known as nee
Jacquelyn Marie Chamberlin
DEFENDANT Mr. Charles James Trueba
DOCUMENT STATEMENT OF CLAIM FOR DIVORCE
ADDRESS FOR SERVICE AND
CONTACT INFORMATION 2115501 East Lake Boulevard NE, Airdrie, Alberta T4A 0G6
OF PARTY FILING THIS
DOCUMENT
NOTICE TO THE DEFENDANT
THE PARTIES
1. (I)(a) The date of the marriage was: July 2, 2002
(b) The place of the marriage was: Lethbridge
(II)(a) The parties started to cohabit on: March 1, 2001
(b) The parties ceased cohabiting on: October 15, 2017
(III) Particulars respecting the plaintiff
Address 65 Silver Springs Cove NW, Calgary, Alberta T2N 5P2
Date of birth April 3, 1980
Place of birth Saskatoon, Saskatchewan
Surname at birth Chamberlin
Clerks Stamp
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Surname at the time of marriage Ms. Trueba
Marital status at the time of marriage Single
(IV) Particulars respecting the defendant
Address 2115501 East Lake Boulevard NE, Airdrie, Alberta T4A 0G6
Date of birth September 15, 1978
Place of birth Vancouver, British Columbia
Surname at birth James
Surname at the time of marriage Mr. Trueba
Marital status at the time of marriage Single
RESIDENCE
2. The plaintiff/defendant has been ordinarily resident in the Province of Alberta for at least one
year immediately preceding the date of this Statement of Claim.
GROUNDS
3. The plaintiff is seeking a divorce on the grounds of the breakdown of the marriage by the
reason of: (choose those which apply)
The parties are now separated and will have been separated for at least one (1) year at the determination
of the divorce proceeding;
The Defendant has, since the celebration of the marriage, committed adultery;
The Defendant has, since the celebration of the marriage, treated the Plaintiff with physical or mental
cruelty of such a kind as to render intolerable the continued cohabitation of the spouses.
RECONCILIATION
4. There is no possibility of reconciliation.
BARS TO DIVORCE
5. (I) there has been no collusion in relation to this divorce action
(II) The plaintiff has not connived at or condoned the grounds complained of prior to bringing
this divorce action. (Use only if the grounds are under paragraph 8(2)(b) of the Divorce Act (Canada)).
CHILDREN
Marital status at the time of marriage Single
(IV) Particulars respecting the defendant
Address 2115501 East Lake Boulevard NE, Airdrie, Alberta T4A 0G6
Date of birth September 15, 1978
Place of birth Vancouver, British Columbia
Surname at birth James
Surname at the time of marriage Mr. Trueba
Marital status at the time of marriage Single
RESIDENCE
2. The plaintiff/defendant has been ordinarily resident in the Province of Alberta for at least one
year immediately preceding the date of this Statement of Claim.
GROUNDS
3. The plaintiff is seeking a divorce on the grounds of the breakdown of the marriage by the
reason of: (choose those which apply)
The parties are now separated and will have been separated for at least one (1) year at the determination
of the divorce proceeding;
The Defendant has, since the celebration of the marriage, committed adultery;
The Defendant has, since the celebration of the marriage, treated the Plaintiff with physical or mental
cruelty of such a kind as to render intolerable the continued cohabitation of the spouses.
RECONCILIATION
4. There is no possibility of reconciliation.
BARS TO DIVORCE
5. (I) there has been no collusion in relation to this divorce action
(II) The plaintiff has not connived at or condoned the grounds complained of prior to bringing
this divorce action. (Use only if the grounds are under paragraph 8(2)(b) of the Divorce Act (Canada)).
CHILDREN

6. (I). The particulars of each child of the marriage (which includes a child of one spouse to
whom the other spouse stands in the place of a parent) are as follows;
(List all dependent children involved in the proceedings, even if no claims are being made in
relation to those children.)
(II). The Plaintiff purposes custody for each child as follows:
(III). The Plaintiff proposes access or parenting arrangements for each child as follows:
(IV). The Plaintiff proposes financial arrangements for each child as follows:
AGREEMENTS
7. The parties have made an agreement regarding the custody, access, parenting arrangements
or support of the children or support of each other, as follows: (provide dates and summarize details of
agreement)
There was a signing of pre-Nuptial Agreements that designated how their matrimonial
property will be divided. Thus, there is no claim for divisional of matrimonial property.
COURT PROCEEDINGS
8. The details of any other court proceeding in regard to the marriage custody, access, parenting
arrangements or support of the children or support of the parties are as follows;
There are no previous court proceedings.
SPOUSAL SUPPORT
9. The Plaintiff is claiming spousal support from the Defendant for the following reasons:
OR
The Plaintiff is not claiming spousal support from the Defendant.
OR
The Plaintiff proposes spousal support for the Defendant as follows, for the following
reasons: (Specify spousal support reasons)
REMEDY SOUGHT
10. The Plaintiff makes the following claims: (choose those which apply)
whom the other spouse stands in the place of a parent) are as follows;
(List all dependent children involved in the proceedings, even if no claims are being made in
relation to those children.)
(II). The Plaintiff purposes custody for each child as follows:
(III). The Plaintiff proposes access or parenting arrangements for each child as follows:
(IV). The Plaintiff proposes financial arrangements for each child as follows:
AGREEMENTS
7. The parties have made an agreement regarding the custody, access, parenting arrangements
or support of the children or support of each other, as follows: (provide dates and summarize details of
agreement)
There was a signing of pre-Nuptial Agreements that designated how their matrimonial
property will be divided. Thus, there is no claim for divisional of matrimonial property.
COURT PROCEEDINGS
8. The details of any other court proceeding in regard to the marriage custody, access, parenting
arrangements or support of the children or support of the parties are as follows;
There are no previous court proceedings.
SPOUSAL SUPPORT
9. The Plaintiff is claiming spousal support from the Defendant for the following reasons:
OR
The Plaintiff is not claiming spousal support from the Defendant.
OR
The Plaintiff proposes spousal support for the Defendant as follows, for the following
reasons: (Specify spousal support reasons)
REMEDY SOUGHT
10. The Plaintiff makes the following claims: (choose those which apply)
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Divorce judgement;
Custody as proposed above;
Access or parenting arrangements as proposed above;
Child support as proposed above;
Retroactive child support;
Support for the Plaintiff;
Support for the Defendant;
Retroactive spousal support;
A restraining order;
Other relief; (please specify any other relief being sought)
STATEMENT OF SOLICITOR
(where Plaintiff has a lawyer)
1. Mr. Carlings, the solicitor of the Plaintiff, certify to the Court that I have compiled with the
requirements of the section 9of the Divorce Act (Canada).
DATED ON
AT .............................................................., Alberta
...................................................
Solicitor of the Plaintiff
Custody as proposed above;
Access or parenting arrangements as proposed above;
Child support as proposed above;
Retroactive child support;
Support for the Plaintiff;
Support for the Defendant;
Retroactive spousal support;
A restraining order;
Other relief; (please specify any other relief being sought)
STATEMENT OF SOLICITOR
(where Plaintiff has a lawyer)
1. Mr. Carlings, the solicitor of the Plaintiff, certify to the Court that I have compiled with the
requirements of the section 9of the Divorce Act (Canada).
DATED ON
AT .............................................................., Alberta
...................................................
Solicitor of the Plaintiff
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