point — Wouters, Manual of Moral Theology
Point II. On the Petition by which a Dispensation Is Sought for the Internal Forum
The same things are to be expressed as in the petition for the external forum, with these exceptions. The petitioners are designated by fictitious names, for example Titius and Bertha. The diocese of the petitioners and the state of fortune are omitted; but the place to which the rescript is to be sent should be accurately indicated.
For convenience there follow:
Forms Of Petitions.
I.
For The External Forum.
(Your Most Reverend Excellency).1
Peter N., of the diocese of N., and Anna N., my parishioner, desire to enter marriage; but they are bound by the impediment of consanguinity in the second degree touching the first. They humbly petition that a dispensation be granted to them. (If offspring has been born or conceived, let there be added: They also obtain the legitimation of the offspring.)
The causes are:
And God...
N. N., pastor at... Diocese...
II.
For The Internal Forum.
Most Eminent and Most Reverend Lord.
Caius and Caia desire to enter marriage; but they are bound by the impediment of consanguinity in the second degree touching the first, a dispensation from which impediment is being sought in another petition for the external forum. Besides, they are held by an occult impediment contracted from adultery and from a promise of future marriage made mutually to each other during the marriage by which one or the other, or both, parties were formerly bound. They humbly petition that a dispensation be granted to them.
The impediment is altogether occult.
The causes are:
May Your Eminence deign to direct the response to me, the undersigned confessor.
1 If the Ordinary is able to dispense.