Petition For Dissolution Of Marriage Page 15
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15X.
SIGNATURES AND VERIFICATIONS.
Do not sign until this petition has been completely filled out. Each signature on this page must be
individually notarized.
Verification
I say on oath or affirm under penalty of perjury that I have read the foregoing petition and believe all
statements made in the petition are true. I further certify that my signature is voluntary and not the result
of fear, threat, coercion, or restraint. I further state that this petition contains the entire agreement
between my spouse and myself.
Husband’s Signature
Wife’s Signature
Date
Date
Subscribed and sworn to or affirmed before me at
Subscribed and sworn to or affirmed before me at
,Alaska, on
, Alaska, on
Clerk of Court, Notary Public, or other person
Clerk of Court, Notary Public, or other person
authorized to administer oaths.
authorized to administer oaths.
My commission expires:
My commission expires:
(SEAL)
(SEAL)
Page 15 of 15
DR-105 (4/09)(cs)
AS 25.24.200-.260
PETITION FOR DISSOLUTION OF MARRIAGE (WITH CHILDREN)
Civil Rule 90.1(a), f(2)(A)(B), (i)(1)
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