Preliminary Verified Disclosure Statement
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8AOC-238
Doc. Code: DSPV
Rev. 1-11
Case No. ____________________
Page 1 of 8
l e x
e t
j u s t i t i a
Court _______________________
Commonwealth of Kentucky
Court of Justice
County ______________________
PRELIMINARY VERIFIED
FCRPP 2
DISCLOSURE STATEMENT
Division _____________________
IN RE THE MARRIAGE OF:
________________________________________
PETITIONER
and
________________________________________
RESPONDENT
Petitioner Respondent submits under oath the following Preliminary Verified Disclosure Statement pursuant to
FCRPP 2 which requires full and prompt disclosure of the following information:
NOTE: A RESPONSE OF “SEE ATTACHED” IS NOT APPROPRIATE FOR ANY PORTION OF THIS STATEMENT.
ATTACH DOCUMENTS REQUESTED HEREIN ONLY.
A.
BACKGROUND INFORMATION:
1.
Name: ___________________________________
Maiden Name: _________________________
2.
Current Address: _________________________________________________
_________________________________________________
_________________________________________________
3.
Date of Birth: ______________________________
State of Birth: _________________________
4.
Number of Prior Marriages: _________
How Each Terminated: _________________________
5.
Minor Children From Prior Marriages:
Name
Date of Birth
Residing With
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Where License Obtained: ______________________
6.
Date of Marriage: _________________________
7.
Date of Separation: _________________________
8.
Children of This Marriage: _________
Name
Date of Birth
Residing With
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
9.
Have you attended a divorce education program? ______
When: ______________________________
10.
Have children attended a children's divorce education program? ______
When: ________________________
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