Answer Filed By Retained Counsel Form 2

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The 18th Judicial District, Iberville, Pointe Coupee & West Baton Rouge Parishes
State of Louisiana
Form 2
UNCONTESTED LA. C.C. ART. 103 DIVORCE
PURSUANT TO LA. C.C.P. ART. 969(B) CHECKLIST
ANSWER FILED BY RETAINED COUNSEL
_____________________________
NO: ___________________ DIV.__________
(PETITIONER)
VERSUS
THE 18TH JUDICIAL DISTRICT COURT
_____________________________
PARISH OF __________________________
(DEFENDANT)
STATE OF LOUISIANA
• Date the parties were married: ___________________
• Date the parties began living separate and apart: ___________________
• The requisite period of time to live separate and apart (select one):
• ____ 180 days – there are no minor children of the marriage
• ____ 365 days – there are minor children of the marriage
• Date the petition was filed: ___________________
• Does the petition have a verifying affidavit?
(YES/NO)
• Is the petitioner represented by an attorney?
(YES/NO)
• Service / waiver (select one):
• ____ Personal / domiciliary service on: __________________
• ____ Waiver was executed on: ________________and filed on:
• ____ Long arm service delivery on: ____________and affidavit filed:
• Date the answer was filed: __________________
• Is the defendant represented by an attorney?
(YES/NO)
• Is there a joint stipulation of facts, request for judgment, and sworn verification
by each party filed by counsels for both parties?
(YES/NO)
• Is there a proposed judgment containing a certification that both counsels and
both parties agree to its terms?
(YES/NO)
________________________________________________________________________
I certify that the information above is correct after an examination of the record.
__________________________________
Signed by (Petitioner’s Attorney)
___________________________________________________
Print Name (Petitioner’s Attorney)
_________________________________
Date
NOTICE: If an attorney for absent defendant has been appointed, this procedure
cannot be used. Petitioner and appointed attorney must testify in court.
Form 2 – Uncontested 103 Divorce Checklist
18JDC Revised: May 2015

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