State Of Tennessee - Request For Divorce Page 3

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Financial Information
Real Property (House, Land, or Mobile Homes that are permanently attached to the ground)
My spouse and I:
Do NOT own Real Property. If either of you have REAL Property, please see a lawyer first.
Personal Property (such as Cars, Mobile Homes (not permanently attached to the ground), Bank
Accounts)
Own property and have filed the Divorce Agreement that lists how our property is divided.
Do not own Personal Property (such as Cars, Mobile Homes, Bank Accounts)
(If either of you has a Pension or Retirement Account or own a Business, you cannot use these
forms.
Please see a lawyer first.)
Debts – My spouse and I (check one):
Do NOT have debts.
Have debts and have filed a Divorce Agreement that lists how our debts are divided.
One or both of us has filed for a Bankruptcy and it is still active.
Alimony
(check one):
Neither spouse wants alimony.
One of the spouses wants alimony, as agreed to in our Divorce Agreement.
(check below to change a spouse’s name back to the name used before this marriage)
Name Change
Wife requests
F
irst Name
Middle Name
Last Name
Husband requests
First Name
Middle Name
Last Name
Court Costs
(check one):
Who will pay the court costs for this divorce?
Spouses will each pay 50% of the costs.
Husband will pay all costs.
Wife will pay all costs.
Other agreement: __________________________________________________________.
Divorce Agreement
Our signed
(Form 5) is attached, and we ask the Court to approve it.
Divorce Agreement
I ask the Court to grant this divorce, make the other orders I have asked for above, and to make any
other orders I am entitled to.
July 2011
(Form 1) Request for Divorce
Page 3 of 4
Approved by the Tennessee Supreme Court

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