State Of Tennessee - Request For Divorce Page 4

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R
ONLY
EAD THE TEXT BELOW THEN SIGN
IN FRONT OF A NOTARY
Signed at (City):
on (Date):
(MM/DD/YYYY)
State of Tennessee, County of
(Name of County Where Notarized)
I know that Tennessee has laws against lying on purpose (perjury). I swear that:
As far as I know, the information on this form is true.
My request for divorce is serious.
My spouse and I have
agreed to lie about the information in this divorce.
not
SWORN to and SUBSCRIBED before me, on (date):
Signed at
City):
(
State of Tennessee, County of
By (Name of Person Filing for Divorce
):
Signature of Person Filing for Divorce):
(
Signature of Notary Public, State of Tennessee
My commission expires: ___________
MM/DD/YYYY
(N
)
OTARY
S SEAL
July 2011
(Form 1) Request for Divorce
Page 4 of 4
Approved by the Tennessee Supreme Court

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