Divorce Verification - Court Form Page 4

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____________________________________
Husband’s Signature
Address:_____________________________
____________________________________
Phone: ______________________________
VERIFICATION
State of ______________________ )
County of ____________________ )
I,_________________________________, being duly sworn, depose and say that: I am the
Petitioner/Respondent in the within action for divorce; I have read the foregoing
Complaint/Petition and know the contents thereof; the contents of the Complaint/Petition are
true to my knowledge, except as to those matters therein stated to be alleged upon information
and belief, and as to those matters, I believe them to be true.
____________________________________
Husband’s signature
On ______________before me, _________________, personally appeared ________________,
personally known to me (or proved to me on the basis of satisfactory evidence) to be the
person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me
that he/she/they executed the same in his/her/their authorized capacity(ies), and that by
his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the
person(s) acted, executed the instrument.
WITNESS my hand and official seal.
Signature____________________________
Affiant____ Known ____ Produced
ID
Signature of Notary
Type of ID __________________________
(Seal)
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM THEY MUST FILL IN
THE BLANKS BELOW (fill in all blanks):
I (name of nonlawyer) ___________________________________, nonlawyer located at (street)
___________________________________ (city)___________________ (state) ____________,
(phone) ________________ helped (name) ______________________ who is the [
one only]
__petitioner or __respondent, fill out this form.
This product does not constitute the rendering of legal advice or services. This product is intended for informational use only and is not a substitute for
legal advice. State laws vary, so consult an attorney on all legal matters. This product was not prepared by a person licensed to practice law in this state.
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