Complaint For Dissolution Of Marriage Form

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IN THE DISTRICT COURT OF _______________________ COUNTY, NEBRASKA
(county where Complaint filed)
____________________________,
)
Case No. CI _____________
)
(your full name)
(case number assigned by Clerk of Court)
Plaintiff,
)
COMPLAINT FOR
)
DISSOLUTION OF MARRIAGE
vs.
)
)
(CHILDREN)
____________________________,
)
)
(spouse’s full name)
Defendant.
)
I ______________________________________, without assistance of an
(your full name)
attorney, ask this Court for a Dissolution of Marriage. In support of my Complaint, I state
that the following items are true:
1.
I live at ___________________________________________________,
(your street address)
in ___________________________________________________________________,
(city, county, and state where you live)
2.
My spouse’s address is _______________________________________,
(spouse’s street address)
in __________________________________________________________________.
(city, county and state where spouse lives)
3.
Either my spouse or I have lived in the state of Nebraska for more than one year
prior to the filing of this Complaint, with the bona fide intention of making this state our
permanent home.
4.
At the time I filed this action, either my
spouse or I was living in ____________________
(county where Complaint filed)
County, Nebraska.
5.
We were lawfully married on
___________________________________,
(date of marriage)
Complaint for Dissolution of Marriage (with children), DC 6:5(1),
1
PSC Nebraska, Rev. 3/2010.

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