Form 11 - Affidavit For Judgment (Page 2 of 2) in pdf

which I can support myself so I am not asking for any maintenance. I understand that by not requesting maintenance at this

time, I cannot come into this or any other court in the future and receive maintenance. I know of no medical, health or other

condition which would prevent me from supporting myself in the future.

I am unable to support myself through appropriate employment and have insufficient assets

from which I can support myself. Therefore I am in need of maintenance in the amount of $________ per month.

15.

My spouse is able to support (herself)(himself) through appropriate employment or has

sufficient assets from which (she)(he) can support (herself)(himself) and therefore (she)(he) is not entitled to receive

maintenance.

I know of no medical, health or other condition which would prevent my spouse from supporting

(herself)(himself) in the future.

My spouse is unable to support (herself)(himself) through appropriate employment and has insufficient assets from which

(she)(he) can support (herself)(himself). Therefore my spouse is in need of maintenance in the amount of $__________ per

month.

16.

My spouse and I have entered into a separation agreement which divides all our marital and

non-marital property and is signed by both my spouse and myself. The agreement, attached hereto and marked as Exhibit ____,

is fair and reasonable, and is not unconscionable. I request that the court incorporate the separation agreement into its judgment

herein.

There is no marital or non-marital property for the court to divide.

17.

Each party is capable of paying for his or her own attorney=s fees, and therefore I request that

no attorney=s fees be ordered to be paid by either party.

Based upon my financial situation and the financial situation of my spouse, it is reasonable that (I) (my spouse) pay to

_______________ the sum of $____ as and for attorney=s fees herein.

18.

I request that the court restore to (my spouse) (me) the (maiden)(former) name of _______. I know of no third parties, such as

creditors, who would be adversely affected by the said change of name.

STATE OF MISSOURI

)

)ss

COUNTY OF

)

____________ of lawful age, being duly sworn upon his/her oath, states that he/she is the (petitioner)(respondent) named above; and

that the facts stated herein are true according to his/her best knowledge and belief.

_________________________________________

Subscribed and sworn to before me on

_________________________________________

Notary Public

Form 11 - Affidavit For Judgment Page 2