Form 1 - Request For Divorce (Complaint) Page 14
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33Court
County
State of Tennessee
(Must Be Completed)
(Must Be Completed)
File No.
Request to Postpone Filing Fees and Order
(Must Be Completed)
(Uniform Civil Affidavit of Indigency
Division
(Form 3)
(Large Counties Only)
Plaintiff
(Name: First, Middle, Last of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)
If you cannot afford to pay the filing fees at this time, fill out this form.
And file it with the completed case documents.
Even if the judge approves this form, you may have to pay court costs at the end of the case.
Your Information:
Address:
Street Address
City
State
Zip
Telephone Numbers:
(Home)
(Work)
(Cell)
Birth Date: (MM/DD/YYYY):
Dependents:
List your dependents below.
Dependents can be:
•
Your children, and
•
Anyone you can claim as a dependent on your taxes.
Name
Age
Relationship
Name
Age
Relationship
4.
1.
5.
2.
6.
3.
July 2017
Page 1 of 4
(Form 3) Request to Postpone Filing Fees and Order
Approved by the Tennessee Supreme Court
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