Form 1 - Request For Divorce (Complaint) Page 20

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We promise the Court that: (Check Yes or No for each box)
1.
We are the Plaintiff and Defendant listed above. We are filing a Request for Divorce in the county and
court listed above. We can no longer get along as spouses. We understand our marriage rights and
duties. We want to get an agreed divorce.
No
Yes
2.
We agree on everything in the Request for Divorce. The Request for Divorce does not have to be
served, and there is no need to file an Answer.
No
Yes
3.
Each of us has read this whole Divorce Agreement. We agree it is fair. We agree that each of us has
told the other all information on assets and/or debts that we each have. We understand that the Divorce
Agreement will become part of our Final Divorce Order.
No
Yes
4.
My spouse and I have no children together who are under 18, in high school or disabled.
No
Yes
Children together means children you had together that were born before your marriage AND all
children born or adopted during the marriage. This includes all children either spouse had during the
marriage.
5.
No one made us sign this Agreement. We will sign any other papers needed to carry out this Agreement.
Yes
No
Neither spouse is pregnant.
6.
Yes
No
We agree that this Request for Divorce will take effect only if the Court finds it fairly divides our assets
7.
and debts and fully provides for the care and support of our children and if the Court grants a divorce.
Yes
No
If you checked "No" on any box, you cannot use any of these forms to file for a divorce. If you have any
questions about the Request for Divorce, or about what might happen if either of you change your mind,
you need to speak with a lawyer before signing it.
Defendant: Initials _____ Date Signed: ____________________
Plaintiff: Initials________ Date Signed: ________________________
July 2017
(Form 5) Divorce Agreement
Page 2 of 9

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