Complaint For Absolute Divorce (Consent Answer) Form Page 2

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_______________________________________________________________________.
P
T
F
N
Y
W
L
C
R
RINT
HE
ORMER
AME
OU
OULD
IKE THE
OURT TO
ESTORE
Request for Relief
I RESPECTFULLY REQUEST that
[C
A
T
A
]
HECK
LL
HAT
PPLY
The Court grant Plaintiff’s Complaint for Absolute Divorce.
The Court restore me to my former name.
I ALSO REQUEST that the Court award any other relief it considers fair and proper.
[C
O
]
HECK
NE
I do not know of any proceedings in the District of Columbia or in any state or territory
involving the same claim or subject matter as this case.
I do know of proceedings in the District of Columbia or in any state or territory involving
the same claim or subject matter as this case, as listed on the first page of this Complaint
(“Related Cases”).
Respectfully Submitted,
____________________________________
S
Y
N
IGN
OUR
AME
___________________________________________
S
A
TREET
DDRESS
___________________________________________
C
, S
Z
C
ITY
TATE AND
IP
ODE
___________________________________________
T
N
ELEPHONE
UMBER
SUBSTITUTE ADDRESS
: C
B
Y
H
HECK
OX IF
OU
AVE
W
S
E
A
B
Y
F
RITTEN
OMEONE
LSE
S
DDRESS
ECAUSE
OU
EAR
H
H
.
ARASSMENT OR
ARM
DC Bar Pro Bono Program (revised 03.05)
Complaint for Absolute Divorce (Consent Answer) Page 2 of 3

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