Form Dv-Ad 109.1 - Additional Debts And Liabilities (Divorce No Children)

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
CIRCUIT COURT
ADDITIONAL DEBTS & LIABILITIES
(DIVORCE NO CHILDREN)
COUNTY
Instructions
Enter above the county
name where you filed
this case.
Petitioner (First, middle, last name)
Enter your name as
Petitioner.
v.
Enter the name of your
spouse/partner as
Respondent.
Enter the Case Number
given by the Circuit
Respondent (First, middle, last name)
Case Number
Clerk.
DO fill in the name of
Additional Debts and Liabilities
creditor and amount
owed for debts after
the date of
To be paid by:
marriage/civil union in
Amount
Debt
the chart. DO NOT
Owed
Petitioner
Respondent Both Equally
(Name of Creditor)
check who is to pay
the debt.
1.
$
2.
$
3.
$
4.
$
5.
$
6.
$
7.
$
8.
$
DV-AD 109.1
Page 1 of 1
(05/16)
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