Affidavit In Support Of Request For Summary Disposition Page 4

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That neither party should be awarded spousal support.
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OR
That (check one) Plaintiff/ Defendant should be awarded spousal support as
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outlined in the Decree of Divorce. That award is fair and equitable.
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12. (IF WIFE IS COMPLETING THIS DOCUMENT, SHE MUST INITIAL ONE OF
THE FOLLOWING LINES AND WRITE “N/A” ON THE LINES THAT DO NOT
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APPLY. IF HUSBAND IS COMPLETING THIS DOCUMENT, HE MUST PRINT
N/A” ON ALL OF THE LINES.)
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___________ Wife does not wish to return to her former name.
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___________ Wife wishes to return to her former name of _________________________________
___________________________________
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___________ Wife never changed her name and, therefore, does not request restoration of her
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former name.
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FURTHER AFFIANT SAYETH NAUGHT.
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Dated this _____ day of (month)______________________, (year)_____.
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By:
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(Your signature)____________________________
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(Your name)
____________________________
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SUBSCRIBED and SWORN to before
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me this ______ day of (month)___________, (year)______.
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__________________________
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NOTARY PUBLIC
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