1.
I live at ___________________________________________________,
(your street address)
in ___________________________________________________________________,
(city, county, and state where you live)
2.
My spouse’s address is _______________________________________,
(spouse’s street address)
in __________________________________________________________________.
(city, county and state where spouse lives)
3.
Either my spouse or I have lived in the state of Nebraska for more than one year
prior to the filing of the Complaint, with the bona fide intention of making this state our
permanent home.
4.
At the time this action was filed, either my spouse or I was living in
____________________ County, Nebraska.
(county where Complaint filed)
5.
We were lawfully married on ___________________________________,
(date of marriage)
in _________________________________.
(city and state of marriage)
6.
Neither my spouse nor I am a party to any other pending actions for
divorce, separation, or dissolution of marriage in this state or in any other state.
7.
My spouse is not a member of the Armed Forces of the United States or
its allies.
8.
My marriage is irretrievably broken.
9.
My spouse and I have ______________ child(ren) whose custody or
(number of children)
welfare may be affected by this divorce. Their names and years of birth are:
_____________________________________
_____________
(name of child)
(child’s year of birth)
_____________________________________
_____________
(name of child)
(child’s year of birth)
Answer and Counterclaim for Dissolution of Marriage (with children), DC 10:1,
2
PSC Nebraska, Rev. 6/11.