I, ________________________________, have read, or had read to me, the above
statements
(Petitioner’s Name)
contained in the Petition for Dissolution of Marriage and verify that the statements are true
and
accurate to the best of my knowledge and belief.
Petitioner’s Signature
**MUST BE SIGNED IN THE PRESENCE OF A NOTARY**
COMMONWEALTH OF KENTUCKY
)
)
COUNTY OF _________________________)
Subscribed and sworn to before me by the above-named Petitioner on this ______ day of
___________________, 20_____.
My commission expires: _______________________.
NOTARY PUBLIC
STATE AT LARGE, KENTUCKY
Revised 7/18/2007
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