Deposition Of Petitioner

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NO. (A)____________________
___________________ CIRCUIT COURT
FAMILY DIVISION _________
(B)__________________________
PETITIONER
(print name of Petitioner)
SELF-HELP FORM #4
v.
DEPOSITION OF PETITIONER
(C)__________________________
RESPONDENT
(print name of Respondent)
* * * * * * * * *
The Petitioner, being duly sworn, states:
I.
I am the Petitioner in this matter.
II.
I had been a resident of Kentucky for more than 180 days when I filed my
Petition.
III.
My age is ________.
IV.
My employment status is:
unemployed
disabled
retired
employed as
!
!
!
!
____________________________.
(type of occupation)
V.
My spouse’s age is ________.
VI.
My spouse’s employment status is:
unemployed
disabled
retired
!
!
!
!
employed as ____________________________
(type of occupation)
VII.
We
were
married
on
____________________________
in
____________________
(date of marriage)
(county)
County, ___________________.
(state)
VIII. We separated on (D)__________________________ and have not lived together
as
(date of separation)
husband and wife since then.
IX.
We have no minor children of our marriage.
!
Revised: 7/18/2007
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