Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Dissolution of the Marriage of and , Husband and Wife. ) ) ) ) ) ) ) ) ) )

CASE NO. APPEARANCE AND WAIVER OF NOTICE OF HEARING

I, 1.

, say on oath or affirm under penalty of perjury that: I have read the petition in this case and agree to all its terms relating to custody of the children, child support, visitation, spousal maintenance and tax consequences, division of property (including retirement benefits) and allocation of debts. I believe the property and spousal maintenance agreements are fair and just and take into consideration the factors listed in AS 25.24.160(a)(2) and (4) so that the economic effect of the dissolution is fairly allocated. I agree that the petition constitutes the entire agreement between the parties. I agree that an incompatibility of temperament has caused the irremediable breakdown of the marriage. I understand fully the nature and consequences of this Petition for Dissolution of Marriage. I understand that I have a right to be present at the dissolution hearing. I agree, however, that I need not be notified of the time of the hearing and that the court may proceed without me. I am not under duress or coercion to sign this Appearance and Waiver of Notice of Hearing. It would be a significant hardship for me to attend the hearing because

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Page 1 of 2 DR-110 (9/08)(cs) APPEARANCE AND WAIVER OF NOTICE OF HEARING

AS 25.24.200(c) AS 25.24.220(i)

I agree to be available to accept a collect call to answer questions during the hearing. I understand that several hearings may be scheduled at the same time and I should remain available for at least one hour after the scheduled hearing time. Call me collect at Area Code Telephone Number .

Please Note: Cellular telephones cannot accept collect calls.
If this number changes, I agree to keep the party who will attend the hearing advised of the phone number where I may be reached at the time of the hearing. I understand that even though I have waived my right to be present at the hearing, the court may still require that I attend the hearing.

Date

Signature of Husband or Wife

Mailing Address

City

State

Zip

ACKNOWLEDGMENT

This is to certify that on , the person who executed the above , Alaska and acknowledged instrument appeared before me personally in to me that he/she signed the same freely and voluntarily for the purposes stated in it.

(SEAL)

Clerk of Court, Notary Public or other person authorized to administer oaths. My Commission Expires:

Page 2 of 2 DR-110 (9/08)(cs) APPEARANCE AND WAIVER OF NOTICE OF HEARING

AS 25.24.200(c) AS 25.24.220(i)