Free cert of divorce - Nebraska


File Size: 528.4 kB
Pages: 1
Date: February 20, 2008
File Format: PDF
State: Nebraska
Category: Divorce
Author: Administrator
Word Count: 520 Words, 3,282 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.nh.us/forms/vsform_divorce.pdf

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CASE NUMBER

CERTIFICATE OF DIVORCE LEGAL SEPARATION OR ANNULMENT

State of New Hampshire

Clear Form
STATE FILE NUMBER

This form must be typewritten. The following information will be completed by the petitioner as indicated, and filed with the court prior to the hearing on the merits in accordance with court rules.
1. HUSBAND'S NAME ­ FIRST MIDDLE LAST

2a. RESIDENCE ­ CITY, TOWN, OR LOCATION (at time of filing)

2b. COUNTY

2c. STATE

HUSBAND

3. BIRTHPLACE (State or Foreign Country)

4. DATE OF BIRTH (Month, Day, Year)

5. NUMBER OF THIS MARRIAGE (specify first, second, etc.)

6. SOCIAL SECURITY NUMBER

7. IF PREVIOUSLY MARRIED HOW MANY ENDED BY: (Do Not Include Current Marriage) DEATH DIVORCE, ANNULMENT

8. EDUCATION (specify highest grade completed) ELEMENTARY OR SECONDARY (0-12) COLLEGE (1-4 or 5+)

9a. WIFE'S NAME ­ FIRST

MIDDLE

LAST

9b. MAIDEN SURNAME

WIFE

10a. RESIDENCE ­ CITY, TOWN, OR LOCATION (at time of filing)

10b. COUNTY

10c. STATE

11. BIRTHPLACE (State or Foreign Country)

12. DATE OF BIRTH (Month, Day, Year)

13. NUMBER OF THIS MARRIAGE (specify first, second, etc.)

14. SOCIAL SECURITY NUMBER

15. IF PREVIOUSLY MARRIED HOW MANY ENDED BY: (Do Not Include Current Marriage) DEATH DIVORCE, ANNULMENT

16. EDUCATION (specify highest grade completed) ELEMENTARY OR SECONDARY (0-12) COLLEGE (1-4 or 5+)

17a. PLACE OF THIS MARRIAGE ­ CITY/TOWN

17b. COUNTY

17c. STATE (or Foreign Country)

18. DATE OF THIS MARRIAGE 18. (Month, Day, Year)

MARRIAGE

19. DATE COUPLE LAST RESIDED 19. IN SAME HOUSEHOLD

20a. NUMBER OF CHILDREN BORN ALIVE OR 20a. ADOPTED DURING THIS MARRIAGE

20b. NUMBER OF CHILDREN UNDER 18 IN 20b. THIS HOUSEHOLD AS OF DATE IN ITEM 19

20c. PETITIONER 20c. Husband 20c.

Wife

Other ________________________ 21c. DATE (this Form completed 21c. by attorney or Pro-Se)

21a. NAME OF PETITIONER'S ATTORNEY or PRO-SE (Type/Print)

21b. ADDRESS (Street and Number or Rural Route Number, City or Town, State, Zip Code)

ATTORNEY
BELOW THIS LINE TO BE COMPLETED BY COURT
22a. Date petition filed with court. (Month/Day/Year) 22. Cause for Filing: 22. 22. 23b. Date Decree Becomes Final: (Month/Day/Year) 22c. A decree was entered. There was an: 22c. 22c.

23a. Type of Decree: 23a. 23a.

Irreconcilable Differences Other (specify)

Uncontested Hearing Defaulted Hearing

Contested Hearing

Divorce Annulment

Legal Separation

24a. Name of Hearing Official: (Type or Print) (First, Last)

24b. Official Capacity: 24b.

Judge

Master

25. Name to be Used by Wife 25. After Divorce:

26. Decision Making Responsibility for Child/Children 26 Shall Be With: 25. 25. 25. 25. 25.

27a. Number of Children Under 18 for Whom Residential Responsibility Is With:
27. # 27a. # 27a. # 27a. # 27a. # 27a. # 27a. # 27a. # 27a.

27b.Residential Responsibility Was:
7b. 27b. Uncontested 27b. 27b. 27b.

DECREE

25. 25. 25. 25.

Same as Present (9a) Maiden (9b) Other (specify)

Both Parents Mother Father Other (specify) Not Applicable

Both Parents
(Number)

Mother
(Number)

Contested Defaulted Not Applicable

Father
(Number)

Other (specify)
(Number)

Not Applicable
28b. Court name 28c. Date Signed (Month, Day, Year)

28a. Signature of Court Official: I certify that the above is correct to the best of my knowledge.

V.S. 14a-88,'05