Response to Petition for Dissolution · Step 5 of 6
Signature & Certification
Date:
Write the date you are signing this form.
Printed Name
Print your full name clearly so the court knows who filled out this form.
Signature
Sign your name here to confirm the information is true.
Month:
Write the month you will mail a copy of this form to the other people.
Day:
Write the day of the month you will mail the copy.
Year: 20
Write the last two digits of the year you will mail the copy.
Name:
Write the full name of the first person who will get a copy of this form.
Address:
Write the mailing address for the first person, including street, city, state, and zip.
Name:
Write the full name of the second person who will get a copy, if any.
Address:
Write the mailing address for the second person, including street, city, state, and zip.
Name:
Write the full name of the third person who will get a copy, if any.
Address:
Write the mailing address for the third person, including street, city, state, and zip.
Judge (or Commissioner)
Write the name of the judge or commissioner handling your case. You can find it on your court papers.
on Month:
Write the month you will send a copy to the judge or commissioner.
Day:
Write the day of the month you will send the copy to the judge.
Year: 20
Write the last two digits of the year you will send the copy to the judge.
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