Petition for Simplified Dissolution of Marriage · Step 5 of 6
Signature & Certification
Dated:
Enter the date the petitioner signs this form.
Signature of Petitioner
The petitioner signs here to swear that everything in this form is true.
Printed Name:
Print the petitioner's full name clearly.
Address:
Enter the petitioner's street address where mail can be received.
City, State, Zip:
Enter the petitioner's city, state, and ZIP code.
Telephone Number:
Enter a phone number where the petitioner can be reached.
E-mail Address(es):
Enter the petitioner's email address for court notices.
Dated:
Enter the date the respondent signs this form.
Signature of Respondent
The respondent signs here to swear that everything in this form is true.
Printed Name:
Type your full name the way it appears on official records.
Address:
Write your street address where you live or get mail.
City, State, Zip:
Enter your city, state, and ZIP code together.
Telephone Number:
Give a phone number where the court can reach you.
E-mail Address(es):
Enter your email address so you can get court notices.
Petitioner
Check this box if a nonlawyer helped the Petitioner fill out this form.
Respondent
Check this box if a nonlawyer helped the Respondent fill out this form.
{name of individual}
Write the full name of the person who is not a lawyer who helped you with this form.
{name of business}
Write the name of the company or business that helped you fill out this form, if any.
{address}
Write the street address of the helper or their business.
{city}
Enter the city where the helper or their business is located.
{state}
Enter the state where the helper or their business is located.
{telephone number}
Give the phone number of the helper or their business.
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