Uncontested Divorce Affidavit Form
Personal Information
Full Name of Petitioner
Date of Birth
Full Name of Respondent
Date of Birth
Case Number
Marriage Details
Date of Marriage
Place of Marriage (City, State)
Date of Separation
Grounds for Divorce
Statement:
Children of the Marriage
Please list names and dates of birth, if applicable:
Property & Debt Division
Briefly describe your agreement:
Spousal Support
Describe agreement, if any:
I, the undersigned, declare under penalty of perjury that the foregoing is true and correct.
Signature of Petitioner
Date
Signature of Respondent
Date