JOINT PETITION FOR DIVORCE/H



THIS IS A 2-SIDED FORM

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COMMONWEALTH OF MASSACHUSETTS

THE TRIAL COURT

Probate and Family Court Department

|Division |Docket #      |

Joint Petition for Divorce Under G.L. c. 208, §1A

|      |and |      |

|Petitioner/Wife, of | |Petitioner/Husband, of |

|      | |      |

1. Now come Husband and Wife in a joint petition for divorce pursuant to G.L. c. 208, §1A.

1. The parties were lawfully married at      , on      , and last lived together at      , on      .

1. The minor of this marriage and :

|None |      | |      |      |

|      |      | |      |      |

|      |      | |      |      |

4. The parties certify that no previous action for divorce, annulling or affirming marriage, separate support, desertion, living apart for justifiable cause, or custody of child has been brought by either party against the other except: None.

5. On or about      , an irretrievable breakdown of the marriage under G.L. c. 208, §1A did occur and to this day continues to exist.

6. Wherefore, the parties pray that the Court:

Grant a divorce on the ground of irretrievable breakdown of marriage.

Approve the separation agreement executed by the parties.

Incorporate and merge said agreement in the divorce judgment.

Incorporate but not merge said agreement, which shall survive and remain as an independent contract.

Allow Wife to resume her former name of      .

Other.

|Dated:       | |Dated:       |

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|Petitioner/Wife | |Petitioner/Husband |

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|Attorney for Wife: | |Attorney for Husband: |

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|      | |BBO # |

|BBO #      | |Telephone: ( ) |

|Telephone: (   )       | | |

Joint Petition for Divorce

UNDER G.L. C. 208, §1A

|For Wife: | | |Docket Number: | |

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|Name: | | |Filing Date: | |

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|Address: |      | |Agreement Approved: | |

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| |      | |Judgment: | |

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|BBO # | | | | |

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|Telephone: |( ) | | | |

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|For Husband: | | |Documents filed: | |

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|Name: | | |Marriage Certificate | |

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|Address: | | |Wife’s Financial Statement | |

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| | | |Husband’s Financial Statement | |

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| | | |Separation Agreement | |

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|BBO # | | |Affidavit of Irretrievable Breakdown | |

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|Telephone: |( ) | |Child Support Guidelines Worksheet | |

| | | | | |

| | | |Affidavit Disclosing Care or | |

| | | |Custody Proceedings | |

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