Fill and Sign the Comes Respondent Having Received a Copy of Form

IN THE DISTRICT COURT OF ______________ COUNTY, NEBRASKA _________________________, Case No. ______________ Petitioner, ENTRY OF APPEARANCE vs. AND WAIVER _________________________,Respondent.COMES Respondent, ____________________________, having received a copy of Petitioner's Petition for Dissolution of Marriage in the above-entitled matter, and having read the allegations contained therein, and being aware of his/her right to seek independent legal advice, herewith enters his/her appearance, consents to the personal jurisdiction of this Court, accepts service of said Complaint, waives his/her right to file an Answer or otherwise defend in this matter, and agrees that Petitioner maybe granted a Decree of Dissolution of Marriage pursuant to the terms of Petitioner's Complaint at any time and without further notice to Respondent. Respondent has been advised to obtain independent legal advice, but has declined to do so. DATED this ________ day of ____________, 20___. _________________________________Respondent – Signature __________________________________Print Name STATE OF NEBRASKACOUNTY OF ___________________ On this ________ day of ____________, 20___, personally appeared before me ____________________, who being first duly sworn, proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to on this instrument, and acknowledged that he voluntarily executed the same. _________________________________NOTARY PUBLIC SUBSCRIBED AND SWORN to before me this ___ day of ______________, 20___.(Seal, if any) ______________________________Notary Public My commission expires: Title (and Rank): _______________Print Name: ________________________________________