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Original - Court 2nd copy - Plaintiff 4th copy - Friend of the Court
1st copy - Defendant 3rd copy - Return
k
STATE OF MICHIGAN
COMPLAINT FOR DIVORCE
Page 1 of 4 pages CASE NO.
JUDICIAL CIRCUIT
COUNTY
FAMILY DIVISION
Court address
Court
telephone no. Court telephone No.
Plaintiff’s name, address, and telephone no(s).
V Defendant’s name, address, and telephone no(s).
Plaintiff’s attorney, bar no., address, and telephone no.
Defendant’s attorney, bar no., address, and telephone no.
- 1 -
Original - Court 2nd copy - Plaintiff 4th copy - Friend of the Court
1st copy - Defendant 3rd copy - Return
THERE IS NO OTHER PENDING OR RESOLVED ACTION WITHIN THE JURISDICTION
OF THE FAMILY DIVISION OF THE CIRCUIT COURT INVOLVING THE FAMILY OR
FAMILY MEMBER OF THE PERSONS WHO ARE THE SUBJECT OF THE COMPLAINT.
THERE IS NO PENDING OR RESOLVED CIVIL ACTION ARISING OUT OF THE
TRANSACTION OR OCCURRENCE ALLEGED IN THE COMPLAINT.
COMPLAINT FOR DIVORCE
NOW COMES the Plaintiff, _________________________ , (Wife/Husband) and for his/her
Complaint For Divorce against the Defendant, _________________________ , (Wife/Husband)
states as follows:
1. The Plaintiff Defendant Both Plaint and Defendant has/have been a
resident of the State of Michigan for at least 180 days, and of _________________________
County, for at least 10 days, prior to filing this Complaint.
2. The statistical information of the parties is as
follows:
Plaintiff
Name:
Name prior to marriage, if any:
Current Address:
Date of Birth:
Social Security Number:
Occupation:
Employer Name and Address:
- 2 -
STATE OF MICHIGAN
COMPLAINT FOR DIVORCE
Page 2 of 4 pages CASE NO.
JUDICIAL CIRCUIT
COUNTY
FAMILY DIVISION
Court address
Court
telephone no. Court telephone no.
Plaintiff
V Defendant
Defendants statistical information:
Defendant
Name:
Name prior to marriage, if any:
Current Address:
Date of Birth:
Social Security Number:
Occupation:
Employer Name and Address:
3. On the ______ day of __________ , the Plaintiff, _________________________ ,
was legally married to the Defendant, _________________________ , in the County of
_______________ . The Wife’s maiden name was _________________________ .
4. The Plaintiff, _________________________ , and the Defendant,
_________________________ , lived and co-habited together as Husband and Wife until on or
about ____________________ , on which date they separated.
5. There are no minor children born of this marriage and wife is not pregnant.
6. There has been a breakdown in the marriage relationship to the extent that the
objects of matrimony have been destroyed, and there remains no likelihood that the parties'
marriage can be preserved.
- 3 -
STATE OF MICHIGAN
COMPLAINT FOR DIVORCE
Page 3 of 4 pages CASE NO.
JUDICIAL CIRCUIT
COUNTY
FAMILY DIVISION
Court address
Court
telephone no. Court telephone no.
Plaintiff
V Defendant
7. The parties own and possess, jointly and individually, miscellaneous household
effects, household goods, furniture, fixtures, motor vehicles, real and personal property. The
parties have executed a Property Settlement Agreement resolving all property and debt issues of
the Parties, a true and correct copy of which is attached to this complaint as Exhibit “A”.
WHEREFORE, the Plaintiff prays that:
A. The marriage between the Plaintiff and the Defendant be dissolved and
that a divorce from the bonds of matrimony be adjudged, according to the statute in such
case made and provided;
B. That the Property Settlement agreement be approved by the Court;
C. That wife be restored her maiden name of ________________ , or
No restoration of name is requested;
D. The Plaintiff be granted such other or further relief as this Court may
deem just and equitable.
Dated: ____________________ ____________________________________
Plaintiff Signature
Address
City, State Zip
Phone
- 4 -
STATE OF MICHIGAN
COMPLAINT FOR DIVORCE
Page 4 of 4 pages CASE NO.
JUDICIAL CIRCUIT
COUNTY
FAMILY DIVISION
Court address
Court
telephone no. Court telephone no.
Plaintiff
V Defendant
STATE OF MICHIGAN )
)ss.
County of ____________________ )
On this ______ day of _________________________ , 20 ______ , before me, a Notary
Public, in and for said County, personally appeared _________________________ , to me known
to be the same person described in and who executed the foregoing Complaint for Divorce and
who acknowledged the same to be his/her free act and deed, and that the same is true on his/her
knowledge, except to those matters therein stated to be on information and belief, and he/she
believes the same to be true.
_____________________________
Notary Public
My Commission Expires: ____________________
- 5 -
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