Fill and Sign the Dr 110waiver of Appearance at Hearing 10 15 Domestic Relations Form

Page 1 of 2 DR -110 (10/ 15)(cs) AS 25.24.200(c) WAIVER OF APPEARANCE AT HEARING AS 25.24.220(i) IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of the Dissolution ) of the Marriage of ) ) ) Party A, ) ) ) Party B. ) CASE NO. ) ) WAIVER OF APPEARANCE AT HEARING I, , say on oath or affirm under penalty of perjury that: 1. I have read the petition in this case and agree to all its terms relating to custody of the children, child support, visitation, spousal maintenance and tax consequences, division of property (including retirement benefits) and allocation of debts. 2. I believe the property and spousal maintenance agreements are fair and just, and take into consideration the factors listed in AS 25.24.160(a)(2) and (4) so that the economic effect of the dissolution is fairly allocated. 3. I agree that the petition constitutes the entire agreement between the parties. 4. I agree that an incompatibility of temperament has caused the irremediable breakdown of the marriage. 5. I understand fully the nature and consequences of this Petition for Dissolution of Marriage. 6. I understand that I have a right to be present at the dissolution hearing. I agree, however, that the court may proceed without me. 7. I am not under duress or coercion to sign this Waiver of Appearance at Hearing. 8. It would be a significant hardship for me to attend the hearing because: Page 2 of 2 DR -110 (10/ 15)(cs) AS 25.24.200(c) WAIVER OF APPEARANCE AT HEARING AS 25.24.220(i) I agree to be available by telephone to answer questions during the hearing. I understand that several hearings may be scheduled at the same time and I should remain available for at least one hour after the scheduled hearing time. I understand that even though I have waived my right to be present at the hearing, the court may still require that I attend the hearing. Date Signature of Party Email Address Mailing Address Phone Number City State Zip ACKNOWLEDGMENT This is to certify that on , the person who executed the above instrument appeared before me personally in , Alaska and acknowledged to me that he/she signed the same freely and voluntarily for the purposes stated in it. (SEAL) Clerk of Court, Notary Public or other person authorized to administer oaths. My Commission Expires: