Fill and Sign the Instructions for Form Dc Dc 641 Instructions for Form

DC 6:4(1a) Rev. 4/15 INSTRUCTIONS FOR FILLING OUT COMPLAINT FOR DISSOLUTION OF MARRIAGE ( No Children) HEADING  Enter the name of the county where you are filing the Complaint .  Enter you r first, middle, and last name s. You are the plaintiff.  Enter you r spouse’s first, middle , and last name s. Your spouse is the defendant.  The Clerk of the District Court will give you a case number when you file the Complaint. You must include the case number on any papers you file. BODY OF COMPLAINT Enter your full name in the first parag raph. This paragraph does not have a number. The numbers below give instructions for completing the pa ragraphs with the same numbers i n the Complaint. Paragraph 1. Enter you r complete address, including street number, city, county, and state. If yo u do not want your spouse to know your exact address because you are concerned about your safety, you can put only the county and state where you are living. Paragraph 2. Enter your spouse’s complete address, including street number, city, county, and state. Paragraph 4. Enter the name of the county where you are filing this divorce action. Either you or your spouse must be liv ing in this county at the time of filing. Paragraph 5. Enter the date you were married and the city and state w here you were married. Paragraph 12. If you are requesting that your former name be restored, enter the first, middle , and last name s you would like to use. If you are not requesting that your former name be restored to you, cross out this paragrap h. Paragraph 14. To complete this paragraph, you must check the box that applies. If there are no existing restraining, protection, or criminal no -contact orders, check the first box. If there are any such orders, check the second box and supply the re quired information. In (a), check the blank beside the type of order in existence. If more than one order is in existence, check all blanks that apply. In ( b), provide the name of the court (i.e., Lancaster County District Court), the case number, an d the date the order was entered for each order in existence. CLOSING PARAGRAPH If you are requesting that your former name be restored, enter the complete former name to be restored including first, middle, and last names. If you are not requesting that your former name be restored to you, cross out this paragraph. 2 FINAL SIGNATURE  On the first line sign your first, middle, and last name s and enter the date .  On the second line enter your first, middle, and last name s.  On the third line enter your ful l street address.  On the fourth lin e enter your city, state, and ZIP code .  On the fifth line enter you r telephone number, including the area code , and your e-mail address , if any .