Fill and Sign the Service Waiver Louisiana Form

_____________________________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF _____________ , LOUISIANA _____________________________ : DOCKET NO. ______ ______________________________________________________________________________ ACCEPTANCE OF SERVICE, WAIVER AND CONSENT COMES Defendant, _____________ , having received a copy of Petitioner's Petition for Divorce "a vinculo matrimonii" 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 Petition, waives his/her right to file an Answer or otherwise defend in this matter, agrees that his/her default may be entered, and agrees that Petitioner may be granted a Decree divorce "a vinculo matrimonii" pursuant to the terms of Petitioner's Petition and attached Marital Settlement Agreement at any time and without further notice to Defendant. Defendant has been advised to obtain independent legal advice, but has declined to do so. I further confirm that I am not on active duty in the United States military. DATED this _______ day of _____________________ , 20 ___ . _________________________________ Name –       Defendant STATE OF _____________ PARISH OF _____________ BEFORE ME, the undersigned Notary Public, duly commissioned and legally qualified in and for the Parish and State aforesaid, personally came and appeared _________ who, being first duly sworn, did depose and say that: l. She/He is the Defendant in the above and foregoing proceedings; 2. She/He has read the same; and 3. All of the allegations of fact contained therein are true and correct, to the best of her/his knowledge, information and belief. _______________________________ Signature of Defendant SWORN TO AND SUBSCRIBED before me this ______ day of ______ 20 __ . _________________________________ NOTARY PUBLIC