(county where Complaint filed)
____________________________, Case No. CI _____________
(your full name)
(case number assigned
by clerk of c
ourt)
Plaintiff,
vs.
COMPLAINT FOR
DISSOLUTION OF
MARRIAGE (No Children)
___________________________,
(spou
se’s full name)
Defendant.
I ___________________________________, without assistance of an attorney,
(your full name)
ask this court for a dissolution of marriage. In support of my complaint, I state that the
following items are true:
1. I live at _____________________________________, in
(your street address)
_________________________________________________________________.
(city, county, and state where you live)
2.
My spouse’s address is ________________________________________ in
(spouse’s street address)
________________________________________________________________.
(city, county and state where spouse lives)
3. Either my spouse or I have lived in the state of Nebraska for more than one
year prior to the filing of this complaint, with the bona fide intention of making this state
our permanent home.
4. At the time I filed this action, either my
spouse or I was living in
(county where Complaint filed)
County, Nebraska.
5. We were lawfully married on
___________________________________
(date of marriage)
in __________________________________.
(city and state of marriage)
___________________
COMPLAINT FOR DISSOLUTION
OF MARRIAGE (No Children)
DC 6:4.1 Rev. 06/19
Neb. Rev. Stat. § 42-353
Nebraska State Court Form
Page 1 of 3
Complaint for Dissolution of Marriage
(No Children)
DC 6:4.1 Rev. 06/19
Self-Represented Litigant Committee
IN THE COURT OF ______________ COUNTY, NEBRASKA