CJ-D 101 (4/07)
C. G. F
COMPLAINT FOR DIVORCE
Docket No.
Probate and Family Court Department
The Trial Court
Commonwealth of Massachusetts
(County)
on
Division
V.
, Plaintiff
was lawfully married to the defendant who now resides at
Plaintiff, who resides at
(County)
(Zip)
(State)
(City/Town)
(Street Address)
(Zip)
(State)
(City/Town)
(Street Address)
The parties were married at
on
and last lived together at
(Date)
(Date)
The minor or dependent child(ren) of this marriage is/are:
(name of child and date of birth)
(name of child and date of birth)
(name of child and date of birth)
(name of child and date of birth)
Plaintiff certifies that no previous action for divorce, annulment or affirmation of marriage, separate support, desertion, living
apart for justifiable cause, or custody of child(ren) has been brought by either party against the other except:
(Date)
On or about
, the defendant
Wherefore, plaintiff requests that the Court:
grant a divorce for
prohibit defendant from imposing any restraint on plaintiff's personal liberty
allow plaintiff to resume former name of
order conveyance of the real estate located at
grant
plaintiff
defendant
custody of the above-named child(ren)
standing in the name of
as recorded with the
Book
Page
(Signature of attorney or plaintiff, if pro se)
(Print name)
B.B.O. #
(Zip)
(State)
(City/Town)
(Street address)
Date
1.
2.
3.
4.
5.
6.
insurance.
with suitable provision for health
plaintiff
above-named child(ren)
and/or
order a suitable amount for support of
Registry of Deeds,
Tel. No.