Division
JOINT PETITION FOR DIVORCE PURSUANT TO G.L. c. 208, § 1 A
and
Petitioner B
Petitioner A
(Street address)
(Zip)
(State)
(City/Town)
(City/Town)
(Zip)
1. Petitioners were lawfully married at
and last lived together at
on
on
2. The minor or dependent child(ren) of this marriage is/are:
3. Petitioners certify 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 against the other
except:
4. On or about
, an irretrievable breakdown of the marriage under G.L. c. 208, § 1A
5. Wherefore, the petitioners request that the Court:
CJ-D 101A (9/07)
(Street address)
C.G.F
(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)
occurred and continues to exist.
Docket No.
Probate and Family Court Department
The Trial Court
Commonwealth of Massachusetts
(Signature of attorney or petitioner A, if pro se)
(Print name)
B.B.O. #
(Zip)
(State)
(City/Town)
(Street address)
(Signature of attorney or petitioner B, if pro se)
(Print name)
B.B.O. #
(Zip)
(State)
(City/Town)
(Street address)
grant a divorce on the ground of irretrievable breakdown
approve the notarized separation agreement executed by the parties
incorporate and merge the agreement executed by the parties
incorporate but not merge said agreement, which shall survive and remain as an independent contract
allow petitioner A to resume the former name of
allow petitioner B to resume the former name of
Date
Tel. No.
Tel. No.