COMPLAINT FOR SEPARATE SUPPORT
CJ-D 102 (4/07)
C.G.F
Docket No.
Probate and Family Court Department
The Trial Court
Commonwealth of Massachusetts
V.
, Defendant
, Plaintiff
(Zip)
(State)
(Street address)
is the
spouse of the defendant, who resides at
(Zip)
(State)
(City/Town)
(Street address)
and last lived together at
(Date)
(Date)
on
The parties were married at
on
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 alleges:
Defendant is not providing suitable support, without justifiable cause.
He/she has been deserted by the defendant.
He/she is actually living apart from defendant for justifiable cause. Please explain:
He/she has justifiable cause for living apart. Please explain:
Wherefore, plaintiff requests that the Court:
establish that such living apart from the defendant is for justifiable cause.
prohibit defendant from imposing any restraint on plaintiff's personal liberty.
grant
plaintiff
defendant
custody of the above-named child(ren).
Page
as recorded with the
standing in the name of
order conveyance of the real estate located at
(Signature of attorney or plaintiff, if pro se)
(Print name)
B.B.O. #
(Zip)
(State)
(City/Town)
(Street address)
Date
Division
1.
2.
3.
4.
5.
Book
Registry of Deeds,
.
insurance.
with suitable provision for health
plaintiff
above-named child(ren)
and/or
order a suitable amount for support of
Tel. No.