If the Respondent has
personally signed the
service, you must attach
a copy to this statement
and tick the relevant
box(es), except that if
the acknowledgement of
service has been signed by
a solicitor acting on behalf
of the Respondent you do
not need to refer to it or
attach to this statement.
I identify the signature appearing in paragraph 10(a) of the acknowledgement of
service, a copy of which I have attached to this statement and marked ‘A’, as the
signature of my spouse civil partner, who is the Respondent in
I identify the signature appearing in the attached statement
Y Y Y Y
, and marked ‘B’ as the signature of the Respondent.
I ask the court to grant a decree / an order dissolving my marriage civil partnership, or for (judicial)
separation from the Respondent on the fact(s) stated in my petition
and (provided you have applied for costs in your petition for divorce / dissolution / (judicial) separation) to order the
Respondent to pay the costs of this application.
Statement of Truth – the Petitioner must complete and sign this section
I believe that the facts stated in this statement in support of the petition for divorce/dissolution/(judicial)
separation are true
Print full name
Y Y Y Y
Proceedings for contempt of court may be brought against a person who makes or
causes to be made, a false statement in a document veried by a statement of truth.