If the Respondent
has personally
signed the
acknowledgment
of service, or any
other document
on which you rely
as evidence of
the Respondent’s
consent, you must
attach a copy to
this statement and
tick the relevant
box(es).
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
these proceedings.
I identify the signature appearing at the foot of the document which I have attached
to this statement and marked ‘C’ as the signature of my spouse
civil partner, who is the Respondent in these proceedings.
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
Signed
Dated
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.
D D
/
M M
/
Y Y Y Y
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