Statement in support of
divorce/dissolution/
(judicial) separation
2 years’ consent
Section 1(2)(d) Matrimonial Causes Act 1973
Section 44(5)(b) Civil Partnership Act 2004
To be completed by the Petitioner
Name of court Case No.
Name of Petitioner
Name of Respondent
If completing this form by hand, please use black ink and BLOCK CAPITAL LETTERS and tick the boxes that apply.
About the petition
1. Have you read the petition for divorce dissolution (judicial) separation in this case?
Yes No
2. Do you wish to alter or add to any statement in the divorce / dissolution / (judicial) separation petition?
Yes
No
If Yes, please state the alterations or additions to be made.
3. Subject to these alterations or additions (if any) is everything stated in your divorce / dissolution /
(judicial) separation petition true?
Yes No
If any statement is not within your own knowledge, please indicate this and state whether it is true to the
best of your information and belief.
D D
/
M M
/
Y Y Y Y
4. State the date on which you and the Respondent separated.
5. State the date on which you came to the decision that the marriage/civil partnership was at an end.
D D
/
M M
/
Y Y Y Y
D80D Statement in support - 2 years’ consent (04.14) © Crown Copyright 2014
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D D
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Y Y Y Y
D D
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Y Y Y Y D D
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6. State, as far as you know, the various addresses at which you and the Respondent have respectively lived
since the date that you separated, and the periods of residence at each address.
From/to
(dd/mm/yy)
Petitioners address From/to
(dd/mm/yy)
Respondent’s address
7. Since the date that you separated, have you ever lived with the Respondent in the same household (there
can be more than one household at the same address)?
Yes No
If Ye
s, state the address and the period giving dates to the best of your knowledge or belief. Please also
explain the domestic circumstances when you separated.
Address(es) Dates
From To
continued over the page
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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 veried by a statement of truth.
D D
/
M M
/
Y Y Y Y
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