Fillable Statement in support of divorce/(judicial) separation adultery (Cabinet Office)

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Statement in support of divorce/(judicial) separation adultery (Cabinet Office)

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The Statement in support of divorce/(judicial) separation adultery (Cabinet Office) form is 3 pages long and contains:

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  • 19 check-boxes
  • 37 other fields

Country of origin: UK
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Statement in support of
divorce/(judicial) separation –
adultery
Section 1(2)(a) Matrimonial Causes Act 1973
To be completed by the Petitioner
Name of court Case No.
Name of Petitioner
Name of Respondent
Name of Co-Respondent
(if applicable)
If completing this form by hand, please use black ink and BLOCK CAPITAL LETTERS and tick the boxes that apply.
Note: Adultery will apply only to conduct between the respondent and a person of the opposite sex.
About the petition
1. Have you read the petition for divorce (judicial) separation in this case?
Yes No
2. Do you wish to alter or add to any statement in the divorce/(judicial) separation petition?
If Yes, please state the alterations or additions to be made.
Yes No
3. Subject to these alterations or additions (if any) is everything stated in your divorce/(judicial) separation
petition true?
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.
Yes No
D80A Statement in support - Adultery (04.14) © Crown Copyright 2014
1
4. StatebrieyyourreasonsforsayingthattheRespondenthascommittedtheadulteryalleged.
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
D D
/
M M
/
Y Y Y Y D D
/
M M
/
Y Y Y Y
5. OnwhatdatediditrstbecomeknowntoyouthattheRespondenthadcommittedtheadulteryalleged?
D D
/
M M
/
Y Y Y Y
6. DoyounditintolerabletolivewiththeRespondent?
Yes No
7. Since the date given in the answer to Question 5, 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 Yes, state the address and the period giving dates and explain the domestic circumstances when you
separated.
Address(es) Date
s
From To
2
3
If the Respondent has
personally signed the
acknowledgment of
service, or any other
document on which
you rely as evidence
of adultery, you must
attach a copy of this
statement and tick the
relevant box(es).
I identify the signature appearing in paragraph 9(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, 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, who is the
Respondent in these proceedings.
I ask the court to grant a decree dissolving my marriage, 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 / (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/(judicial) separation
are true
Print full name
Signed
Dated
Proceedings for contempt of court may be brought against a person who makes or
c
au
ses 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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Statement in support of divorce(judicial) separation adultery (Cabinet Office)

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Completed 1 July 2021

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