Commonwealth of Massachusetts The Trial Court Probate and Family Court Department
Division
Docket No.
COMPLAINT FOR DIVORCE , Plaintiff
, Defendant
V.
1. Plaintiff, who resides at (Street Address) (State)
2.
(Zip)
(County)
(City/Town)
was lawfully married to the defendant who now resides at (City/Town)
(County)
The parties were married at
(Street Address) (State)
on
and last lived together at
(Zip)
(Date)
on
(Date)
3. 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)
4. Plaintiff certifies that no previous action for divorce, annulment or affirmation of marriage, separate support, desertion, living apart for justifiable cause, or custody of child(ren) has been brought by either party against the other except:
5.
, the defendant
On or about (Date)
6. Wherefore, plaintiff requests that the Court: grant a divorce for grant
plaintiff
defendant custody of the above-named child(ren)
prohibit defendant from imposing any restraint on plaintiff's personal liberty order a suitable amount for support of insurance.
plaintiff and/or
above-named child(ren) with suitable provision for health
order conveyance of the real estate located at Registry of Deeds, Book
standing in the name of as recorded with the Page
allow plaintiff to resume former name of
Date (Signature of attorney or plaintiff, if pro se) (Print name)
(Street address) (City/Town)
(State)
(Zip)
Tel. No. CJ-D 101 (4/07)
B.B.O. #
C. G. F