Transcript
Name of Petitioner Address of Petitioner City, State, Zip Phone
IN THE
JUDICIAL COURT COUNTY, STATE OF UTAH
Petitioner
vs
Respondent
) ) ) ) ) ) ) ) )
AFFIDAVIT IN SUPPORT OF DECREE CASE NO. Judge
Petitioner, ____________________, being first duly sworn and under oath, deposes and states as follows: 1.
I am the Petitioner in the above-entitled matter.
2.
I have personal knowledge of the facts set forth herein, and if called upon to
testify, I would do so in accordance with such facts. 3.
The Respondent and I are both actual and bona fide residents of ___________
County, State of Utah, and were for more than three (3) months immediately prior to the commencement of this action. 4.
The Respondent and I are husband and wife, having been married at
_____________________ on ___________________. 5.
There are irreconcilable differences between my spouse and me, which make
continuation of the marriage impossible, despite our best efforts to reconcile those differences.
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6.
My spouse and I have entered into a Separation and Property Settlement
Agreement regarding all of the issues involved in this case, and that agreement is fair and equitable. 7.
The proposed findings and decree prepared in this matter conform to the parties'
agreement. DATED this ________ day of ____________, 20___. _________________________________ Name - Signature Affiant STATE OF UTAH COUNTY OF _____________ On this ________ day of ____________, 20___, personally appeared before me _____________________, who being first duly sworn, proved to me on the basis of satisfactory evidence to be the person whose name is subscribed to on this instrument, and acknowledged that he/she voluntarily executed the same. _________________________________ NOTARY PUBLIC Residing At: __________________________ My Commission Expires: ________________
MAILING CERTIFICATE I certify I mailed, postage prepaid, by first class mail, a true and correct copy of the foregoing AFFIDAVIT IN SUPPORT OF DECREE to the following, this ________ day of ____________, 20___: Respondent, __________________ Address _________________________________ Petitioner
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