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X- Respondent. ) ) ) ) ) ) ) ) Case No. AFFIDAVIT FOR JUDGMENT DISSOLVING MARRIAGE (Check appropriate boxes) 1. My name is and I am the Petitioner Respondent in this dissolution of marriage case. 2. I filed a Petition for Dissolution of Marriage on . My spouse filed a Petition for Dissolution of Marriage on . 3. My spouse has subjected themselves to the jurisdiction of this.

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