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Hawaii Affidavit of Plaintiff for Uncontested Divorce Form

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Hawaii Affidavit of Plaintiff for Uncontested Divorce Form Page 2
Hawaii Affidavit of Plaintiff for Uncontested Divorce Form
STATE OF HAWAII
FAMILY COURT
CIRCUIT
AFFIDAVIT OF PLAINTIFF
(FOR UNCONTESTED DIVORCE)
PAGE TWO
CASE NUMBER
FC-D NO.
5. Jurisdiction: (Check all that apply)
5a. Plaintiff had been domiciled or physically present on the Island of for a continuous period of at least
3 months prior to the filing of the Complaint for Divorce.
5b. Plaintiff had been domiciled or physically in the State of Hawaii for a continuous period of at least
6 months prior to the filing of the Complaint for Divorce.
5c. Defendant has been domiciled or physically present in the State of Hawaii for a continuous period of at
least 6 months prior to the filing of the Complaint for Divorce.
6. Defendant resides in (city, state) _______________________________________.
7. The parties were married on (Mo/Day/Yr).
8. The parties last lived together in (city, state) _______________________________________, on (Mo/Day/Yr).
9. Plaintiff believes that the marriage is irretrievably broken because:
______________________________________________________________________________
______________________________________________________________________________
10. Financial Statements:
10a. Plaintiff signed Income and Expense and Asset and Debt Statements on (Mo/Day/Yr). To the
best of Plaintiff’s knowledge there have been no substantial changes in Plaintiff’s financial circumstances
since that date.
10b. Defendant signed Income and Expense and Asset and Debt Statements on (Mo/Day/Yr)
Plaintiff recognizes Defendant’s signature on said documents.
10c. Defendant’s Income and Expense Statement and Asset and Debt Statement are not filed because:
______________________________________________________________________________
______________________________________________________________________________
11. Plaintiff has carefully reviewed the proposed decree and agrees to the alimony, division of property and other
provisions as provided in the proposed decree.
12. Plaintiff signed the proposed decree. Plaintiff recognizes Defendant’s signature on the decree.
13. Wife wishes to resume the use of her birth surname former married name and be known as:
______________________________________________________________________________.
14. Husband wishes to resume the use of his birth surname former married name and be known as:
______________________________________________________________________________.
15. Language Comprehension:
15a. Plaintiff fully understands the English language.
15b. Although Plaintiff does not fully understand written English, this document has been explained to him/her
by ________________________ and based on that explanation Plaintiff understands this document.
16. Plaintiff requests that the Court grant this divorce and enter the Decree without his/her appearance in Court.
17. Plaintiff has read this document and signs it voluntarily and without coercion and duress and not because he/she
was told to sign it.
Hawaii Affidavit of Plaintiff for Uncontested Divorce Form