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COMPLAINT FOR DISSOLUTION OF MARRIAGE (No Children)

This divorce petition can be used by married couples with no minor children. Eligible applicants must file this form with the county court clerk’s office to begin the divorce process.Download

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IN THE DISTRICT COURT OF ___________________ COUNTY, NEBRASKA 
(county where Complaint filed)  ____________________________, 
Case No. CI _____________   
(y our full name)
(case number assigned by Clerk of Court)
Plaintiff,  vs. 
COMPLAINT FOR 
DISSOLUTION OF 
MARRIAGE  (No Children) 
___________________________,  
(s pouse’s  full name)
Defendant.  I ___________________________________, without assistance of an attorney, 
  (your full name)  ask this Court for a Dissolution of Marriage.  In support of my Complaint, I state that the 
following items are true: 
1.
I live at _____________________________________, in
(your street address) 
_________________________________________________________________. (city, c	ounty, and state where you live) 2. My spouse’s address is ________________________________________
 in(spouse’s 
street address)   
__________________________________________ ______________________.
         (city, county and state where spouse lives)  3.
Either 
my  spouse  or  I  have lived in the state of Nebraska for more than one
year  prior  to  the  filing  of  this  Complaint,  with  the  bona  fide  intention  of  making  this  state 
our permanent home. 
4. At the time I filed this action, either my spouse or I was living in
(county where Complaint filed)  County, Nebraska. 5.
W e we
re lawfully married on
___________________________________  
(date of marriage)  in __________________________________. 
(city and state of marriage) ___________________ COMPLAINT FOR DISSOLUTION OF 
MARRIAGE (No Children) DC 6:4(1) Rev. 04/15
Neb. Rev. Stat. §42-353	
N
ebraska  State Court Form   P
age 1 of 3
Complaint for Dissolution of Marriage 
(No Children)
DC  6:4(1)   Rev. 04/15
Self-Represented Litigant Committee

6.
Neither my spouse nor I am a party to any other pending actions for divorce,
separation, or dissolution of marriage in this state or in any other state.  7. My  spouse  is  not  a  member  of  the  Armed  Forces  of  the  United  States or its
allies.  8. My marriage is irretrievably broken.
9. No  child  or  children  were  born  to  or  adopted  by  my  spouse  or  me  and  none
are expected, or all of our children are age 19 or older. 
10. During  the  course  of  the  marriage,  my  spouse  and  I  have  accumulated
certain items of property, which should be equitably divided between us.  11. My  spouse  and  I  have  incurred  certain  debts  and  obligations  during  the
marriage,  and  the  liability  for  payment  of  these  debts  and  obligations  should  be  equitabl y 
divided between us.  12. I wish my former name, __________________________ _____________,
  (former or maiden name, including first, middle, and last names)  to be restored to me. 
13. I want this dissolution of marriage proceeding heard by a district court judge .
14. Check the box that applies:
[   ]  There are no existing restraining orders, protection orders, or 
criminal no-contact orders regarding either party.  OR
  [   ]  
There are one or more existing restraining orders, protection 
orders, or criminal no-contact orders involving one or more of the 
parties.  Details are as follows:  Page 2 of 3
Complaint for Dissolution of Marriage 
(
No Children)
DC  6:4(1)   Rev. 04/15
Self-Represented Litigant Committee

(a)  Type of order:  __________ restraining; 
__________   protection; __________ criminal no-contact. 
(b)  Name of court, case number, and date of order for each 
order: 
________________________________________________  
(name of court, case number and date of each order)  ________________________________________________
 
________________________________________________  
________________________________________________  
WHEREFORE , I request the court: 
A.   Dissolve my marriage. 
B.   Equitably divide the property and debts between my spouse and 
me. 
C.   Restore to me my former name of:  _
_______________________________________________.  
(former name, including first, middle and last names)  D.
  Grant any further relief that may be just.      
Date  Signature (Plaintiff) 
Full Name (Plaintiff) 
Full Street Address/P.O. Box  
City/State/ZIP Code 
Phone 
E-mail Address Page 3 of 3
Complaint
 for	

 Dissolution of  Marriage 
(No Children)
DC
  6:4(1)   Rev. 04/15
Self-Represented Litigant Committee
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