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Tennessee Divorce Complaint Form

The Request for Divorce form is a complaint form that can be used to begin the divorce process after filing it with the county court clerk’s office. The Request for Divorce form might require filling addition forms and fees with it.

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July
 2011   (Form 1) Request for Divorce  Page  1 of 4 
  Approved by the Tennessee Supreme Court 
 
This form is 
only for spouses who:    Have no children together who are under 18, in high school, or disabled. 
  Agree  how  to  divide  their  property  and  debt,  and  have  no  land,  or  businesses,  or  retirement 
benefits.    One  or  both  spouses  lived  in  Tennessee  for  at  least  6  months  and/or  they  lived  in  Tennessee 
when they decided to divorce. 
If you do not meet these rules, you  cannot use these forms.  Please talk to a lawyer. 
BOTH  SPOUSES  SIGNED AND NOTARIZED  THE DIVORCE  AGREEMENT  
A NSWER EACH QUESTION .  
  Residency -  (CHECK ALL THAT APPLY ):  
My spouse or I have lived in Tennessee for at least 6 months.   
I was living in Tennessee when the reason for this divorce happened.    O
ur differences arose in Tennessee.  
  Venue  –  ( CHECK  ONE ) I am filing for divorce in this County because :   
My spouse and I lived in this County when we separated.     
Address:   
    Street Address 
City State  Zip  
My spouse lives in this County.   
I live in this County  and my spouse does not live in Tennessee, or is in jail. 
  Reason for Divorce -  (you must both sign and notarize the Divorce Agreement to use this form ): 
My spouse and I can no longer get along, and we have irreconcilable differences. 
  Children -  My spouse and I have no children together who are under 18, in high school, or disabled. 
Children  together  means  children  you  had  together,  born  before  your  marriage,  AND any  and  all 
children born during your marriage or adopted.  
The Wife -  (CHECK ONE):     is     is not pregnant.  (If the Wife is pregnant, you
 cannot use this 
form.) 
  Date of Separation  -   
My spouse and I decided to divorce on ( CHECK O NE):   
The date of filing this paper ( REQUEST FOR  DIVORCE ); or    
The date we started living apart:  (MM/DD/YYYY ):    
We were married on (MM/DD/YYYY
):    in:    
 
(City, County, State or Foreign Country)  State of Tennessee   Court     
  (Must Be Completed)   County      
  (Must Be Completed)  
Request for Divorce (Complaint)  
   
File No.        
  (Must Be Completed)  
Division       
  (Large Counties Only)  
Plaintiff       
  (Name: First, Middle, Last) of S pouse  F iling the  D ivorce)  
De fendant        
    (Name: First, Middle, Last of the  O ther   S pouse)

July
 2011   (Form 1) Request for Divorce  Page  2 of 4 
  Approved by the Tennessee Supreme Court 

 Orders of Protection and Injunctions:   
If  you  have  an  Order  of  Protection,  it  will  stay  in  effect  until  the  divorce  judge  changes  it.    Or  it 
has already expired ( CHECK THE BOX TO DESCRIBE YOUR POSITION ):    No Order of Protection has been in effect during this case.  
  The Order of Protection is ended (expired). 
   The  Order  of  Protection  is  active  when  I  file  this  paper  (Request  for  Divorce)  and  so  will  stay  in 
effect until the divorce judge changes it.  
(A TTACH A COPY OF  ORDER OF  PROTECTION ) 
 
Restraining Order  ( CHECK ONE ): 
    No  Restraining  Order  other  than  the  Statutory  Injunction,  which  applies  in  every  divorce  case, 
has been in effect during this case.     Other (
DESCRIBE ):     
     
     
 
 
 
 
 
  Wife’s Informa tion  Name:
     
 
First Name  Middle Name  Maiden Name  Last Name (now) Address:    
 
Street Address                                                         City                                 State Zip  Birthplace 
   
 
City and State or Foreign Country  Birth Date (MM/DD/YYYY
):    
Race:    
Hispanic             
 Other:     
 
How many marriages before this 
one?   
    How long has she lived in 
Tennessee?  
    years       months   Active - duty U.S. Armed 
Services?   
 

 Husband’s Information  Name:
     
 
First Name  Middle Name  Maiden name  Last name (Now) Address:    
 
Street address                                                                      City                     State  Zip Birthplace
     
  City and State or Foreign Country 
Birth date (MM/DD/YYYY
):    
 
Race:
     
   White       Hispanic     Black         
Other:    
How many marriages before this 
one?   
    How long has he lived in 
Tennessee?  
  years      months   Active - duty U.S. Armed 
Services?   
 V ICTIMS OF  D OMESTIC  V IO LENCE  
You do not have to list a home address below.  You may list a P.O. Box instead.   
The local domestic violence agency can help you.   
Call  1 - 800 - 356 - 6767   or go to  www.tcadsv.org

July
 2011   (Form 1) Request for Divorce  Page  3 of 4 
  Approved by the Tennessee Supreme Court 
 
 

 Financial Information    
Real Property    (Hous e, Land , or Mobile Homes that are permanently   attached to the ground)  
 
My spouse and I :  
  Do  NOT   own Real P roperty.    If either of you have REAL Property, please see a lawyer first.  
 
Personal Property (such as  Cars, Mobile Homes   (not permanently attached to   the ground) , Bank 
Accounts)  
 
  Own property and have filed the  Divorce Agreement   that lists how our property is divided.  
  Do not own Personal Property  (such as  Cars, Mobile Homes, Bank Accounts)  
 
(If  either   of y ou has a Pension or Retirement A ccount or o wn a  B usiness,   you  cannot   use these 
forms.  
P lease see a lawyer first.)  
Debts  –   My spouse and I  (check  one ):  
 
  Do  NOT   have debts.  
  Have debts and have filed a  Divorce Agreement   that lists how our debts are divided.  
  One or both of us has filed for a Ban kruptcy and it is still active.  

 Alimony  (check  one):    Neither spouse wants alimony.  
  One of the spouses wants alimony, as agreed to in our Divorce Agreement. 
 
Name Change  (check below to change a spouse’s name back to the name used before this marri age)   
Wife requests    
    
First Name   Middle  Name  Last Name 
   
Husband requests      
   
First Name  Middle Name  Last Name  
Court Costs  (check one): 
 
Who will pay the court costs for this divorce?     Spouses will each pay 50% of the costs. 
  Husband will pay all costs. 
  Wife will pay all costs. 
  Other agreement: ______________________________________
____________________.  
Divorce Agreement 
 
   Our signed  Divorce Agreement  (Form 5) is attached, and we ask the Court to approve it.  
 
  I ask the Court to grant this divorce, make the other orders I have asked for above, and to make any 
other orders I am entitled to.

July
 2011   (Form 1) Request for Divorce  Page  4 of 4 
  Approved by the Tennessee Supreme Court 
R
EAD THE TEXT BELOW THEN SIGN ONLY  IN FRONT OF A NOTARY  
  Signed at  (C ity) :      on  ( D ate):     
  (MM/DD/YYYY)  
State of Tennessee, County of      
  (N ame of  C ount y  W here  N otarized)  
 
I know that Tennessee has laws against lying on purpose (perjury).    I swear that:   
  As far as I know, the information on this form is true.  
  My request for divorce is serious.   
  My spouse and I have   not   agreed to lie about the information  in this divorce.   
 
SWORN to and SUBSCRIBED before me, on (date):     
Signed at  ( C ity) :         
 
State of Tennessee, County of        
By  (N ame of  Person Filin g for  D ivorce ):      
   
( Signature of Person Filing for D ivorce):    
 
 
 
 
 
 
 
         
Signature of Notary Public, Stat e of Tennessee   
 
My   commission expires: ________ ___    
    MM/DD/YYYY  
(N OTARY ’ S SEAL )
Next: Temporary Permanent Parenting Plan Previous: Tennessee Health Insurance Notice
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