Utah Certificate of Divorce Form
The Certificate of Divorce is a form that has to be sent to each of the spouses involved in a divorce after authorizing the divorce decree by the judge overseeing the case.
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STATE OF UTAH - DEPARTMENT OF HEALTH CERTIFICATE OF DIVORCE, DISSOLUTION OF MARRIAGE, OR ANNULMENT 1. HUSBAND'S NAME (First, Middle, Last) 2a. RESIDENCE - CITY, TOWN OR LOCATION 2b. COUNTY 3. BIRTHPLACE (State or Foreign Country)4. DATE OF BIRTH (Month, Day, Year) 2c. STATE 5. NUMBER OF THIS MARRIAGE - First, Second, etc. (Specify below)7. RACE: White, Black, Amer. Indian, etc. (Specify below) 6. IF NOT FIRST MARRIAGE, LAST MARRIAGE ENDED: By Death, Divorce, Dissolution, or Annulment (Specify Below)Date (Mo., Day, Yr.)8. EDUCATION: (Specify only highest grade completed) Elementary/Secondary (0 - 12)College (13-16 or 17+) HUSBAND 9a. WIFE'S NAME (First, Middle, Last) 10a. RESIDENCE - CITY, TOWN OR LOCATION 10b. COUNTY 11. BIRTHPLACE (State or Foreign Country)12. DATE OF BIRTH (Month, Day, Year) 10c. STATE 13. NUMBER OF THIS MARRIAGE - First, Second, etc. (Specify below)15. RACE: White, Black, Amer. Indian, etc. (Specify below) 14. IF NOT FIRST MARRIAGE, LAST MARRIAGE ENDED: By Death, Divorce, Dissolution, or Annulment (Specify Below)Date (Mo., Day, Yr.)16. EDUCATION: (Specify only highest grade completed) Elementary/Secondary (0 - 12)College (13-16 or 17+) WIFE 9b. MAIDEN LAST NAME 17a. PLACE OF THIS MARRIAGE - CITY, TOWN, OR LOCATION17b. COUNTY 17c. STATE OR FOREIGN COUNTRY 18. DATE OF THIS MARRIAGE (Month, Day, Year) 19. DATE COUPLE LAST RESIDED IN SAME HOUSEHOLD (Month, Day, Year)20. NUMBER OF CHILDREN UNDER 18 IN THIS HOUSEHOLD AS OF THE DATE IN ITEM 19. Number ___________ None21. PETITIONER Husband Wife Both Other, Specify _________________ ` MARRIAGE ` 22a. NAME OF PETITIONER'S ATTORNEY (Type/Print)22b. ADDRESS (Street and Number or Rural Route Number, City or Town, State Zip Code) ATTORNEY DECREE 23. I CERTIFY THAT THE MARRIAGE OF THE ABOVE NAMED PERSONS WAS DISSOLVED ON (Month, Day, Year)24. TYPE OF DECREE, Divorce, Dissolution, or Annulment (Specify)25. DATE RECORDED (Month, Day, Year) ` 28. TITLE OF COURT 27. COUNTY OF DECREE 26. NUMBER OF CHILDREN UNDER 18 WHOSE PHYSICAL CUSTODY WAS AWARDED TO: Husband ______________________ Wife ______________________ Joint _________________________ Other _____________________ No Children Not Determined Yet 29. SIGNATURE OF CERTIFYING OFFICIAL 30. TITLE OF CERTIFYING OFFICIAL 31. DATE SIGNED (Month, Day, Year) UDOH OVRS Form 14 Rev 12/03
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