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West Virginia Vital Statistics Form

In every divorce case, the court must be informed of all parties involved, especially minor children (if there are any). To inform the court, the divorcing couple must fulfill this form and submit.Download

Extracted Text for Proper Search

SCA-F-104 (Revised 12/01)         VITAL STATISTICS	
[Pertaining to Divorces and Annulments]
Chapter 16, Article 5, Section 34 of
Code of West Virginia, as Amended
Civil Action No. _______________________________________________________________
Husband's Full Name: __________________________________________________________
Wife's Maiden Name: ___________________________________________________________
Age of Husband: ___________________ Age of Wife: __________________
Place of Marriage: _____________________________________________________________	
Date of Marriage:  ______________________________________________________________
Name of Petitioner: ______________________________________________________________
9	  Yes    	9	  No  Annulment:  	 9	  Yes    	9	  No
Names of Children Under 18 Years of Age                        Date of Birth
Date of Decree:  ________________________________________________________________
   [To be Completed by Clerk]
Next: West Virginia Proposed Parenting Plan Form Previous: Wisconsin Findings of Fact Form
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