In the _______________ Court for _____________________ County, State of _____________________ Case No.: ____________________ In Re: The Marriage of: ________________________________) and ________________________________)
CERTIFICATE OF CORROBORATING WITNESS UNDER PENALTY OF PERJURY I CERTIFY that I am a resident of the State of ____________________. I have known ______________________ for more than ________ (years/months) preceding the date of the filing of the above cause on ___________ and I know of my own personal knowledge that such person has resided in the State of ____________ for at least that period of time. Signed in the presence of: ____________________________________ Witness= Signature ____________________________________ Print or Type Name ____________________________________ Witness= Residence Address
This CERTIFICATE OF CORROBORATING WITNESS was executed this ______ day of ___________, 200__, by __________________________________ before me, personally appeared ________________________, personally known to me or produced _______________________________ as identification and who did/did not take a sworn oath. ________________________________ Signature of Notary (Notary Seal) Printed Name: ________________________ My Commission Expires:___________________
IF A NONLAWYER ASSISTED YOU FILL OUT THIS FORM, THEY MUST FILL IN ALL THE BLANKS BELOW: I (name of person) _____________________________, am a nonlawyer residing at (street) _______________________, (city) _____________________, (state) _____, (phone) _______ helped (name of spouse) ____________________, who is the _____ petitioner or _____ respondent, fill out this document.