Free DISSOLUTION OF MARRIAGE (DIVORCE) JUDGMENT - Connecticut



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DISSOLUTION OF MARRIAGE (DIVORCE) JUDGMENT JD-FM-177 Rev. 12-05 P.B. 6-2 through 6-5, 17-4, 17-9, 17-43, 25-38 STATE OF CONNECTICUT SUPERIOR COURT www jud.ct.gov COURT USE ONLY JFILE INSTRUCTIONS: Type or print with black ink and file with Court Clerk within 60 days of the judgment. JUDICIAL DISTRICT OF NAME OF JUDGE PLAINTIFF'S NAME (Last, first, middle initial) PLAINTIFF'S ADDRESS AT (Town) DATE OF JUDGMENT DEFENDANT'S NAME (Last, first, middle initial) DEFENDANT'S ADDRESS DOCKET NO. 1. A complaint asking for a dissolution of marriage (divorce) and other relief was filed in this court with a return date of: 2. Status of case (check one): RETURN DATE Defendant filed an Appearance. Defendant failed to file an appearance (defaulted) and the Court finds that: (a) the complaint was properly served on the defendant, and (b) the defendant

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DISSOLUTION OF MARRIAGE (DIVORCE) JUDGMENT
JD-FM-177 Rev. 12-05 P.B. 6-2 through 6-5, 17-4, 17-9, 17-43, 25-38

STATE OF CONNECTICUT SUPERIOR COURT www jud.ct.gov

COURT USE ONLY

JFILE

INSTRUCTIONS: Type or print with black ink and file with Court Clerk within 60 days of the judgment.
JUDICIAL DISTRICT OF NAME OF JUDGE PLAINTIFF'S NAME (Last, first, middle initial) PLAINTIFF'S ADDRESS AT (Town) DATE OF JUDGMENT DEFENDANT'S NAME (Last, first, middle initial) DEFENDANT'S ADDRESS DOCKET NO.

1. A complaint asking for a dissolution of marriage (divorce) and other relief was filed in this court with a return date of: 2. Status of case (check one):

RETURN DATE

Defendant filed an Appearance. Defendant failed to file an appearance (defaulted) and the Court finds that: (a) the complaint was properly served on the defendant, and (b) the defendant is not now, nor within the past thirty days has been, in the military service. 3. The Court in this case heard the evidence and finds the following: The wife,
(Name before marriage)

, married the husband, at .
(Town and state)

on
(Month, day, year)

4. Check one: husband wife The (check one) has lived in Connecticut for at least twelve months immediately before the filing of the divorce complaint or before the divorce will become final. husband wife lived in Connecticut at the time of the marriage, moved away, The (check one) and then returned to Connecticut, planning to live here permanently. husband wife moved to Connecticut. The marriage broke down after the (check one) 5. A divorce is granted based on the complaint cross complaint because (check one): This marriage has broken down irretrievably and there is no possibility of getting back together. Other (must be reason(s) listed in Connecticut General Statutes 46b-40(c)):

6. Check all that apply: No children were born to the wife after the date of this marriage. There are no children of this marriage under the age of 23. The following children have been born to the wife or have been adopted before, on, or after the date of this marriage and the husband is the father/adoptive father:
NAME OF CHILD (First, middle, last) DATE OF BIRTH (Month, day, year)

The following children were born after the marriage and are not children of the husband:
NAME OF CHILD (First, middle, last) DATE OF BIRTH (Month, day, year)

7.

(Check if it applies) The Court finds that the agreement between the parties is fair and equitable.
(Continued on reverse/page 2)

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Based on these facts, the Court hereby dissolves the marriage of the parties and declares each party to be single and unmarried. The Court further orders: The written agreement between the parties dated is attached and its terms are incorporated by reference. Sole custody to Joint legal custody to Primary residence with: Visitation as follows: and

DOCKET NO.

Alimony payable to: Amount: $ to terminate at

Child support as follows: Payable through the State of Connecticut. Medical insurance coverage as follows: Immediate income withholding (See Notice to Nonappearing Obligor of Income Withholding Order, JD-FM-70, if defendant has not filed an appearance) Contingent income withholding Regarding educational support orders, pursuant to Connecticut General Statutes 46b-56c: The Court finds that the parties have made a knowing and intelligent waiver of their right to request an educational support order; or The Court reserves jurisdiction to determine educational support orders; or The Court enters an educational support order (Attach additional sheets if necessary). The name of the Other: Plaintiff Defendant is restored to:

Notice as directed by the judicial authority must be given to parties who have not filed an appearance, of any order for support or alimony. No such order shall be effective until the order of notice has been complied with or the nonappearing party has actually received notice of such order. (P.B. 25-29)
BY THE COURT (Full name of Judge) SIGNED (Judge/Assistant Clerk) PRINT NAME OF PERSON SIGNING AT LEFT DATE OF JUDGMENT

,J.
ATTORNEY CERTIFICATION: (Completed by attorneys only if both the plaintiff and defendant were represented by attorneys)

I hereby certify that the foregoing judgment file conforms to the judgment entered by the court.
PLAINTIFF'S ATTORNEY DEFENDANT'S ATTORNEY PRINT NAME PRINT NAME DATE SIGNED DATE SIGNED

JD-FM-177 (Back) Rev. 12-05

(Page 2 of 2)

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File Size: 367.0 kB
Pages: 2
Date: August 11, 2008
File Format: PDF
State: Connecticut
Category: Court Forms - State
Author: MPiela
Word Count: 716 Words, 4,434 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.jud2.ct.gov/webforms/forms/fm177.pdf