STATE OF MAINE DISTRICT COURT Location Docket No. Plaintiff v. Defendant 1. Plaintiff was lawfully married to defendant in (town) (county) , (state) , on 2. Plaintiff now resides in (town) 3. , (county) , (mo/date/yr.) , (state) , (state) , OR . COMPLAINT FOR DIVORCE (with children) Title to Real Estate Is Involved
Defendant now resides in (town) , (county) Plaintiff has tried but cannot find out where the Defendant resides.
4. The court has jurisdiction because (check all of the statements that apply): A. B. C. D. 5. Plaintiff resided in Maine in good faith for six months before filing this complaint; Plaintiff is a resident of Maine and the parties were married in Maine; Plaintiff is a resident of Maine and the parties resided in Maine when the grounds for divorce arose; Defendant is a resident of Maine.
Neither party has filed for divorce or annulment from the other before this complaint, OR A complaint for divorce or annulment was filed before in (court name, town and state of court) Docket No. That case: Was dismissed on (date) . Is still pending.
6. The parties have personal property, AND Either or both parties has an interest in real estate, OR Neither party has an interest in real estate. 7. Plaintiff lists the following grounds for divorce: Irreconcilable marital differences exist between the parties. Other 8. Plaintiff and defendant are the parents of the following child(ren):
Name Date of Birth Present Address
A. List below where and with whom the child(ren) have lived within the past 5 years.
Name and present address of person child(ren) lived with Dates child(ren) lived with that person Town and State where child(ren) lived with that person
CV-004, Rev. 06/02
B. Plaintiff has not been involved in any way in, and has no information about, another court case in any state concerning the custody of the child(ren) except as follows: Protection from Abuse Protective Custody Other (describe what kind of other case)
C. No one other than the parties has physical custody of the child(ren), or claims to have custody or visitation rights with respect to the child(ren), except as follows:
9. (Check all boxes that apply) No public assistance benefits have ever been received for the child(ren). OR Public assistance benefits have been, are now, or will be received for the child(ren). AND Plaintiff has sent a copy of this complaint to the Department of Human Services at the following address: Support Enforcement Division, Central Office Supervisor, State House Station 11, Augusta, ME 04333-0011 . (A copy must be sent when the child(ren) have been, are now or will be receiving public assistance benefits.) The Department of Human Services has issued a child support order regarding the child(ren). (If such an order has issued, a copy of the order must be attached to this Complaint). The Department of Human Services has been contacted to set up, review, change or enforce a child support order regarding the child(ren). PLAINTIFF REQUESTS that a divorce be granted and that the court; (Check all boxes that apply) Determine parental rights and responsibilities regarding the minor child(ren), including child support; Set apart the non-marital property to each party and divide the marital property; Order that spousal support be paid to Plaintiff by Defendant; Award reasonable attorney's fees to Plaintiff's attorney; and Change Plaintiff's name to . Date: (Plaintiff's signature) Attorney for Plaintiff: Address: Telephone: Plaintiff: Address: Telephone: STATE OF MAINE County Personally appeared the above named Plaintiff, that the foregoing statements are true. Before me, Date: Attorney at Law / Notary Public / Deputy Clerk , and made Oath