STATE OF MAINE SUPERIOR COURT , ss. Docket No. DISTRICT COURT Location Docket No.
, Plaintiff v. , Defendant CERTIFICATE IN LIEU OF FINANCIAL STATEMENT
I make the following statement in lieu of filing the Financial Statement, CV-043. To the best of my knowledge the following statement is true. I certify that in the divorce action in which I am a party, 1. Neither party is seeking alimony; 2. Neither party is seeking attorney fees; 3. Neither party owns any real estate; and 4. All of the personal property of the parties has been divided in a manner satisfactory to each of the parties. I understand that if the opposing party disagrees with any of the above statements, I will be required to file the Financial Statement.
Date: Signature of Party
CV-042, Rev. 09/97