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UNCONTESTED MATRIMONIAL For Court Clerk Use Only: …

For Court Clerk Use Only: UNCONTESTED MATRIMONIALIAS Entry DateREQUEST FOR judicial INTERVENTION_____COUNTY_____COURT,Judge AssignedDate Index Issued:_____/_____/_____Index No: _____RJI DateEnter the complete case caption. Do not use et al or et :Plaintiff-against-DefendantAnswer YES or NO, and provide additional information where OF ACTION OR PROCEEDING:If yes, date filed: _____/_____/_____Has a summons been filed?If yes, date served: _____/_____/_____Has a summons been served?If yes, complete and attach the MATRIMONIAL RJI Addendum (UCS-840M).Are there children of the marriage under the age of 18?EX PARTE APPLICATION FOR THE DISSOLUTION OF MARRIAGENATURE OF judicial INTERVENTION:ADDITIONAL RELIEF: Check all that applyPoor Person ApplicationApplication for Alternate ServiceOther (specify): _____For parties without an attorney, check "Un-Rep" box AND enter party address, phone number and e-mail address in "Attorneys" :(Y/N):JoinedIssueAttorneysPartiesRepUn- Provide attorney name, firm name, business address, phone number and e-mail party :GRole: PLAINTIFFG NOG YESName:GRole: DEFENDANTList any related cases, include any related criminal and/or Fa

UNCONTESTED MATRIMONIAL For Court Clerk Use Only: REQUEST FOR JUDICIAL INTERVENTION IAS Entry Date _____COURT, _____COUNTY Judge Assigned Index No: …

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