PETITIONER THE FAMILY COURT VERSUS PARISH …

1 THE FAMILY COURT FORM 2 REVISED: AUG 2014 Form 2 UNCONTESTED LA. ART. 103 DIVORCE PURSUANT TO LA. ART. 969 (B) CHECKLIST _____ NO: _____ DIV. _____ ( PETITIONER ) THE FAMILY COURT VERSUS PARISH OF EAST BATON ROUGE _____ STATE OF LOUISIANA (DEFENDANT) Date the parties were married: _____ Date the parties began living separate and apart: _____ The requisite period of time to live separate and apart (select one): ____ 180 days- there are no minor children of the marriage ____ 365 days- there are minor children of the marriage Date the petition was filed: _____ Does the petition have a verifying affidavit?

2 _____ Is the PETITIONER represented by an attorney? _____ Service / waiver (select one): ____ Personal / domiciliary service on: _____ ____ Waiver was executed on: _____ and filed on: _____ ____ Long arm service delivery on: _____ and affidavit filed: _____ Date the answer was filed: _____ Is the defendant represented by an attorney? _____ Is there a joint stipulation if facts, request for judgment, and sworn verification by each party filed by counsels for both parties? _____ Is there a proposed judgment containing a certification that both counsels and both parties agree to its terms? _____ CERTIFICATION OF ATTORNEY I certify that the information I have provided above is correct after an examination of the record.

3 _____ _____ ATTORNEY SIGNATURE DATE