COMPLAINT FOR DISSOLUTION - Nebraska Supreme Court

1 DC 6 Rev. 03/2022 COMPLAINT for DISSOLUTION Page 1 of 3 of marriage (With No Children) Nebraska State Court Form DC 6 Rev. 03/2022 Neb. Rev. Stat. 42-353 , Plaintiff, Case No. vs. COMPLAINT FOR DISSOLUTION OF marriage (NO CHILDREN) , Defendant. I, _____ , without assistance of an attorney, (your full name) ask this Court for a DISSOLUTION or marriage . In support of my COMPLAINT , I state that the following items are true: live at _____ , (your street address: if confidential under Nebraska or Federal law, enter county and st ate only and provide an alternative address for mailing of notice) in _____ . (city, county, and state where you live) spouse s address is _____ ,(spouse s street address)in _____ . (city, county and state where spouse lives) my spouse or I have lived in the state of Nebraska for more thanone year prior to the filing of this COMPLAINT , with the bona fide intentionof making this state our permanent the time I filed this action, either my spouse or I was living in_____ County, Nebraska .

2 (county where COMPLAINT filed) were lawfully married on _____ _____, in (date of marriage ) . (city and state of marriage ) DC 6 Rev. 03/2022 COMPLAINT for DISSOLUTION Page 2 of 3 of marriage (With No Children) my spouse nor I am a party to any other pending actions fordivorce, separation, or DISSOLUTION of marriage in this state or in any spouse is not a member of the Armed Forces of the United States or marriage is irretrievably child or children were born to or adopted by my spouse or me andnone are expected, or all of our children are age 19 or the course of the marriage , my spouse and I have accumulated certainitems of property, which should be equitably divided between spouse and I have incurred certain debts and obligations during themarriage, and the liability for payment of these debts and obligations shouldbe equitably divided between wish my former name, _____ ,(former or maiden name, including first, middle and last names)

3 To be restored to want this DISSOLUTION of marriage proceeding heard by a district the box that applies: There are no existing restraining orders, protection orders, or criminal no-contact orders regarding either party. OR There are one or more existing restraining orders, protection orders, or criminal no-contact orders regarding one or more of the parties. Details are as follows: (a)Type of order: restraining; protection; criminal no-contact. DC 6 Rev. 03/2022 COMPLAINT for DISSOLUTION Page 3 of 3 of marriage (With No Children) (b)Name of Court , case number, and date of order foreach order: _____ _____ _____ _____ (name of Court , case number and date of each order) WHEREFORE, I request the Court : my divide the property and debts between my spouse and to me my former name of _____ .(former or maiden name, including first, middle and last names) any further relief that may be just.

4 _____ _____ _____D ate _____ SignatureName (printed) Street Box City/State/ZIP Code Phone Email Address Nebraska Supreme Court Rule 2-208 requires individuals involved in a case who are not attorneys and representing themselves to provide their email address to the Court in order to receive notice by email from the Court about this case. By checking this box and providing my email address, I have the ability to receive notice from the Court by email. I understand I will not receive mailed documents and notices except for those that require specific service as directed by statute or Nebraska Supreme Court Rule. If I no longer have email capability or if my email or other contact information changes, I must complete a Change of Contact Information Form. By checking this box, I do not have the ability to receive emails. The reason I cannot receive email is.