In the County Court
[Principal Registry of the Family Division]
No. of Matter
Between
(Petitioner)
and
(Respondent)
Question Answer
About the Divorce Petition
1. Have you read the petition in this case including what is said about the behaviour of the respondent?
2. Do you wish to alter or add to any statement in the petition?
If so, state the alterations or additions.
3. Subject to these alterations or additions (if any) is everything stated in your petition true?
If any statement is not within your own knowledge, indicate this and say whether it is true to the best of your information and belief.
4. If you consider that the respondent’s behaviour has affected your health, state the affect that it has had.
Question Answer
5. (i) Is the respondent’s behaviour as set out in your petition and particulars continuing?
(ii) If the respondent’s behaviour is not continuing, what was the date of the fi nal incident relied upon by you in your petition?
6. (i) Since the date given in the answer to question 5 or, if no date is given in answer to that question, since the date of the petition have you lived at the same address as the respondent for a period of more than 6 months, or for periods which together amount to more than 6 months?
(ii) If so, state the address and the period (or periods), giving dates to the best of
your knowledge or belief, and describe the arrangements for sharing the accommodation, including:
• whether you have shared a bedroom;
• whether you have taken your meals together;
• what arrangements you have made for cleaning the accommodation and for other domestic tasks;
• what arrangements you have made for the payment of household bills and other expenses.
About the children of the family
7. Have you read the statement of arrangements fi led in this case?
8. Do you wish to alter anything in the statement of arrangements or add to it?
If so, state the alterations or additions
9. Subject to these alterations and additions (if any) is everything stated in the statement of arrangements true?
If any statement is not within your own knowledge, indicate this and say whether it is true and correct to the best of your information and belief.
of
make oath and say as follows:-
1. I am the petitioner in this cause.
2. The answers to questions 1 to 9 above are true.
3. I identify the signature
appearing on the copy acknowledgment of service now produced to me and marked ‘A’ as the signature of my husband/wife, the respondent in this cause.
4. I exhibit marked ‘B’ a certifi cate/report of Dr
5. I identify the signature
appearing at part IV of the statement of arrangements dated now produced to me and marked ‘C’ as the signature of the respondent.
6. I ask the court to grant a decree dissolving my marriage with the respondent on the ground stated in my petition [and to order the respondent/co-respondent to pay the costs of this suit].
Sworn at )
)
in the County of )
)
this day of , 20 )
Before me,
A Commissioner for Oaths
Offi cer of the Court appointed by the Judge to take Affi davits.