You must use black ink to fill out this form.

Plaintiff’s Name:

Mailing Address:

Telephone: Message phone:

********

Defendant’s Name:

Mailing Address:

Telephone: Message phone:

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA

AT

City or Town where Court is located

)

)

Plaintiff, )

)

vs. )

)

)

Defendant. )

) Your Case No.

UNCONTESTED COMPLAINT FOR DIVORCE

Without Children

We, , state that the

(Print your names here)

following facts are true and request the following relief:

1. Residence

Plaintiff is a resident of the State of .

Defendant is a resident of the State of .

2. Facts of the Marriage

Date of Marriage: Place of Marriage:

Date of separation:

3.  Basis for Decree of Divorce: An incompatibility of temperament between the parties makes it impossible to live together any longer as husband and wife.

4. Restoration of former name

Plaintiff Defendant wants their former name restored as:

(Print full former name here.)

5. Property and debt

There is no property or debt for the Court to divide and we will each keep what we have in our possession or control.

There is property and/or debt for the Court to divide. We request that the marital property and debt be divided according to the attached Property and Debt Description worksheets (you can use Property and Debt Worksheet, SHC-1000).

6.  Minor Child(ren) (If you answer “YES” to i(a) or ii, you cannot use this form.)

i.  Are there any minor children of this relationship born prior to or during the marriage and/or adopted during the marriage? NO YES

a.  If YES, do you still have parental rights for the child(ren)? NO YES

ii.  Is the wife pregnant? NO YES

If you marked “YES” to i(a) or ii, STOP. Do not use this form. Use the Uncontested Divorce (With Minor Child(ren)) Complaint, SHC-110, Word | PDF .

If you marked “NO” to all of these questions, please continue with this form.

7. Other:

REQUESTED RELIEF

WE REQUEST:

1. That the marriage be dissolved and that we be awarded a decree of divorce;

2. That a Final Order and Judgment be entered regarding property and debt as requested in section 5;

3. That the Plaintiff’s Defendant’s former name of

be restored; (Print full former name here)

4. Other:

5. For such other and further relief as the Court deems fit and proper.

Date Plaintiff’s Signature (In blue ink if possible)

Date Defendant’s Signature (In blue ink if possible)

UNCONTESTED COMPLAINT FOR DIVORCE SHC-111 (5/15)

Without Children Page 1 of 2