(Continued on page 2)The ("X" one) before the filing of the divorce complaint or before the divorce will become final.5. A divorce is granted based on the.DISSOLUTION OF MARRIAGE (DIVORCE) JUDGMENT JD-FM-177 Rev. 10-18 C.G.S. 247247 46b-40, 46b-56c, 46b-84; P.A. 18-14; P.B. 247247 6-2 through 6-5, 17-4, 17-9, 17-43, 25-38 1. A complaint asking for a dissolution of marriage (divorce) and other relief was filed in this court with a return date of:Defendant filed an Appearance.INSTRUCTIONS: Type or print with black ink and file with Court Clerk within 60 days of the judgment.This marriage has broken down irretrievably.Other (must be reason(s) listed in Connecticut General Statutes section 46b-40(c)):6. "X" all that apply:No children were born to either the plaintiff or defendant after the date of this marriage.There are no children of this marriage under the age of 23. JFILE COURT USE ONLY2. Status of case ("X" one): Date of birth (Month, day, year) Name of child (First, middle, last)STATE OF CONNECTICUT SUPERIOR COURT www.jud.ct.govThe plaintiff,4. "X" one:at , married the defendant,Defendant failed to file an appearance (defaulted) and the Court finds that: (a) the complaint was properly served on the defendant, and (b) the defendant is not now, nor within the past thirty days has been, in the military service.The following children were born on or after the marriage to the ("X" all that apply) are not children of the other party to this marriage.(List only children who have not yet reached the age of 23.) Name of child (First, middle, last) Date of birth (Month, day, year)7.("X" if it applies) The Court finds that the agreement between the parties is fair and equitable.The following children are either: (a) the biological and/or adoptive children of both of the parties, or (b) have been born to one of the parties on or after the date of the marriage and are claimed to be children of the marriage. (List only children who have not yet reached the age of 23.)The ("X" one) and then returned to Connecticut, planning to live here permanently.The marriage broke down after the ("X" one) applicable, entered into a civil union that merged into a marriage by subsequent ceremony or by operation of law ononat , and, if, Judicial District of At (Town) Docket number Name of Judge Date of judgment Plaintiff's name (Last, first, middle initial) Defendant's name (Last, first, middle initial) Plaintiff's address Defendant's address Return date (Name before marriage) (Name before marriage) (Month, day, year) (Town and state) (Month, day, year) (Town and state) plaintiff defendant has lived in Connecticut for at least twelve months immediately plaintiff defendant lived in Connecticut at the time of the marriage, moved away, plaintiff defendant moved to Connecticut. complaint cross complaint because ("X" one): plaintiff defendant and *JFILE* 3. "X" one:The Court in this case heard the evidence and finds the following: The plaintiff has attested, under oath, that the necessary conditions required for the entry of a judgment without ahearing have been met. The Court has considered the evidence without a hearing and finds the following: American LegalNet, Inc. www.FormsWorkFlow.com (Page 2 of 2)JD-FM-177 Rev. 10-18 By the Court (Full name of Judge),J.is attached and its terms are incorporated by reference. Based on these facts, the Court hereby dissolves the marriage of the parties and declares each party to be single and unmarried. The Court further orders:Sole custody toand Visitation as follows:Alimony payable to:Child support as follows:Payable through the State of Connecticut.Medical insurance coverage as follows:Immediate income withholding (See Notice to Nonappearing Obligor of Income Withholding Order, JD-FM-70, if defendant has not filed an appearance)Regarding post-majority educational support orders (Select one):Other: Signed (Judge/Assistant Clerk) Plaintiff's attorney Defendant's attorneyI certify that the foregoing judgment file conforms to the judgment entered by the court.Notice as directed by the judicial authority must be given to parties who have not filed an appearance, of any order for support or alimony. No such order shall be effective until the order of notice has been complied with or the nonappearing party has actually received notice of such order. (Practice Book section 25-29) The Court finds that both of the parties have made a knowing and intelligent waiver of their right to request a post-majority educational support order; or The Court reserves jurisdiction to determine whether a post-majority educational support order should issue and the terms thereof; orThe Court enters a post-majority educational support as follows (Attach additional sheets if necessary):to terminate atAmount: $ Attorney Certification: (Completed by attorneys only if both the plaintiff and defendant were represented by attorneys)Primary residence with:Joint legal custody toContingent income withholdingThe written agreement between the parties dated The name of theA parenting responsibility plan in the best interest(s) of the minor child(ren)The Court having found that it is more likely than not that the parents would have provided post-majority educational support, reserves jurisdiction to determine whether to enter an educational support order and the terms thereof; orincorporated by reference hereinas follows: Docket number Plaintiff Defendant is restored to: Print name of person signing at left Print name Print name Date signed Date signed Date of judgment American LegalNet, Inc. www.FormsWorkFlow.com