Form 420 (Rev. 01/12) The Family Court of the State of Delaware In and For New Castle Kent Sussex County ) ) ) File No.: ) ) ) Petition No.: ) ) Petitioner, and Respondent, WAIVER OF RIGHTS UNDER THE "SERVICEMEMBERS CIVIL RELIEF ACT" STATE OF DELAWARE COUNTY ) ) ) ss. BE IT REMEMBERED, that on this date, , personally appeared before me, a Notary Public for the State of Delaware in the County declared above, , ("Affiant"), who, being duly sworn by me according to law, did depose and say: 1. That Affiant is the Respondent in the above captioned case; 2. That Affiant is active duty in the United States military; and 3. The Affiant waives his/her rights under the "Servicemembers Civil Relief Act" and in doing so acknowledges that he/she, or his/her attorney, will be required to timely respond to and appear at all legal proceedings associated with the above captioned case. Respondent ("Affiant") SWORN TO AND SUBSCRIBED before me this date, Notary Public or Clerk of Court American LegalNet, Inc. www.FormsWorkFlow.com