STATE OF ILLINOIS) )SS COUNTY OF WILL ) IN THE CIRCUIT COURT OF THE TWELFTH JUDICIAL CIRCUIT WILL COUNTY, ILLINOIS IN RE THE DISSOLUTION OF: _______________________________________ Plaintiff vs CASE NO: ______________________________ _______________________________________ Defendant AFFIDAVIT NOW COME the Plaintiff, _____________________________________________________________, and the Defendant, _______________________________________________________________, and hereby stipulate as follows: 1. That we are husband and wife/partners having been married/joined on the __________ day of ___________________________________, 20_______. 2. That we have lived separate and apart since _______________________________________, a continuous period not less than six (6) months. 3. That there have been an irretrievable breakdown of our marriage/civil union and it is our desire to obtain a Judgment for Dissolution of Marriage/Civil Union without the proof of fault, and we hereby waive and relinquish the two (2) year requirements of living separate and apart. 4. That this Waiver is being made knowingly and without coercion. That we each have had the advised of counsel and wish to be bound by this Waiver. __________________________________________ Plaintiff __________________________________________ Defendant CERTIFICATION Under penalties of perjury as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certify the statements set forth in this instrument are true and correct, except as to matters therein stated to be on information and belief, and as to such matters, the undersigned certify as aforesaid that they each verily believe the same to be true. __________________________________________ Plaintiff __________________________________________ Defendant PAMELA J. MCGUIRE, CLERK OF THE CIRCUIT COURT OF WILL COUNTY White – Court Yellow – Plaintiff Pink – Defendant American LegalNet, Inc. www.FormsWorkFlow.com 8C (Revised 09/12)