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CC 141 V1 STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 17TH JUDICIAL CIRCUIT COUNTY OF WINNEBAGO FILE STAMP ______________________________ Plaintiff vs ______________________________ Defendant Case No. ________________ STIPULATION AND WAIVER Now come the parties, and they stipulate and agree as follows: 1. That the parties have been separated continuously since ______________________, a period in excess of six (6) months. 2. That the parties waive the provisions of the statute requiring a two year separation to establish grounds of irreconcilable differences, and agree that the Court may enter a Judgment of Dissolution after a separation of six (6) or more continuous months. Under penalties as provided by law pursuant to Section 1-109 of the Code of Civil Procedure, the undersigned certifies that 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 certifies as aforesaid that they verily believe the same to be true. __________________________________ Plaintiff __________________________________ Defendant Date ______________________________ Date ______________________________ American LegalNet, Inc. www.FormsWorkFlow.com