STATE OF MAINE SUPERIOR COURT DISTRICT COURT Location Docket No. , ss. Docket No. Plaintiff v. CERTIFICATE REGARDING REAL ESTATE Defendant The undersigned party in this divorce action hereby certifies as follows (attach additional pages if necessary): A. Both parties have an interest in the following real estate: Street Address (do not use mailing address if different): _______________________________________ _______________________________________ The Deed is recorded in the ___________ Book _______ , Page ______ County Registry of Deeds in . B. Only Plaintiff has an interest in the following real estate: Street Address (do not use mailing address if different): _______________________________________ _______________________________________ The Deed is recorded in the ___________ Book _______ , Page ______ County Registry of Deeds in . C. Only Defendant has an interest in the following real estate: Street Address (do not use mailing address if different): _______________________________________ _______________________________________ The Deed is recorded in the ___________ Book _______ , Page ______ County Registry of Deeds in . Date: Attorney for Plaintiff Defendant IMPORTANT WARNING: Each party in this divorce action must notify the Clerk of any changes to the party's address and phone number. If a party does not notify the Clerk of these changes, then it may not be possible for that party to get notice of any Court hearings. CV-056, 04/98 PAN 2000 © American LegalNet, Inc.