COM M ONW EALTH OF M ASSACHUSETTS Probate & Family Court Department of the Trial Court Division: __________________ Docket No.:________________ AFFIDAVIT TO WAIVE APPEARANCE AT 1A HEARING I, ______________________________________ of ___________________________________, of my own personal knowledge, on oath do depose and state as follows: 1. That I am the Plaintiff/Defendant in the divorce action entitled _________________________________ vs. _________________________________. 2. That I am currently a resident of ____________________(City/State ) and have been since _____________________. 3. That I have conferred with my attorney, ________________________, concerning all matters concerning the divorce and the procedures necessary to obtain a divorce. 4. That I have reviewed all of the documents in this matter, including the Separation Agreement/Stipulation that has been prepared and signed. 5. That I have read the Separation Agreement/Stipulation, and it has been fully explained to me by my attorney. I am satisfied with the advice of my counsel. 6. That I fully understand and agree with all of the terms contained in the Separation Agreement/Stipulation and its terms are fair and reasonable. 7. That I have signed the Separation Agreement/Stipulation as my own free act and deed, and my signature has been notarized by a Notary Public in the State of _________________ on __________________________. 8. That I feel that I have made a complete financial disclosure to my husband/wife, and I feel that he/she has made a complete disclosure of his/her financial affairs to me. 9. That I understand that this Agreement will be offered to the Probate Court and that, if accepted, the Agreement will be a final resolution of all property rights by and between my husband/wife and myself and that all issues concerning property division and alimony will be resolved by this Agreement. 10. That I signed the Separation Agreement/Stipulation freely and voluntarily. Subscribed and sworn to under the penalties of perjury this __________ day of _________________, 20____. ___________________________ Signature Then personally appeared the above named, ____________________________ and acknowledged the foregoing to be his/her free act and deed, before me, ___________________________________ Notary Public _______________________ My Commission expires: ______________ 9/2010-Register American LegalNet, Inc. www.FormsWorkFlow.com