Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Docket No. COMPLAINT FOR ANNULMENT , Plaintiff , Defendant V. 1. Plaintiff in this action seeks to annul the alleged marriage between the plaintiff and the defendant. Plaintiff resides at (Street Address) (City/Town) (County) (State) (Zip) 2. Defendant resides at (Street Address) (City/Town) (County) (State) (Zip) 3. Please check and complete ONLY ONE of the following sections. On the parties went through a marriage ceremony at (Date) , Massachusetts (City/Town) On the parties went through a marriage ceremony at (Date) , at which time the plaintiff was domiciled , (City/Town) (State) in the Commonwealth of Massachusetts and he/she is domiciled in the Commonwealth of Massachusetts at the commencement of this action. On the parties went through a marriage ceremony at (Date) , and the plaintiff has resided in the , (City/Town) (State) Commonwealth of Massachusetts for five (5) years immediately preceding the commencement of this action. 4. The parties last lived together in , (City/Town) (State) 5. The plaintiff now doubts the validity of the marriage for the following reason(s): The plaintiff entered into the marriage in good faith, but at the time of the marriage, plaintiff was induced to enter into the marriage through fraud practiced upon the plaintiff by the defendant; and that upon the discovery of the true facts said plaintiff ceased the marital relationship. Please specify the fraud: The marriage is void by reason of incest, consanguinity, affinity, or polygamy pursuant to G.L. c. 207 §§ 1,2,3,4. Other: CJ-D 100 (10/07) Page 1 of 2 C.G.F. American LegalNet, Inc. www.FormsWorkflow.com Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Docket No. COMPLAINT FOR ANNULMENT , Plaintiff , Defendant V. 6. The minor or dependent child(ren) of this alleged marriage is/are: (name of child and date of birth) (name of child and date of birth) (name of child and date of birth) (name of child and date of birth) (name of child and date of birth) (name of child and date of birth) 7. Plaintiff certifies that no previous action for divorce, annulling or affirming marriage, separate support, desertion, living apart for justifiable cause or custody of the child(ren) has been brought by either party against the other except: (case name, court, and docket number) 8. Wherefore, plaintiff requests that the Court declare that the alleged marriage between the parties be adjudged null and void. grant the plaintiff defendant custody of the child(ren). grant the plaintiff defendant parenting rights with the child(ren). order a suitable amount of support for the child(ren). order the plaintiff defendant to maintain provide health insurance for the benefit of the child(ren). Date (Signature of attorney or plaintiff, if pro se) (Print name) (Street address) (City/Town) (State) (Zip) Tel. No. B.B.O. # CJ-D 100 (10/07) Page 2 of 2 C.G.F. American LegalNet, Inc. www.FormsWorkflow.com