IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where Complaint filed) , Case No. CI (spouse222s full name) Plaintiff, (case number assigned by Clerk of Court) ANSWER AND COUNTERCLAIM vs. FOR DISSOLUTION OF MARRIAGE (No Children) , (your full name) Defendant. ANSWER COMES NOW, , the defendant in the (your full name) above-captioned matter, and for the Answer to plaintiff222s Complaint for Dissolution of Marriage, hereby admits, denies, and alleges as follows: 1.Admits Paragraph(s)of (paragraph number(s) with which you agree) the Complaint. 2.Denies Paragraph(s)of (paragraph number(s) with which you disagree) the Complaint. COUNTERCLAIM I, , the defendant in the (your full name) above-captioned action, without assistance of an attorney, hereby state and allege as follows: Page 1 of 4 Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Rev. 10/17 ANSWER AND COUNTERCLAIM FOR DISSOLUTION OF MARRIAGE (No Children) Nebraska State Court Form DC 9:1 Rev. 10/17 Neb. Ct. R. 247 6 - 1112 American LegalNet, Inc. www.FormsWorkFlow.com 1.I live at, (your street address: if confidential under Nebraska or Federal law, enter county and state only and provide an alternative address for mailing of notice) in . (city, county, and state where you live) 2.My spouse222s address is , (spouse222s street address) In . (city, county and state where spouse lives) 3.Either my spouse or I have lived in the state of Nebraska for more thanone year prior to the filing of the Complaint, with the bona fide intention ofmaking this state our permanent home. 4.At the time this action was filed, either my spouse or I was living in County, Nebraska. (county where complaint filed) 5.We were lawfully married on, (date of marriage) in . (city and state of marriage) 6.Neither my spouse nor I am a party to any other pending actionsfor divorce, separation, or dissolution of marriage in this state or in anyother state. 7.My spouse is not a member of the Armed Forces of the United States or itsallies. 8.My marriage is irretrievably broken. 9.No child or children were born to or adopted by my spouse or me and noneare expected, or all of our children are age 19 or older. 10.During the course of the marriage, my spouse and I have accumulatedcertain items of property, which should be equitably divided between us. Page 2 of 4 Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Rev. 10/17 American LegalNet, Inc. www.FormsWorkFlow.com 11.My spouse and I have incurred certain debts and obligations during themarriage, and the liability for payment of these debts and obligations shouldbe equitably divided between us. 12.I wish my former name,, (former or maiden name, including first, middle, and last names) to be restored to me. 13.I want this dissolution of marriage proceeding heard by a district court judge. 14.Check the box that applies: There are no existing restraining orders, protection orders, or criminal no-contact orders regarding either party. OR There are one or more existing restraining orders, protection orders, or criminal no-contact orders regarding one or more of the parties. Details are as follows: (a) Type of order: restraining; protection; criminal no-contact. (b) Name of court, case number, and date of order for each order: (name of court, case number and date of each order) Page 3 of 4 Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Rev. 10/17 American LegalNet, Inc. www.FormsWorkFlow.com WHEREFORE, I request the court: A. Dissolve my marriage. B. Equitably divide the property and debts between my spouse and me. C. Restore to me my former name of: . (former name, including first, middle and last names) D. Grant any further relief that may be just. Date Signature of the defendant Name of the defendant (printed) Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address CERTIFICATE OF SERVICE I hereby certify that on the day of , 20 , a true (date) (month) (year) copy of the foregoing Answer and Counterclaim for Dissolution of Marriage was sent by first-class mail, postage prepaid, to my spouse at . (spouse222s address, including street address, city, state, and ZIP code) (your name) Page 4 of 4 Answer and Counterclaim for Dissolution of Marriage (No Children) DC 9:1 Rev. 10/17 American LegalNet, Inc. www.FormsWorkFlow.com