Nebraska State Court Form COMPLAINT FOR DISSOLUTION OF MARRIAGE (No Children) DC 6:4(1) Rev. 04/15 Neb. Rev. Stat. §42-353 IN THE DISTRICT COURT OF ___________________ COUNTY, NEBRASKA (county where Complaint filed) ____________________________, (your full name) Plaintiff, Case No. CI _____________ (case number assigned by Clerk of Court) vs. ___________________________, (spouse's full name) Defendant. COMPLAINT FOR DISSOLUTION OF MARRIAGE (No Children) I ___________________________________, without assistance of an attorney, (your full name) ask this Court for a Dissolution of Marriage. In support of my Complaint, I state that the following items are true: 1. I live at _____________________________________, in (your street address) (city, county, and state where you live) _________________________________________________________________. 2. My spouse's address is ________________________________________ in (spouse's street address) (city, county and state where spouse lives) ________________________________________________________________. 3. Either my spouse or I have lived in the state of Nebraska for more than one year prior to the filing of this Complaint, with the bona fide intention of making this state our permanent home. 4. At the time I filed this action, either my spouse or I was living in ___________________ County, Nebraska. (county where Complaint filed) 5. We were lawfully married on ___________________________________ in __________________________________. (date of marriage) (city and state of marriage) Page 1 of 3 Complaint for Dissolution of Marriage (No Children) DC 6:4(1) Rev. 04/15 Self-Represented Litigant Committee American LegalNet, Inc. www.FormsWorkFlow.com 6. Neither my spouse nor I am a party to any other pending actions for divorce, separation, or dissolution of marriage in this state or in any other state. 7. allies. 8. 9. My marriage is irretrievably broken. No child or children were born to or adopted by my spouse or me and none My spouse is not a member of the Armed Forces of the United States or its are expected, or all of our children are age 19 or older. 10. During the course of the marriage, my spouse and I have accumulated certain items of property, which should be equitably divided between us. 11. My spouse and I have incurred certain debts and obligations during the marriage, and the liability for payment of these debts and obligations should be 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. 14. I want this dissolution of marriage proceeding heard by a district court judge. 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 involving one or more of the parties. Details are as follows: Page 2 of 3 Complaint for Dissolution of Marriage (No Children) DC 6:4(1) Rev. 04/15 Self-Represented Litigant Committee American LegalNet, Inc. www.FormsWorkFlow.com (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) ________________________________________________ ________________________________________________ ________________________________________________ WHEREFORE, I request the court: A. B. Dissolve my marriage. 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 (Plaintiff) Full Name (Plaintiff) Full Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address Page 3 of 3 Complaint for Dissolution of Marriage (No Children) DC 6:4(1) Rev. 04/15 Self-Represented Litigant Committee American LegalNet, Inc. www.FormsWorkFlow.com