IN THE CIRCUIT COURT OF WILLIAMSON COUNTY, TENNESSEE AT FRANKLIN ____________________________________ Petitioner vs. Docket Number_____________ ____________________________________ Respondent DIVORCE BILL The petitioner respectfully shows to the Court: I. Pursuant to the provisions of Tennessee Code Annotated Section 36-4-106, the petitioner submits the following statistic information: __________________________________________________ Husband’s name (first,middle,last) ____________________________________________ Social Security Number ___________________ Residence-State ____________________________________________ City,Town or Location __________________________ County _________________________________________ __________________________ Street and Number Birthplace (State/Country) ___________________________________ ____________________ Wife’s name (first,middle,last) Maiden Name ____________________ Residence-State _____________________________ County ______________________________ Date of Birth (month,day,year) _______________________________________ Social Security Number ____________________________________________ City, Town or Location _________________________________________ __________________________ ________________________________ Street and Number Birthplace (State/Country) Date of Birth (month,day,year) ______________________________ __________________ _______________________ ___________________________ Place of Marriage-State County Date of Marriage Date last resided together _______________________ Number of Children Born ________________ Children under 18 __________________________________________________________ Physical Custody Awarded to _________________ ________________________________ _________________________________________________ Petitioner Attorney’s Name Address _______________ _______________ ___________________________ ___________________ ___________________ Race Number of this By Divorce/Death Education (0-12) College (1-4 or 5+) Marriage American LegalNet, Inc. www.USCourtForms.com