IN THE _______________ COURT FOR RUTHERFORD COUNTY, TENNESSEE

______________________________,	)

)

Plaintiff,	)

)	NO. ____________________

v.	)

)

______________________________,	)

)

Defendant.	)

AFFIDAVIT

Comes now _________________________________, the ____________________ in this cause, having been duly sworn, who would state to the Court as follows:

1.	My name is _________________________________. I reside at __________________________________________________________________________________________________________________________________________________.

2.	I am a party to the divorce action filed in this cause. I have signed a Marital Dissolution Agreement and Permanent Parenting Plan on the _____ day of ______________________, 20____.

3.	It is my sworn testimony that I have read the Marital Dissolution Agreement, and that I believe the agreement to be fair to me and to my spouse.

4.	I further solemnly swear or affirm that the Marital Dissolution Agreement which I have signed disposes of all of our marital assets and all of our marital debts, which I further swear or affirm that all divisions of property and debts have already been accomplished. Any sales of property contemplated by the Marital Dissolution Agreement have been accomplished, and the assets have been divided, except where expressly stated within the Marital Dissolution Agreement. I have signed all Deeds, Titles, Bills of Sale, and other documents necessary for the transfers of my interests contemplated in the Marital Dissolution Agreement.

5.	To the extent that the Marital Dissolution Agreement requires any further actions on my part, I solemnly swear or affirm that I will abide by the terms of the Marital Dissolution Agreement which I have signed. I am able to bear all financial responsibilities which I have agreed to accept.

6.	It is my sworn testimony that I have read the Permanent Parenting Plan, and that I believe the Parenting Plan to be in the best interests of my minor child(ren).

7.	I further solemnly swear or affirm that I have, to the best of my ability, attempted to reconcile the marital differences which my spouse and I have developed, and I have been unable to do so. It is my belief that our marriage is irretrievably broken.

8.	I therefore ask the Court to consider the Marital Dissolution Agreement and Permanent Parenting Plan which my spouse and I have signed. I ask the Court to consider this Affidavit, the Marital Dissolution Agreement and Permanent Parenting Plan, and the entire file in this cause, and enter a Final Decree divorcing me and my spouse.

This the _____ day of ___________________________, 20____.

_________________________________

Plaintiff/Defendant

STATE OF TENNESSEE

COUNTY OF ____________________

Subscribed and sworn before me on this the _____ day of __________________, 20___.

_____________________________________

NOTARY PUBLIC

My commission expires: _________________