Agreement Nonadverarial Divorce (Dissolution Of Marriage) {JD-FM-243}

AGREEMENT NONADVERSARIAL DIVORCE (DISSOLUTION OF MARRIAGE) JD-FM-243 New 10-15 P.A. 15-7 STATE OF CONNECTICUT SUPERIOR COURT JUDICIAL BRANCH www.jud.ct.gov For Court Use only Instructions: If you have a settlement agreement for the court to include in the divorce decree of a nonadversarial divorce, complete this form and attach it to your joint petition (Form JD-FM-242). NADAGR *NADAGR* Judicial District of At (Town) Docket number Name of Petitioner A (Last, First, Middle Initial) Address of Petitioner A (Number, street, town, state, and zip code) Name of Petitioner B (Last, First, Middle Initial) Address of Petitioner B (Number, street, town, state, and zip code) Phone number of Petitioner A Phone number of Petitioner B The petitioners agree that: 1. As to division of property: 2. As to division of debts: 3. As to the change of name: ("X" all that apply) A name change to the birth or former name for Petitioner A to A name change to the birth or former name for Petitioner B to 4. Other: We certify that the above statements are our agreement. Petitioner A I attest that the statements of this settlement agreement are fair and equitable. Signature of Petitioner A Print name of Petitioner A Petitioner B I attest that the statements of this settlement agreement are fair and equitable. Signature of Petitioner B Print name of Petitioner B Subscribed and Sworn before me (Asst. Clerk, Comm. of Superior Court, Notary Public) Date signed Subscribed and Sworn before me (Asst. Clerk, Comm. of Superior Court, Notary Public) Date signed ADA NOTICE The Judicial Branch of the State of Connecticut complies with the Americans with Disabilities Act (ADA). If you need a reasonable accommodation in accordance with the ADA, contact a court clerk or an ADA contact person listed at www.jud.ct.gov/ADA. Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com