Complaint for Limited Divorce - Maryland

COMPLAINT FOR LIMITED DIVORCE
(DOM REL 21)
Circuit Court for
Case No.
City or County
Plaintiff Defendant
( )( )
City State
Area
Code
Telephone City State Zip Code
Area
Code
Telephone
vs.
Name
Street Address
Zip Code
Name
Street AddressApt #
Apt #
I, , representing myself, state that:
My name
1. The Defendant and I were married on
in in a civil religious ceremony.
City/County/State where Married
2. Check all that apply:
I have lived in Maryland since:
Month/Year
My spouse has lived in Maryland since:
Month/Year
3. Check all that apply: (See paragraph 13)
The grounds for divorce occurred in the State of Maryland.
The grounds for divorce occurred outside the State of Maryland and I or my spouse have been
a resident for at least one (1) year prior to the date of the filing of this Complaint.
4. Check one:

We have no children together (skip paragraphs 5 and 6) or
My spouse and I are the parents of the following child(ren):
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
Name Date of Birth
5. I know of the following related cases concerning the child(ren) or parties (such as domestic
violence, paternity, divorce, custody, visitation, termination of parental rights, adoption or other
cases):
Court Case No. Kind of Case Year Filed Results or Status (if you know)
Page 1 of 3
CC-DR 21 (Rev. 7/2010)
Month Day Year
Page 1/3
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Complaint for Limited Divorce - Maryland PDF

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