Form DV-AD 109.3 Additional Debts & Liabilities (Dissolution of Marriage/Civil Union) - Illinois

Form DV-AD109.3 is a Illinois Circuit Court form also known as the "Additional Debts & Liabilities (dissolution Of Marriage/civil Union)". The latest edition of the form was released in September 1, 2018 and is available for digital filing.

Download a PDF version of the Form DV-AD109.3 down below or find it on Illinois Circuit Court Forms website.

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This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
ADDITIONAL DEBTS & LIABILITIES
CIRCUIT COURT
(DISSOLUTION OF
COUNTY
MARRIAGE/CIVIL UNION)
Instructions
Directly above, enter
the county where you
filed this case.
Petitioner (First, middle, last name)
Enter your name as
Petitioner.
v.
Enter the name of your
spouse/partner as
Respondent.
Enter the Case Number
given by the Circuit
Respondent (First, middle, last name)
Case Number
Clerk.
DO fill in the name of
Additional Debts and Liabilities
creditor and amount
owed for debts after
the date of
To be paid by:
marriage/civil union in
Amount
Debt
the chart. DO NOT
Owed
Petitioner
Respondent Both Equally
(Name of Creditor)
check who is to pay
the debt.
1.
$
2.
$
3.
$
4.
$
5.
$
6.
$
7.
$
8.
$
9.
$
10.
$
11.
$
12.
$
13.
$
14.
$
15.
$
16.
$
17.
$
18.
$
19.
$
20.
$
21.
$
22.
$
DV-AD 109.3
Page 1 of 1
(09/18)
Print Form
Save Form
Reset Form
This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts.
For Court Use Only
STATE OF ILLINOIS,
ADDITIONAL DEBTS & LIABILITIES
CIRCUIT COURT
(DISSOLUTION OF
COUNTY
MARRIAGE/CIVIL UNION)
Instructions
Directly above, enter
the county where you
filed this case.
Petitioner (First, middle, last name)
Enter your name as
Petitioner.
v.
Enter the name of your
spouse/partner as
Respondent.
Enter the Case Number
given by the Circuit
Respondent (First, middle, last name)
Case Number
Clerk.
DO fill in the name of
Additional Debts and Liabilities
creditor and amount
owed for debts after
the date of
To be paid by:
marriage/civil union in
Amount
Debt
the chart. DO NOT
Owed
Petitioner
Respondent Both Equally
(Name of Creditor)
check who is to pay
the debt.
1.
$
2.
$
3.
$
4.
$
5.
$
6.
$
7.
$
8.
$
9.
$
10.
$
11.
$
12.
$
13.
$
14.
$
15.
$
16.
$
17.
$
18.
$
19.
$
20.
$
21.
$
22.
$
DV-AD 109.3
Page 1 of 1
(09/18)
Print Form
Save Form
Reset Form
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