Form JD-FM-281 "Affidavit in Support of Request for Entry of Judgment of Dissolution of Marriage or Legal Separation" - Connecticut

What Is Form JD-FM-281?

This is a legal form that was released by the Connecticut Superior Court - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2020;
  • The latest edition provided by the Connecticut Superior Court;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form JD-FM-281 by clicking the link below or browse more documents and templates provided by the Connecticut Superior Court.

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Download Form JD-FM-281 "Affidavit in Support of Request for Entry of Judgment of Dissolution of Marriage or Legal Separation" - Connecticut

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AFFIDAVIT IN SUPPORT OF REQUEST FOR
For information on ADA
STATE OF CONNECTICUT
ENTRY OF JUDGMENT OF DISSOLUTION OF
accommodations,
SUPERIOR COURT
MARRIAGE OR LEGAL SEPARATION
contact a court clerk or go to:
www.jud.ct.gov
www.jud.ct.gov/ADA.
JD-FM-281 Rev. 6-20
C.G.S. §§ 46b-51, 46b-56c, 46b-66(a); E.O. 7CC
COURT USE ONLY
AFFDIV
Note:
Each party must complete and file his or her own affidavit. If the facts stated in the two affidavits
*AFFDIV*
conflict, the court may not be able to act without scheduling a hearing to be attended by the parties.
Judicial district
Address of court
Name of case
Docket number
I, (name)
, state under oath that:
1. This affidavit is made based on my own personal knowledge, and I understand the obligation of an oath.
2. I am over 18 years of age and competent to testify to the matters stated in this affidavit.
3. I am the
in the above case and the other party is my spouse.
Plaintiff
Defendant
4. Neither a restraining order, issued pursuant to section 46b-15 of the Connecticut General Statutes, nor a protective
order, issued pursuant to section 46b-38c of the Connecticut General Statutes, between the other party to this case
and me is in effect, and no application for either order is pending before any court.
5. I married my spouse on (date)
at (location)
6. My birth name, if different from my current name, was:
7. Select all that apply:
A.
I
My Spouse
resided in Connecticut for a continuous period of at least 12 months immediately before the
complaint in this case was filed; or
B.
I
My Spouse
resided in Connecticut for a continuous period of at least 12 months immediately before the
date the divorce will become final; or
C.
I
My Spouse
lived in Connecticut at the time of the marriage, moved away, then returned to Connecticut
with the intention of residing here permanently; or
D. The marriage broke down after
I
My Spouse
moved to Connecticut.
8. My marriage to my spouse has broken down irretrievably. I have no hope that we can reconcile.
9. The following are the names and birth dates of the minor children (under 18 years) of my marriage with my spouse,
including any who were born to us before we were married (if there are no minor children, write “NONE”):
Name
Birth date
Name
Birth date
10. The following are the names and birth dates of the children of my marriage with my spouse who are over the age of 18
years but under the age of 23 years, including any who were born to us before we were married (if there are no
children in this category, write “NONE”):
Name
Birth date
Name
Birth date
11. Except for the children, if any, named in Paragraphs 9 and 10, no child under 23 years old has been born to or adopted
by either my spouse or me since the date of our marriage, and neither of us is currently pregnant.
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AFFIDAVIT IN SUPPORT OF REQUEST FOR
For information on ADA
STATE OF CONNECTICUT
ENTRY OF JUDGMENT OF DISSOLUTION OF
accommodations,
SUPERIOR COURT
MARRIAGE OR LEGAL SEPARATION
contact a court clerk or go to:
www.jud.ct.gov
www.jud.ct.gov/ADA.
JD-FM-281 Rev. 6-20
C.G.S. §§ 46b-51, 46b-56c, 46b-66(a); E.O. 7CC
COURT USE ONLY
AFFDIV
Note:
Each party must complete and file his or her own affidavit. If the facts stated in the two affidavits
*AFFDIV*
conflict, the court may not be able to act without scheduling a hearing to be attended by the parties.
Judicial district
Address of court
Name of case
Docket number
I, (name)
, state under oath that:
1. This affidavit is made based on my own personal knowledge, and I understand the obligation of an oath.
2. I am over 18 years of age and competent to testify to the matters stated in this affidavit.
3. I am the
in the above case and the other party is my spouse.
Plaintiff
Defendant
4. Neither a restraining order, issued pursuant to section 46b-15 of the Connecticut General Statutes, nor a protective
order, issued pursuant to section 46b-38c of the Connecticut General Statutes, between the other party to this case
and me is in effect, and no application for either order is pending before any court.
5. I married my spouse on (date)
at (location)
6. My birth name, if different from my current name, was:
7. Select all that apply:
A.
I
My Spouse
resided in Connecticut for a continuous period of at least 12 months immediately before the
complaint in this case was filed; or
B.
I
My Spouse
resided in Connecticut for a continuous period of at least 12 months immediately before the
date the divorce will become final; or
C.
I
My Spouse
lived in Connecticut at the time of the marriage, moved away, then returned to Connecticut
with the intention of residing here permanently; or
D. The marriage broke down after
I
My Spouse
moved to Connecticut.
8. My marriage to my spouse has broken down irretrievably. I have no hope that we can reconcile.
9. The following are the names and birth dates of the minor children (under 18 years) of my marriage with my spouse,
including any who were born to us before we were married (if there are no minor children, write “NONE”):
Name
Birth date
Name
Birth date
10. The following are the names and birth dates of the children of my marriage with my spouse who are over the age of 18
years but under the age of 23 years, including any who were born to us before we were married (if there are no
children in this category, write “NONE”):
Name
Birth date
Name
Birth date
11. Except for the children, if any, named in Paragraphs 9 and 10, no child under 23 years old has been born to or adopted
by either my spouse or me since the date of our marriage, and neither of us is currently pregnant.
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12. Neither the State of Connecticut, nor any town or city in Connecticut, is providing any financial assistance (such as
cash assistance or HUSKY insurance) to me, my spouse, or our minor child(ren) except as follows:
13. My spouse and I have entered into a written Agreement dated
which we have submitted to the court
and which represents our full agreement on all issues relating to the dissolution of our marriage or legal separation,
including the following matters to the extent each applies to our situation: the division of our property and assets of
any kind, alimony, custody, and parenting time with respect to any minor children that we may have, and child support.
14. I have read the entire Agreement carefully and I understand it completely. I have signed it voluntarily, and no one
pressured or forced me to do so. My spouse and I have no side agreements about the dissolution of our marriage or
legal separation. I have reviewed my spouse’s most recent financial affidavit filed with the court. I have no
unanswered questions about the Agreement.
15. Under all the facts and circumstances of my case, I believe that the Agreement is fair and equitable. If my spouse and
I have any minor children, I believe the Agreement is in their best interests.
16. If the Agreement does not provide for me to receive alimony, I understand and agree that I am forever waiving my right
to alimony and that I can never come back to any court in the future to ask for alimony in connection with this divorce.
17. If my spouse and I have one or more minor children and the Agreement includes a provision regarding child support
which deviates from the Child Support Guidelines, I believe that it would be inappropriate or inequitable to apply the
Child Support Guidelines for the following reason(s):
18. If my spouse and I have one or more children under the age of 23 years and the Agreement includes a provision for us
to contribute toward the expenses of their education beyond high school (an “Educational Support Order”), I believe it
is more likely than not that my spouse and I would have provided financial support to our child(ren) for that educational
purpose if our family had remained intact. If the Agreement does not include an Educational Support Order or say
that we want the court to keep jurisdiction to enter such an order in the future, I understand that we have both
permanently waived the right ever to file a motion or petition for an Educational Support Order.
19. If the Agreement includes a provision for an issue to be resolved in the future by arbitration instead of further
court proceedings (for example, the division of personal possessions), I have agreed to that provision voluntarily and I
believe it to be fair and equitable under the circumstances.
20. I am asking the court to enter a: (Select one)
Judgment of dissolution of my marriage OR
Judgment of legal separation
without necessity for my spouse or me to appear in court at a hearing for that purpose. I am also asking the court to
approve the Agreement and to make it part of the judgment.
21. I am asking the court to restore my (select one)
former name
birth name
of:
I certify under the penalties of perjury that the statements above and on any attached document are true, complete, and
accurate to the best of my knowledge and belief. I understand that willful misrepresentation of any of the information provided
will subject me to sanctions and may result in criminal charges being filed against me.
Date signed
Signed (Affiant)
Signed (Notary, Commissioner of Superior Court, Assistant Clerk, Other
Print name and title of person signing at left
Date signed
Proper Officer under Section 1-24 of the Connecticut General Statutes)
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