STATE OF INDIANA
)
) SS:
COUNTY OF DELAWARE
)
IN THE DELAWARE CIRCUIT COURT NO.
In Re The Marriage Of:
Petitioner
And
Respondent
CAUSE NO.
WAIVER OF SERVICE OF SUMMONS
I, , the respondent in the above entitled action for dissolution of marriage, do hereby waive service of summons in said cause of action, do further waive the provisions of the Soldiers and Sailors Civil Relief Act, and do hereby submit myself to the jurisdiction of this court. I hereby represent that I have received a copy of the petition for dissolution of marriage in this cause.
I AFFIRM UNDER PENALTIES FOR PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE.
DATED THIS DAY OF , 20.
Respondent Signature
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