Use this template/form as a Divorce Form Verification in the State of Georgia
Text version of this Form
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IN THE SUPERIOR COURT OF ______________ COUNTY
STATE OF GEORGIA
Civil Action File No:
I, _________________________, personally appeared before the undersigned Notary Public, and say
under oath that I am the (check one:) ì Petitioner ì Respondent in the above-styled action and that the
facts stated in the are true and correct.
This the ____________________ day of _____________________, _____.
[date] [month] [year]
(Sign your name here in front of the Notary)
Name (print or type):___________________________________
Telephone number: ( )
Sworn to and subscribed before me, this
_____ day of _________________, _______.
My Commission Expires:
If you require materials in alternate format, please notify the Family Law Information Center as soon as possible.
Verification Form-rev. 9/99 Page 1 of 1
1999 Superior Court Family Division