Missouri Waiver of Service and Entry of Appearance Form

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CIRCUIT COURT OF____________________________________ COUNTY, MISSOURI

(County where court is located)

In re the Marriage of )

)

___________________________________________ )

(First) (Middle) (Last) (Jr./Sr./lll)  )

)

Petitioner,  (Your full name should be entered here )

)

)

and )

)

___________________________________________ )

(First) (Middle) (Last) (Jr./Sr./lll)  )

) Cause No. ___________________________

Respondent . (Enter your spouse’s full name here) ) (Will be assigned when case is filed)

WAIVER OF SERVICE AND ENTRY OF APPEARANCE

Comes now the Respondent and voluntarily enters his/her appearance and waives the issuance

and service of all process in the above-entitled cause. Respondent acknowledges receipt of a true copy of

the Petition for Dissolution of Marriage, Petitioner’s Statement of Income and Expenses and Petitioner’s

Statement of Property, which were filed by Petitioner herein.

_____________________________________ ______________________________________

Respondent Sign Here Respondent Print Name Here

County of ____________________________ )

) ss.

State of ______________________________ )

Comes now ______________________________of lawful age, being duly sworn upon his/her

oath, states that he/she is the Respondent named above; and that the facts stated herein are true

according to the best knowledge and belief of said Respondent.

On this ______________ day of ___________________, 20______, before me personally

appeared ______________________________, to me known to be the person described in and who

executed the foregoing instrument, and acknowledged that he/she executed the same as his/her free act

and deed.

_____________________________________

Notary Public

My Commission Expires: