Agreed Divorce Forms SET A
(Texas Divorce, No Children, Opposite-Sex Spouses)
Use these instructions & forms if:
• you have a Texas divorce, you and your spouse do not have any
minor children together, you and your spouse agree about all the
issues and will both sign the necessary court forms.
This packet includes:
Note: You may not need all of the forms listed or you may need
additional forms. Get more information at
www.TexasLawHelp.org. Talk to a lawyer if you have questions.
1. Instructions for an AGREED Divorce without Children
2. Original Petition for Divorce
3. Civil Case Information Sheet
4. Information on Suit Affecting the Family Relationship
5. Statement of Inability to Afford Payment of Court Costs
6. Waiver of Service
7. Respondent’s Original Answer
8. Required Initial Disclosures in Dissolution of Marriage
9. Final Decree of Divorce
10. Notice of Current Address
11.Affidavit for Prove-Up of Agreed Divorce Without Children
Instructions & Forms for an Agreed Divorce without Children
These instructions explain the basic steps in an agreed divorce without children. Each step
includes a link to the form or forms needed for that step. Click on the step to expand it with
more information.
Use these instructions if:
• you and your spouse do not have any minor children together, - and -
• you and your spouse agree about all the issues and will both sign the necessary court forms.
Have you read the Frequently Asked Questions and related Articles?
These instructions are part of this TexasLawHelp.org Guide: I need a divorce. We do not have
minor children. Before getting started, it’s important to read the Frequently Asked Questions
and Articles included in the Guide.
WARNING! These instructions provide general information, not legal advice. It’s a good idea to
talk with a lawyer about your particular situation.
Checklist Steps
Step 1: Determine where to file your divorce.
It’s important to file for divorce in the correct county. If you file in the wrong county, your case
will be dismissed.
You can file for divorce in the county where you live or the county where your spouse lives as
long as you or your spouse meets these residency requirements:
• You can file for divorce in the county where you live as long as:
o you have lived in that county for at least the last 90 days - and -
o you have lived in Texas for at least the last 6 months.
• Or, you can file for divorce in the county where your spouse lives as long as:
o your spouse has lived in that county for at least the last 90 days - and -
o your spouse has lived in Texas for at least the last 6 months.
If neither you nor your spouse meet the residency requirements, talk with a lawyer.
Read the Frequently Asked Questions, FAQs: Filing a Divorce without Children, for more
information.
Step 2: Fill out the starting forms.
Fill out an Original Petition for Divorce form (called the Petition for short)
• Use this version if you have an opposite-sex marriage: Original Petition for Divorce (Set
A)
• Use this version if you have a same-sex marriage: Original Petition for Divorce (Set D)
You will file (turn in) the Petition at the courthouse to start your divorce case. The Petition
tells the judge and your spouse that you want a divorce and states what you want the judge
to order in the Final Decree of Divorce. The Frequently Asked Questions and related
Articles included with these instructions will help you understand your options.
When you fill out the Petition:
o Print your answers neatly in blue or black ink. Do not leave blanks.
o You are the “petitioner” and your spouse is the “respondent.”
o Talk to a lawyer if you have questions or need help.
Note: The Petition asks for your address. Your spouse will get a copy of the Petition. If you
are concerned about your spouse knowing your address, call the Family Violence Legal Line
at 800-374-4673 for free advice.
Fill out these additional starting forms if required for your case:
• Civil Case Information Sheet (NOTE: the Texas Supreme Court has repealed the rule
requiring the civil case information sheet, so you may not need this form. If you are filing
paper documents in person at the clerk's office, you should complete it and bring it anyway,
however.).
• Information on Suit Affecting the Family Relationship (required for all cases)
• Statement of Inability to Afford Payment of Court Costs (use only if you cannot afford
to pay the filing fee for your case) Call the clerk’s office to learn the filing fee for your case.
Learn more here: Court Fees and Fee Waivers.
Make two copies of these completed starting forms:
• Original Petition for Divorce
• Statement of Inability to Afford Payment of Court Courts (only if you are asking the court to
waive court costs)
Step 3: File (turn in) your starting forms.
File (turn in) your completed Petition and additional starting forms with the court.
You need to find out if your county has standing orders. If it does, you will need to attach a
copy of the standing orders to your petition.
• To file your forms online, go to E-File Texas and follow the instructions.
• To file your forms in person, take your Petition and additional starting forms (and copies) to
the district clerk’s office in the county you determined is the correct county to file for
divorce.
At the clerk’s office:
o Turn in your Petition and other starting forms (and copies).
o Pay the filing fee (or file your completed Statement of Inability to Afford Payment of
Court Costs if you cannot afford the fee). You can call the clerk’s office ahead of time
to learn the filing fee for your case.
o Ask the clerk if there is a local standing order that you need to follow or attach to any of
your documents.
o Ask the clerk if there are local rules or procedures you need to know about for your
divorce.
o The clerk will write your “Cause Number” and “Court Number” at the top of the first
page of your Petition. Write these numbers at the top of any document you file in your
divorce case.)
o The clerk will “file stamp” your copies with the date and time. The clerk will keep the
original and give you back your copies. One copy is for you and one copy is for your
spouse.
Step 4: Ask your spouse to sign an Answer or Waiver of Service form.
Give your spouse:
• a file-stamped copy of your Original Petition for Divorce, and
• a blank Waiver of Service Only (Set A or D) form, or a blank Respondent’s Original
Answer (Set A or D) form. (You can find the forms by scrolling to the bottom of this page,
below the steps).
WARNING! Do not hand-deliver any papers to your spouse if there has been violence
during your relationship, especially if a judge has signed a Protective Order ordering you or
your spouse to stay away from the other. You can have your spouse served instead. If you
decide to have your spouse served, use these instructions: Instructions & Forms for a
Default Divorce without Children in the checklist directly below this checklist.
Ask your spouse to:
• fill out and sign the Waiver of Service Only (Set A or D) form OR the Respondent’s
Original Answer (Set A or D) form.
Your spouse can fill out and sign either form.
The Waiver of Service Only form must be signed in front of a notary. If your spouse plans to
sign the Waiver of Service Only form, tell your spouse to sign it in front of a notary at least
one day after you filed the Petition. Otherwise your spouse will have to redo it.
The Respondent’s Original Answer form does not have to be signed in front of a notary.
• return the signed form to you.
Tip: If your divorce is agreed, your spouse must also sign a completed Final Decree of Divorce
form. It may save you time to fill out the Final Decree of Divorce form now and send it to your
spouse with the Waiver of Service or Answer form. Read Step 5 for information about filling out
the Decree.
WARNING! Effective January 1, 2021, once a party to a family law case (like a divorce) files
an answer, both sides will be obligated to exchange certain information and documents within 30
days. This is required unless the parties agree otherwise, or the court lets you waive it. See Rule
11 Agreements for information about one way to waive required disclosures by agreement. Talk
to a lawyer. Otherwise, complete the Required Initial Disclosures form.
Step 5: Fill out the Final Decree of Divorce form.
Fill out the Final Decree of Divorce form.
• Use this form if you have an opposite-sex marriage: Final Decree of Divorce (Set A)
• Use this form if you have a same-sex marriage: Final Decree of Divorce (Set D)
You will ask the judge to sign the Final Decree of Divorce form when it’s time to finish
your divorce. When signed by the judge, the Final Decree of Divorce ends your marriage
and makes orders about your property and debt. It may include other orders depending on
your case.
The Final Decree of Divorce form must be completely filled out (except for the judge’s
signature) before you go to court. You and your spouse may want to fill out the Final
Decree of Divorce form together.
When you fill out the Final Decree of Divorce:
o Print your answers using blue or black ink. Do not leave blanks.
o You are the petitioner and your spouse is the respondent.
o Talk to a lawyer if you have questions or need help.
If you or your spouse wants a name change (back to a name used before the marriage, also fill
out this form:
• Order Restoring Name Used Before Marriage
Note about retirement benefits: If you are dividing retirement benefits (other than an IRA),
you must also complete a form called a Qualified Domestic Relations Order (QDRO).
TexasLawHelp.org does not provide QDRO forms. You may contact the employer or retirement
plan administrator to see if they have a sample QDRO form. If not, you should hire a lawyer to
draft the QDRO form. If you use the employer or plan administrator’s form, you should still have
a lawyer review it to make sure you are not giving up important benefits. You should have the
QDRO prepared before you go to court, so the judge can sign it when you finish your divorce.
Learn more here: Dividing Retirement Benefits Upon Divorce.
Step 6: Have your Final Decree of Divorce form reviewed (if possible).
Some counties require this document to be reviewed by an attorney, while others do not. You
should talk to the district clerk's office or court coordinator in your county about local
requirements. Even if it's not required, it’s a good idea to have a family law lawyer review your
completed Final Decree of Divorce form. Family law lawyers specialize in cases involving
families, such as divorce cases.
You can hire a family law lawyer just to review your forms. This is called “limited scope
representation.” You may also be able to talk with a lawyer for free at a legal clinic. If you need
help finding a lawyer, you can:
• Use our Legal HelpDirectory to search for a lawyer referral service, legal aid office or self-
help center in your area.
• Check our Legal Events and Clinics page for free legal clinics in your area.
• Use Ask a Question to chat online with a lawyer or law student.
Step 7: Ask your spouse to sign the Final Decree of Divorce form.
Ask your spouse to:
• review and sign your completed Final Decree of Divorce form, and
• return the signed Final Decree of Divorce form to you.
Note: Make sure the Final Decree of Divorce form is completely filled out before your
spouse signs it. You CANNOT make changes to the Decree once it has been signed by your
spouse, unless your spouse initials each change.
You will then:
• sign the Final Decree of Divorce form, and
• keep the signed Final Decree of Divorce form until it is time to finish your case.
Note: If your spouse filed an answer or waiver of service only but will not sign the Final Decree
of Divorce form, your divorce is contested. To finish a contested divorce, you must set a
contested final hearing. You must give your spouse at least 45 days’ notice of the final hearing.
Read this article to learn more: How to Set a Contested Final Hearing (Family Law).
It’s always best to have a lawyer if your case is contested.
Step 8: Wait the 60-day waiting period.
In almost all cases, you must wait at least 60 days before you can finish your divorce in court.
You can always wait longer than 60 days, but your divorce cannot be finished in fewer than 60
days.
When counting the 60 days, find the day you filed your Original Petition for Divorce on a
calendar, and then count out 60 more days (including weekends and holidays). If the 60th day
falls on a weekend or holiday, go to the next business day. Note: When counting the 60 day
waiting period, don’t count the day you filed your Original Petition for Divorce. Day 1 is the
next day.
There are only two exceptions to the 60-day waiting period.
1. If your spouse has been convicted of or received deferred adjudication for a crime involving
family violence against you or a member of your household, the 60-day waiting period is
waived.
2. If you have an active protective order or an active magistrate’s order for emergency
protection against your spouse because of family violence during your marriage, the 60-day
waiting period is waived.
Step 9: Get ready for court.
Call the clerk’s office to learn when and where the court hears uncontested cases. If you would
like to appear virtually, you may need to file a motion for use of emergency procedures. Read
Virtual Court.
Print and read through the sample testimony (found below). You must read this testimony to the
judge when you go to court to finish your divorce. Make sure everything in the sample testimony
is true for you. If not, talk to a lawyer. Remember, everything you say in court must be true and
correct. You can be charged with a crime for lying in court.
• Use this form if you have an opposite-sex marriage: Sample Testimony Divorce without
Children (Set A)
• Use this form if you have a same-sex marriage: Sample Testimony Divorce without
Children (Set D)
Read the article Tips for the Courtroom for more information about going to court.
Print and complete the Information on Suit Affecting the Family Relationship form (also
known as the "Austin" form) on one sheet of paper, printed on the front and back of the page.
Step 10: Go to court to finish your divorce.
Bring these papers with you to the courthouse on the day you plan to finish your case:
• file-stamped copy of your Original Petition for Divorce; and
• Waiver of Service or Answer form filled out and signed by your spouse; and
• Final Decree of Divorce form completely filled out and signed by both you and your
spouse; and
• Sample Testimony for Divorce without Children; and
• Any additional documents needed for your specific case, such as a Qualified Domestic
Relations Order (QDRO) signed by both you and your spouse if you are dividing a
retirement account.
When you get to the courthouse, go to the clerk’s office.
• File (turn in) the Respondent’s Original Answer or Waiver of Service Only form that was
filled out and signed by the other spouse. Ask the clerk to file stamp your copy. Bring your
file-stamped copy with you to court
• Ask if you need the court file or docket sheet (list of what has been filed in your case).
When you get to the courtroom, tell the clerk you are there and give the clerk your paperwork.
Sit down until the judge calls your case.
When the judge calls your case, walk to the front of the courtroom and stand in front of the
judge’s bench. The judge will have you raise your right hand and swear to tell the truth. The
judge may ask you questions or may ask you to read your testimony. Have your Sample
Testimony for Divorce without Children ready. The judge will listen to what you say and review
your papers. If everything is in order the judge will sign your Final Decree of Divorce.
Need to finish the case WITHOUT going to court?
If you need to finish the case without physically going to the courthouse, you may be able to use
the Affidavit for Prove-Up of Agreed Divorce Without Children.
Some judges allow the use of an affidavit to satisfy the prove-up requirements in an agreed
divorce. If you’d like to see if the judge will accept an affidavit in place of short testimony you
should contact the court coordinator. Some judges may not accept prove-up affidavits.
Additionally, some judges will only accept prove-up affidavits for divorces with no children. If
you determine that the judge will accept an affidavit, you can use this form: Affidavit for Prove-
Up of Agreed Divorce Without Children.
This form must be sworn in front of a notary. Everything in the affidavit must be true and
correct. You can be charged with a crime for lying to the court. See Texas Penal Code 37.
Step 11: File the signed Final Decree of Divorce.
After the judge signs your Final Decree of Divorce, go back to the clerk’s office.
• File (turn in) the Final Decree of Divorce and any other orders signed by the judge. Your
divorce is NOT final until you do so.
• Get a certified copy of your Final Decree of Divorce and any other orders signed by the
judge from the clerk while you are there. The clerk may charge a fee for the certified copies.
• File the completed Information on Suit Affecting the Family Relationship form (also
known as the "Austin" form), which must be printed on one sheet of paper on the front and
back of the page.
Step 12: After your divorce is finished.
Send a file-stamped copy of your Final Decree of Divorce and any other orders signed by the
judge to your spouse.
Follow these additional steps if they apply:
• If your name was changed, take a certified copy of your Final Decree of Divorce to the
following agencies:
o Your local Social Security Administration (SSA) office to change your social security
card.
o Your local Department of Public Safety (DPS) office to change your driver’s license or
state identification card.
o Your County Voter Registrar to change your voter registration card. (For more
information, contact the Texas Secretary of State.)
o Contact the U.S. State Department to change your name on your passport.
• Transfer car titles. If a vehicle (not already in your name alone) was awarded to you, give a
certified copy of the Final Decree of Divorce to your county tax office and apply for
title. The vehicle identification number (VIN) must be listed in your Final Decree of
Divorce.
• File deeds to transfer title to real property (house or land) at the real property records office
in the county where the property is located.
• If the judge signed a QDRO dividing a retirement account, send a certified copy of the
QDRO to the administrator of the retirement plan by certified mail return receipt requested.
If this isn’t done, you won’t get your share of the retirement funds.
• Revise your will, insurance policies and all financial account beneficiary designations as
needed.
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
FM-DivA-100 Original Petition for Divorce [Set A] (Rev. 09-2021)
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Original Petition for Divorce
Print your answers.
My name is: __________________________________________________________________________.
First Middle Last
I am the Petitioner, the person asking for a divorce.
The last three numbers of my driver’s license number are: ___ ___ ___. My driver’s license was
issued in (State) ________________________.
or I do not have a driver’s license number.
The last three numbers of my social security number are: ___ ___ ___.
or I do not have a social security number.
My spouse’s name is: __________________________________________________________________.
First Middle Last
My spouse is the Respondent.
1. Discovery
1A. Discovery Level.
The discovery level in this case, if needed, is: (Check one box.)
Level 1. (Check here if you and your spouse have less than $250,000 in property.)
Level 2. (All other couples check here.)
1B. Required Initial Disclosures
I understand that spouses in a divorce must usually exchange initial disclosures of the
information and material described in Texas Rules of Civil Procedure, Rule 194.2.
Check all that apply.
I believe my spouse and I will agree to waive the exchange of initial disclosures.
This action involves domestic violence and is exempt from the required initial disclosure
requirement.
Cause Number:
(The Clerk’s office will fill in the Cause Number and Court Number when you file this form.)
In the Matter of the Marriage of
Petitioner:
In the ______________
(Court Number)
District Court
County Court at Law
County, Texas
Print first, middle and last name of the spouse filing for divorce.
And
Respondent:
Print first, middle and last name of other spouse.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
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2. Legal Notice (Check one box.)
I think my spouse will sign a Waiver of Service (or Answer). Do not send a sheriff, constable, or
process server to serve my spouse with a copy of this Petition for Divorce at this time.
I will have a sheriff, constable, process server or clerk serve my spouse with this Petition for Divorce
here:
_________________________________________________________________________________.
Street Address City State Zip
If this is a work address, name of business: ______________________________________________.
I ask the clerk to issue a Citation of Service (the form necessary to provide legal notice to my spouse by
“Official Service of Process”). I understand that I will need to pay the fee (or file a Statement of Inability
to Afford Payment of Court Costs if am unable to pay the fee) and arrange for service.
I cannot find my spouse. I ask that my spouse be served by posting or publication. I understand I must
file an Affidavit for Citation by Posting or Affidavit for Citation by Publication depending on my case. If
my spouse and I have property, I understand I must also hire a lawyer to serve as attorney ad litem for
my spouse.
3. Jurisdiction
3A. County Residence Requirement
(Check all boxes that apply.)
I have lived in this county for the last 90 days.
My spouse has lived in this county for the last 90 days.
I am serving in the armed forces or other government service
outside of Texas, but this county has been the home county of
either my spouse or me for at least 90 days.
I have accompanied my spouse who is serving in the armed forces
or other government service outside of Texas, but this county has been the home county of either my
spouse or me for at least 90 days.
3B. Texas Residence Requirement
(Check all boxes that apply.)
I have lived in Texas for the last six months.
My spouse has lived in Texas for the last six months.
I am serving in the armed forces or other government service outside of Texas, but Texas is the home
state of either my spouse or me and has been for at least 6 months.
I have accompanied my spouse who is serving in the armed forces or other government service outside
of Texas, but Texas is the home state of either my spouse or me and has been for at least 6 months.
3C. Personal Jurisdiction over Spouse
(Check one box.)
My spouse lives in Texas.
My spouse does not live in Texas.
(If your spouse does not live in Texas, check any boxes that apply below.)
My spouse agrees that a Texas court can make orders in this divorce, including orders dividing our
property and debts. My spouse will file a Waiver of Service (or Answer).
Note: You cannot file for divorce in
Texas until you or your spouse has lived
in the county where you are asking for a
divorce for at least the last 90 days and
in Texas for at least the last six months.
There are special rules for military
families and others who are absent from
the state due to government service.
Get more information at
www.TexasLawHelp.org
.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
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Texas is the last state where we lived together as a married couple. This Petition for Divorce is filed
less than two years after we separated.
4. Dates of Marriage and Separation
My spouse and I got married on or about: __________________________________________________.
Month Day Year
We stopped living together as spouses on or about: __________________________________________.
Month Day Year
5. Grounds for Divorce
I ask the Court to grant me a divorce. The marriage has become insupportable due to discord or conflict of
personalities that destroys the legitimate ends of the marital relationship and prevents any reasonable
expectation of reconciliation.
6. No Children Together
My spouse and I do not have any biological or adopted
children together who are under 18 years old or still in high
school.
7. Is the Wife Pregnant?
(Check one box.)
The wife in this marriage is not pregnant.
The wife in this marriage is pregnant. I understand that I cannot finish the divorce until after the child is
born.
(If the wife is pregnant, also check one box below.)
The husband is the father of this child. I ask the court to include orders for custody, visitation, child
support and medical support for the child in the Final Decree of Divorce.
The husband is not the father of this child. I understand that paternity of the child must be
established before I can finish the divorce. (Get information about establishing paternity at
www.TexasLawHelp.org.)
8. Did the Wife Have a Child with Another Partner while Married to the Husband?
(Check one box. Fill in the requested information, if applicable.)
The wife did not have a child with another man while married to the husband.
The wife did have a child with another man while married to the husband. All of the children born
during the marriage that are not the Husband’s adopted or biological children are named below:
Child’s name
Age
Date of Birth
Sex
1.
2.
3.
4.
5.
Note: Talk to a lawyer if you have an adult disabled
child who is not capable of supporting him or herself
because of the disability. You or your spouse could be
entitled to receive child support.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
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(If the wife had a child or children with another man during the marriage, check one box below,)
Paternity of the child(ren) named above has not been established. I understand that paternity of
the child(ren) must be established before I can finish my divorce.
(Get information about establishing
paternity at www.TexasLawHelp.org.)
Paternity of the child(ren) named above has been established: (Check one box.)
A court order has established that another man is the biological father and/or the Husband is
not the biological father of the child(ren) listed above. I understand I must attach a file-stamped
copy of the court order to my Final Decree of Divorce.
An Acknowledgement of Paternity was signed by the biological father and a Denial of Paternity
was signed by the Husband for the child(ren) listed above. I understand I must attach a copy of
these documents to my Final Decree of Divorce.
9. Protective Order Statement (Check the appropriate boxes below. Fill in the requested information.)
9A. No Protective Order
I do not have a protective order against my spouse and I have not asked for one.
My spouse does not have a protective order against me and has not asked for one.
9B. Pending Protective Order
I have filed paperwork at the courthouse asking for a protective order against my spouse, but a
judge has not decided if I should get it. I asked for a protective order on ____________________
Date Filed
in ______________ County, ___________. The cause number is _________________________.
County State Cause Number
If I get a protective order, I will file a copy of it before any hearings in this divorce.
My spouse has filed paperwork asking for a protective order against me, but a judge has not
decided if my spouse will get it. My spouse asked for a protective order on _________________
Date Filed
in _______________ County, ___________. The cause number is ________________________.
County State Cause Number
If my spouse gets a protective order, I will file a copy of it before any hearings in this divorce.
9C. Protective Order in Place
I do have a protective order against my spouse. I got the protective order in
____________________________ County, ______________________ on _________________.
County State Date Ordered
The cause number for the protective order is _________________________________________.
Cause Number
Either I have attached a copy of the protective order to this petition or I will file a copy of it with the
court before any hearings in this divorce.
My spouse does have a protective order against me. The protective order was made in
_____________________________ County, _____________________ on __________________.
County State Date Ordered
The cause number for the protective order is __________________________________________.
Cause Number
Note: You must provide information about any protective order or pending application for protective order
involving you and your spouse or a child of either you or your spouse. This includes information about any:
(1) family violence protective order, (2) sexual assault, sexual abuse, trafficking or stalking protective order; or
(3) emergency protective order issued after an arrest. You must also attach to this petition a copy of any
protective order (even if it’s expired) in which one spouse or child of either spouse was the applicant or victim
and the other spouse was the respondent or defendant. If your divorce petition does not accurately reflect
whether there is a protective order against either spouse, the Court may require you to file an amended petition.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
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Either I have attached a copy of the protective order to this petition or I will file a copy of it with the
court before any hearings in this divorce.
10. Waiver of Waiting Period Based on Family Violence (Check only if applicable.)
I ask the Court to waive the 60-day waiting period for divorce because: (Check one box.)
My spouse has been convicted of or received deferred adjudication for a crime involving family
violence against me or a member of my household.
I have an active protective order or an active magistrate’s order for emergency protection against
my spouse because of family violence during our marriage. The order includes a finding that my
spouse committed family violence.
11. Property and Debt
Note: It is very important to talk with lawyer if you or your spouse has a house, land, business, retirement funds,
other valuable property or debt. Getting advice from a lawyer now can save you time and money in the long run.
About community property: Texas is a community property state. This means that any new property that either
spouse gets from the minute they are married until the minute the judge grants the divorce is probably community
property, even if the property is only in one spouse’s name.
About separate property: Property owned by a spouse before the marriage is that spouse’s separate property.
In addition, if either spouse receives a gift, an inheritance, or a recovery for personal injuries that occurred during
the marriage (not including a recovery for lost wages or medical expenses); it is that spouse’s separate property.
There are exceptions to these general rules. If you have questions talk to a lawyer.
About retirement: Retirement funds (such as 401k, pension, profit sharing, stock option plans and IRAs) earned
by either spouse during the marriage are usually considered to be community property that can be divided by the
court. This is true even if you or your spouse has not yet retired. If you want the Court to divide retirement funds
(other than an IRA), you will need to have the Court sign an additional form, usually called a “Qualified Domestic
Relations Order” (QDRO), to make the division effective. You should have the QDRO prepared before you go to
court, so the judge can sign it when you finish your divorce. A QDRO form is not included with this divorce set.
You may be able to get a sample QDRO form from the employer or retirement fund administrator. If not, you
should hire a lawyer to draft the QDRO form. If you use the employer or retirement fund administrator’s QDRO
form, you should still have a lawyer review it to make sure you are not giving up important benefits. Note: If you
and your spouse plan to keep your own retirement funds or do not have retirement funds, you do not need a
QDRO.
About debt: A creditor’s right to collect a debt is not affected by a divorce decree. So, if the Court orders your
spouse to pay a debt (such as a mortgage) that is in both of your names but your spouse doesn’t pay it, the
creditor can still seek payment from you. Ask a lawyer how to protect yourself in this situation.
11A. Community Property and Debt
If my spouse and I can agree about how to divide the property and debts we got during our marriage, I ask
the Court to approve our agreement. If we cannot agree, I ask the Court to divide our community property
and debts according to Texas law.
11B. Separate Property
I own the following separate property. I owned this property before I was married or I received this property
as a gift or inheritance during my marriage or I received this property as recovery for personal injuries that
occurred during the marriage (not including any recovery for lost wages or medical expenses). I ask the
Court to confirm this property as my separate property.
(Fill in all lines. If you have no property to list in a particular category, write “none.”)
House or land located at ________________________________________________________________
Street Address City State Zip
Note: You MUST attach a copy of any protective order issued for you against your spouse or issued for your spouse
against you, no matter when the protective order was issued.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
© TexasLawHelp.org Page 6 of 7
Cars, trucks, motorcycles, or other vehicles
Year
Make
Model
Vehicle Identification No. [VIN]-
Other money or personal property that I owned before I was married, received as a gift or inheritance
during my marriage or property I purchased during my marriage with separate property funds:
Money I received as recovery for personal injuries that occurred during the marriage that was not for lost
wages or medical expenses:
12. Name Change
(Check one box.)
I am NOT asking the Court to change my name.
I ask the Court to change my name back to a name I used before my marriage. I am not asking the
court to change my name to avoid criminal prosecution or creditors. I ask that my name be changed to:
_________________________________________________________________________________.
First Middle Last
13. Request for Judgment
I ask the Court to grant my divorce. I also ask the Court to make the other orders I have asked for in this
Petition and any other orders to which I am entitled.
Petitioner’s Name
Date
→
Petitioner’s Signature
Phone
Mailing Address City State Zip
Email Address:
Fax (if any)
I understand that I must notify the Court and my spouse’s attorney (or my spouse if my spouse
does not have an attorney) in writing if my mailing address or email address changes during these
divorce proceedings. If I don’t, any notices about this case including the dates and times of
hearings will be sent to me at the mailing address or email address above.
Note: You cannot use this form to change your name to anything other
than a name you used before you got married.
FM-DivA-100 Original Petition for Divorce [Divorce Set A] (Rev. 09-2021)
© TexasLawHelp.org Page 7 of 7
Note: For a referral to a lawyer call your local lawyer referral service or the State Bar of Texas Lawyer Referral
Information Service at 800-252-9690.
For information about free and low-cost legal help in your county go to www.TexasLawHelp.org or call the Legal
Aid office serving your area:
Legal Aid of Northwest Texas 888-529-5277 (serves Dallas / Ft. Worth area, and Northwest Texas)
Lone Star Legal Aid 800-733-8394 (serves Houston area & East Texas)
Texas Rio Grande Legal Aid 888-988-9996 (serves Austin / San Antonio area, El Paso area, and South Texas)
If you have been the victim of family violence, or if at any time you feel unsafe, get help by calling the:
National Domestic Violence Hotline at 800-799-SAFE (7233) or
Texas Family Violence Legal Line at 800-374-HOPE (4673) or
Crime Victims at 888-343-4414.
(e.g., John Smith v. All American Insurance Co; In re Mary Ann Jones; In the Matter of the Estate of George Jackson)
A civil case information sheet must be completed and submitted when an original petition or application is filed to initiate a new civil, family law, probate, or mental
health case or when a post-judgment petition for modification or motion for enforcement is filed in a family law case. The information should be the best available at
the time of filing. This sheet, approved by the Texas Judicial Council, is intended to collect information that will be used for statistical purposes only. It neither replaces
nor supplements the filings or service of pleading or other documents as required by law or rule. The sheet does not constitute a discovery request, response, or
supplementation, and it is not admissible at trial.
1. Contact information for person completing case information sheet:
Names of parties in case:
Person or entity completing sheet is:
Name:
_____________________________
Address:
_____________________________
City/State/Zip:
_____________________________
Signature:
_____________________________
Email:
____________________________
Telephone:
____________________________
Fax:
____________________________
State Bar No:
____________________________
Plaintiff(s)/Petitioner(s):
_________________________________
_________________________________
Defendant(s)/Respondent(s):
_________________________________
_________________________________
_________________________________
[Attach additional page as necessary to list all parties]
Attorney for Plaintiff/Petitioner
Pro Se Plaintiff/Petitioner
Title IV-D Agency
Other: _________________________
Additional Parties in Child Support Case:
Custodial Parent:
_________________________________
Non-Custodial Parent:
_________________________________
Presumed Father:
_________________________________
2. Indicate case type, or identify the most important issue in the case (select only 1):
Civil
Family Law
Contract
Injury or Damage
Real Property
Marriage Relationship
Post-judgment Actions
(non-Title IV-D)
Debt/Contract
Consumer/DTPA
Debt/Contract
Fraud/Misrepresentation
Other Debt/Contract:
____________________
Foreclosure
Home Equity—Expedited
Other Foreclosure
Franchise
Insurance
Landlord/Tenant
Non-Competition
Partnership
Other Contract:
______________________
Assault/Battery
Construction
Defamation
Malpractice
Accounting
Legal
Medical
Other Professional
Liability:
_______________
Motor Vehicle Accident
Premises
Product Liability
Asbestos/Silica
Other Product Liability
List Product:
_________________
Other Injury or Damage:
_________________
Eminent Domain/
Condemnation
Partition
Quiet Title
Trespass to Try Title
Other Property:
____________________
Annulment
Declare Marriage Void
Divorce
With Children
No Children
Enforcement
Modification—Custody
Modification—Other
Title IV-D
Enforcement/Modification
Paternity
Reciprocals (UIFSA)
Support Order
Related to Criminal
Matters
Other Family Law
Parent-Child Relationship
Expunction
Judgment Nisi
Non-Disclosure
Seizure/Forfeiture
Writ of Habeas Corpus—
Pre-indictment
Other: _______________
Enforce Foreign
Judgment
Habeas Corpus
Name Change
Protective Order
Removal of Disabilities
of Minority
Other:
__________________
Adoption/Adoption with
Termination
Child Protection
Child Support
Custody or Visitation
Gestational Parenting
Grandparent Access
Parentage/Paternity
Termination of Parental
Rights
Other Parent-Child:
_____________________
Employment
Other Civil
Discrimination
Retaliation
Termination
Workers’ Compensation
Other Employment:
______________________
Administrative Appeal
Antitrust/Unfair
Competition
Code Violations
Foreign Judgment
Intellectual Property
Lawyer Discipline
Perpetuate Testimony
Securities/Stock
Tortious Interference
Other: _______________
Tax
Probate & Mental Health
Tax Appraisal
Tax Delinquency
Other Tax
Probate/Wills/Intestate Administration
Dependent Administration
Independent Administration
Other Estate Proceedings
Guardianship—Adult
Guardianship—Minor
Mental Health
Other: ____________________
3. Indicate procedure or remedy, if applicable (may select more than 1):
Appeal from Municipal or Justice Court
Arbitration-related
Attachment
Bill of Review
Certiorari
Class Action
Declaratory Judgment
Garnishment
Interpleader
License
Mandamus
Post-judgment
Prejudgment Remedy
Protective Order
Receiver
Sequestration
Temporary Restraining Order/Injunction
Turnover
CIVIL CASE INFORMATION SHEET
CAUSE NUMBER (FOR CLERK USE ONLY): _______________________________ COURT (FOR CLERK USE ONLY): ______________________
STYLED ___________________________________________________________________________________________________
INFORMATION ON SUIT AFFECTING THE FAMILY RELATIONSHIP
(EXCLUDING ADOPTIONS)
SECTION I GENERAL INFORMATION (REQUIRED) S
TATE
F
ILE
N
UMBER
1a. COUNTY __________________________ 1b. COURT NO. ________________________
1c. CAUSE NO. ________________________ 1d. DATE OF ORDER (mm/dd/yyyy) _________
2. TYPE OF ORDER (CHECK ALL THAT APPLY):
DIVORCE/ANNULMENT WITH CHILDREN (Se
C
. 1,2
AND
3) DIVORCE/ANNULMENT WITHOUT CHILDREN (Sec 1
AND
2)
ESTABLISHMENT OF COURT OF CONTINUING JURISDICTION (S
EC
1
AND
3)
(Court Order Establishing Paternity, Conservatorship, Child Support or Termination of Parental Rights)
CHANGE IN THE NAME OF THE CHILD (S
EC
1
AND
3)
(P
ROVIDE PRIOR AND NEW NAME OF CHILD IN SECTION
3)
TRANSFER OF COURT OR CONTINUING JURISDICTION (S
EC
1,3
AND INFORMATION BELOW
)
TRANSFER TO: COUNTY __________ COURT NO. ________ STATE COURT ID# ______________
3a
.
NAME OF ATTORNEY FOR PETITIONER
3b
.
TELEPHONE NUMBER
(including area code)
3c
.
CURRENT MAILING ADDRESS
(
STREET AND NUMBER OR P
.
O BOX
,
CITY
,
STATE
,
ZIP
)
SECTION
2 (
IF APPLICABLE
)
REPORT OF DIVORCE OR ANNULMENT OF MARRIAGE
P
ETITIONER
4. N
AME
(
FIRST MIDDLE LAST SUFFIX
) 5.
MAIDEN LAST NAME
(
NAME BEFORE
1
ST
MARRIAGE
)
6.
PLACE OF BIRTH
(
CITY AND STATE OR FOREIGN COUNTRY
) 7.
RACE
8.
DATE OF BIRTH
(mm/dd/yyyy)
9.
USUAL RESIDENCE STREET NAME
&
NUMBER CITY STATE ZIP
RESPONDENT
10. N
AME
(
FIRST MIDDLE LAST SUFFIX
) 11.
MAIDEN LAST NAME
(
NAME BEFORE
1
ST
MARRIAGE
)
12.
PLACE OF BIRTH
(
CITY AND STATE OR FOREIGN COUNTRY
) 13.
RACE
14.
DATE OF BIRTH
(mm/dd/yyyy)
15.
USUAL RESIDENCE
(
STREET AND NUMBER CITY
,
STATE
,
ZIP
)
16.
NUMBER OF MINOR CHILDREN
17.
DATE OF MARRIAGE
(mm/dd/yyyy) 18.
PLACE OF MARRIAGE
(
CITY AND STATE OR FOREIGN COUNTRY
)
SECTION
3 (
IF APPLICABLE
)
CHILDREN AFFECTED BY THIS SUIT
CHILD
1
19a.
CHILD CURRENT NAME
(
FIRST MIDDLE LAST SUFFIX
)
19b.
DATE OF BIRTH
(mm/dd/yyyy) 19c.
SEX
19d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
19e.
PRIOR NAME OF CHILD
(
FIRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
CHILD
2
20a.
CHILD CURRENT NAME
(
FIRST MIDDLE LAST SUFFIX
)
20b.
DATE OF BIRTH
(mm/dd/yyyy) 20c.
SEX
20d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
20e.
PRIOR NAME OF CHILD
(
FIRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
CHILD
3
21a.
CHILD CURRENT NAME
(
FIRST MIDDLE LAST SUFFIX
)
21b.
DATE OF BIRTH
(mm/dd/yyyy) 21c.
SEX
21d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
21e.
PRIOR NAME OF CHILD
(
FIRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
ADDITIONAL CHILDREN LISTED ON BACK OF THE FORM
.
I CERTIFY THAT THE ABOVE ORDER WAS GRANTED ON THE DATE AND PLACE AS STATED
. _____________________________________
SIGNATURE OF THE CLERK OF THE COURT
WARNING: This is a governmental document. Texas Penal Code, Section 37.10, specifies penalties for making false
entries or providing false information in this document.
Texas Department of State Health Services - Vital Statistics
1
A
DDITIONAL CHILDREN AFFECTED BY THIS SUIT FROM SECTION
3 (
IF APPLICABLE
)
CHILD
4
23a.
CHILD CURRENT NAME
(
FIRST MIDDLE LAST SUFFIX
)
23b.
DATE OF BIRTH
(mm/dd/yyyy) 23c.
SEX
23d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
23e.
PRIOR NAME OF CHILD
(F
IRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
CHILD
5
24a.
CHILD CURRENT NAME
(F
IRST MIDDLE LAST SUFFIX
)
24b.
DATE OF BIRTH
(mm/dd/yyyy) 24c.
SEX
24d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
24e.
PRIOR NAME OF CHILD
(F
IRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
CHILD
6
25a.
CHILD CURRENT NAME
(F
IRST MIDDLE LAST SUFFIX
)
25b.
DATE OF BIRTH
(mm/dd/yyyy) 25c.
SEX
25d.
BIRTHPLACE
(
CITY
,
COUNTY AND STATE
)
25e.
PRIOR NAME OF CHILD
(F
IRST MIDDLE LAST SUFFIX
) –
IF APPLICABLE
Instructions for Completing the Suit Affecting Parent Child Relationship Form
GENERAL REQUIREMENT:
All divorces/annulments (with or without children) and all suits affecting the parent-child relationship must be reported through the clerk of the
court to the State Vital Statistics Unit (VSU).
Consolidated reporting by petitioners, attorneys, and the courts is designed to make mandatory reporting more efficient, timely, and improve
the quality of reporting. However, this reporting system is only as good or timely as you make it; therefore, your attention in completing and
filing this report is critical.
Legal basis for this reporting is contained in Health and Safety Code §194.002 and Texas Family Code §§108.001-.002 and 108.004.
For information concerning reporting or questions about this form, contact field services at fieldservices@dshs.texas.gov or by phone at 512-
776- .
SECTION 1 GENERAL INFORMATION (REQUIRED)
This section must be completed for each report filed.
1a – d. Enter the required information to identify the court proceeding.
2. Check the type of suit being reported. This determines also which sections of the form must be completed. If more than one type of
order applies, check all that apply. Transfers from one jurisdiction to another must be reported in this section (if court number is unknown,
specify “unknown”).
3a – c. Complete the attorney information to assist in questions or follow up. If case was pro se, please enter the information of the
person completing this form.
SECTION 2 (IF APPLICABLE) REPORT OF DIVORCE OR ANNULMENT OF MARRIAGE
All divorces/annulments must be reported, even if there were no minor children. All information is required.
4-9. Report the Petitioner’s information including maiden name (if applicable ).
10-15. Report the Respondent’s information, including maiden name (if applicable ).
16. Report the number of minor children affected by this divorce; if none, record “0.” This number must correspond to the listing of
children in Section 3.
17-18. Enter the date and place of the marriage being dissolved.
SECTION 3 (IF APPLICABLE) CHILDREN AFFECTED BY THIS SUIT
Every child affected by the suit being reported must be listed, and all items concerning that child must be completed. If more than three children are
affected, check the “additional children listed on back of form” box, and continue to list the additional children. If more than 6 children complete
section 3 on another form, label it “continuation” and attached the continuation form to the original form.
Texas Department of State Health Services - Vital Statistics VS-165 REV
2
pg. 1 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA
AVISO: ESTE DOCUMENTO CONTIENE INFORMACIÓN
CONFIDENCIAL
Statement of Inability to Afford Payment
of Court Costs or an Appeal Bond
Declaración sobre Incapacidad de Pago de Costas
de Tribunal o de una Fianza de Apelación
Cause Number
Número de Caso
____________________________
The Clerk’s office will fill in the Cause Number when you file this form.
El Secretario del Tribunal anotará el Número de Caso cuando usted presente este
formulario.
_________________________________
v.
_________________________________
Copy information listed at the top left of
the petition here.
Copie aquí la información ubicada en la
parte superior izquierda del escrito de la
demanda.
Copy information listed at the top right of the petition here.
Copie aquí la información ubicada en la parte superior derecha del escrito de la
demanda.
District Court
Tribunal de Distrito
County Court
Tribunal del Condado
County Court at Law
Tribunal Estatutario
Justice Court
Juzgado de Paz
Probate Court
Juzgado Sucesorio
Court Number
Número del Tribunal
___________________________,Texas
County
Condado
pg. 2 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
1. Your Information / Su Información
My full legal name is / Mi nombre legal completo es
_______________________________________________________________
First Middle Last / Nombre de Pila Segundo Nombre Apellido
My date of birth is / Mi fecha de nacimiento es
_______________________________________________________________
Month Day Year / Mes Día Año
My address is / Mi dirección es
Home / Domicilio ____________________________________________
Mailing / Dirección Postal _____________________________________
My phone number / Mi número telefónico ____________________________
My email I check often / Mi correo electrónico que reviso con frecuencia
______________________________________________________________
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pg. 3 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
2. About My Dependents / Mis Dependientes
“The people who depend on me financially are listed below.” Use initials only for
children under 18. If needed, attach a separate piece of paper to list more
dependents.
“Las personas a continuación dependen económicamente de mí.” Use iniciales para
los menores de 18 años y, si es necesario, anexe una hoja por separado para
enumerar a todos sus dependientes.
Name
Nombre
Age
Edad
Relationship to me
Parentesco Conmigo
3. Are you represented by Legal Aid? ¿Está siendo representado por alguna
entidad de asistencia legal?
Check only one box. Seleccione solo una casilla.
I am being represented in this case for free by an attorney who works for a legal
aid provider or who received my case through a legal aid provider. I have attached
the certificate the legal aid provider gave me as “Exhibit: Legal Aid Certificate.”
Me está representando gratuitamente un abogado que trabaja para una entidad
de asistencia legal o que recibió mi caso de una entidad de asistencia legal. El
certificado que la entidad de asistencia legal me entregó lo adjunto bajo el título,
“Anexo: Certificado de Asistencia Legal.”
or / o
I am not represented by legal aid.
No me está representando ninguna entidad de asistencia legal.
pg. 4 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
4. Public Benefits / Beneficios de Asistencia Pública
Do you or any of your dependents receive public benefits?
¿Recibe usted o sus dependientes beneficios de asistencia pública?
Yes / Sí
No / No
If you answered yes, check all that apply and attach proof to this form, such as
a copy of an eligibility form or check.
Si respondió con un Sí, marque todas las casillas que apliquen y adjunte a
este formulario comprobantes, tales como una copia de la carta autorizando
que reciba estos beneficios o una copia del cheque que recibe.
Food stamps/SNAP
Cupones de comida/SNAP
TANF
Medicaid
CHIP
SSI/SSDI
WIC
Lifeline
Public Housing or Section 8 Housing
Asistencia de Vivienda / Programa de
Vivienda bajo Sección 8
Low-Income Home Energy
Assistance
Asistencia con Energía
Eléctrica
Community Care via HHS
Ayuda Comunitaria bajo HHS
LIS in Medicare (“Extra Help”)
Subsidio Adicional de Medicare
bajo el Programa LIS
Needs-based VA Pension
Pensión para Veteranos de Guerra en
función a necesidades
Child Care Assistance under
Child Care and Development
Block Grant
Asistencia con Guardería bajo
el Programa CCDBG
County Assistance, County Health
Care, or General Assistance (GA)
Asistencia del Condado, Asistencia
Médica del Condado, o Asistencia
General (GA)
Other / Otros beneficios
________________________
Other / Otros beneficios
________________________
pg. 5 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
5. What are your monthly income sources? ¿Cuáles son sus fuentes de
ingresos mensuales?
My take-home pay is $_______ in monthly wages.
Mi pago neto es $_______ en sueldo mensual.
I work as a ______________ (your job title) for ________________ (your
employer).
Yo trabajo como ________________ (título de su puesto) para
___________________ (compañía o jefe).
$__________ is my total monthly income / son mis ingresos totales al mes.
These are my income sources. Estas son mis fuentes de ingresos.
$____________ in unemployment / en beneficios de desempleo.
I have been unemployed since ____________ (date).
He estado desempleado desde ______________ (indique fecha).
$____________ in public benefits / en beneficios de Asistencia Pública.
$____________ from people in my household other than my spouse / de
ingresos de otras personas en mi hogar que no son de mi cónyuge.
$____________ from retirement or pension / de jubilación o pensión.
$____________ from tips or bonus / de propinas o bonos.
$____________ from disability / de discapacidad.
$____________ from worker’s comp / de compensación al trabajador.
$____________ from social security / de seguro social.
pg. 6 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
$____________ from military housing / de vivienda militar.
$____________ from dividends, interest, or royalties / de dividendos,
intereses, o regalías.
$____________ from child or spousal support / de manutención de
menores o manutención conyugal recibida.
Answer only if your spouse is not your opponent. Responda tan sólo si su
ccónyuge no es parte contraria en esta causa legal.$____________ from
my spouse’s income / de ingresos de mi cónyuge.
$____________ from other jobs/sources of income / de otros trabajos/
fuentes de ingresos.
Describe / describa:
____________________________________________________
____________________________________________________
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pg. 7 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
6. What is the value of your assets or property? ¿Cuál es el valor de sus bienes
o propiedades?
My property includes:
Mis bienes incluyen:
Value / Valor
The value is the amount the item would sell
for less the amount you still owe on it, if
anything.
El valor de sus bienes es la cantidad por la
que la propiedad o pertenencia se
vendería, menos el monto que aún se
adeuda, si lo hubiera.
Cash
Dinero en efectivo
$
Bank accounts, other financial assets
Cuentas bancarias, otros bienes financieros
$
$
$
Cars and boats (make and year)
Automóviles, lanchas (modelo y año)
$
$
$
Other property like jewelry, stocks, land, a second house. (Do not list your
homestead.)
Otros bienes como joyas, acciones, terrenos, una segunda casa. (No indique su
hogar familiar.)
$
$
$
Total Value of Property
Valor Total de Sus Bienes
$
0
pg. 8 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
7. What are your monthly expenses that are not deducted from your paycheck?
¿Cuáles son sus gastos mensuales que no son descontados de su cheque de
sueldo?
My monthly expenses are:
Mis gastos mensuales son:
Amount
Cantidad
Rent/house payments; maintenance
Alquiler/hipoteca; mantenimiento de
casa
$
Food and household supplies
Alimentos y artículos para el hogar
$
Utilities and telephone
Luz, gas, agua y teléfono
$
Clothing and laundry
Ropa y lavado de ropa
$
Medical and dental expenses
Gastos médicos y dentales
$
Insurance (life, health, auto, etc.)
Seguros (de vida, médico,
de automóvil etc.)
$
School and childcare
Escuelas y guarderías
$
Transportation, auto repair, gas
Transportación, reparaciones de auto-
móviles, gasolina
$
Child/Spousal support
Manutención a Menores/Manutención
Conyugal
$
Debt payments to (list):
Pagos por deudas hechas a (indíquelos):
$
$
Wages withheld by court order
Sueldo retenido por orden judicial
$
Other expenses (list):
Otros gastos (indíquelos):
$
$
Total Monthly Expenses
Gastos Totales Mensuales
$
0
pg. 9 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
8. Are there debts or other facts explaining your financial situation?
¿Hay deudas u otros factores que expliquen su situación económica?
My debts include (list debt and amount owed):
Mis duedas incluyen (indique deuda y la cantidad que debe):
$
$
$
$
$
If you want the court to consider other facts, such as unusual medical expenses,
family emergencies, etc., attach another page to this form labeled “Exhibit: Additional
Supporting Facts.”
Si usted desea que el tribunal considere otros factores, tales como gastos médicos
excepcionales, emergencias familiares, etc., adjunte al formulario otra hoja con esta
información y bajo el título, “Anexo: Información Adicional de Apoyo.”
9. Ability to Pay Court Costs. Declaración sobre su Habilidad de
Pagar Costas de Tribunal
Check only one box. Seleccione tan solo una casilla.
I cannot afford to pay court costs. No puedo pagar las costas de tribunal.
I cannot furnish an appeal bond or pay a cash deposit to appeal a justice court
decision, and I cannot afford to pay court costs.
No puedo aportar una fianza de apelación ni pagar un depósito en efectivo
para apelar la decisión judicial de un magistrado, y no puedo pagar costas de
tribunal.
Go to next page
Pase a la siguiente página
pg. 10 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
10. Declaration/Affidavit. Declaración Escrita Bajo Juramento.
Fill out only one box. If you fill out the Declaration, you will not need to sign the form
in front of a notary public. If you do not want to list your address for privacy or safety
concerns, take the form and photo identification, and fill out the Affidavit box in front of
a notary public.
Llene tan solo una opción. Si usted llena la Declaración, no necesitará firmar el
formulario ante un notario. Si usted no quiere que aparezca su domicilio en el
documento para conservar su privacidad o por motivos de su seguridad, lleve el
formulario y una identificación con fotografía y llene la sección de la Declaración
Escrita Bajo Juramento ante un Notario.
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pg. 11 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
Option 1 / Opción 1
Declaration: I declare under penalty of perjury that the foregoing is true
and correct.
Declaración: Yo declaro bajo pena de perjurio que la información a
continuación es correcta y verdadera.
My name is / Mi nombre es
________________________________________________________
My date of birth is / Mi fecha de nacimiento es
________/________/________
My address is / Mi domicilio es
________________________________________________________
Street, city, zip, country
Calle y número, ciudad, estado, código postal, pais
_______________________________________________________
Signature
Firma
_______________________________________________________
Date (month, day, year)
Fecha (mes, día, año)
_______________________________________________________
County, state
Condado, estado
Go to next page
Pase a la siguiente página
pg. 12 of 12 Approved by the Supreme Court of Texas in Misc. Docket No. 22-9090
Option 2 / Opción 2
Affidavit: I swear under penalty of perjury that the foregoing is true and
correct.
Declaración Escrita Bajo Juramento: Yo juro bajo pena de perjurio,
que lo que precede es correcto y verdadero.
You fill out this section.
Usted llena esta sección.
______________________________________________________
Your printed name
Su nombre en letra de molde
________________________________________________________
Your signature
Su firma
The notary fills out this section.
El Notario llena esta sección.
______________________________________________________
Subscribed before me this day of
Juramentado y suscrito ante mí el día de hoy del mes de
____________________________, 20____
____________________________________________________________
NOTARY
NOTARIO
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
FM-DivAD-103 Waiver of Service Only (Specific Waiver) [SET A or SET D] (R ev. 09-2021) Page 1 of 2
© TexasLawHelp.org
Cause No.
Print court information exactly as it appears on the Original Petition for Divorce
In the Matter of the Marriage of
In the
______________
(Court Number)
Petitioner:
Print first, middle, and last name of spouse filing divorce.
District Court
and
County Court at Law
Respondent:
County,
Print first, middle, and last name of other spouse.
Texas
Respondent’s Waiver of Service Only (Specific Waiver)
(Divorce without Children)
WARNING to Respondent: Without the advice and help of a lawyer, you may be putting yourself, your
property. and your money at risk. For a referral to a lawyer or free Legal Aid office call the State Bar of Texas
Lawyer Referral Information Service at 800-252-9690.
If you are a victim of domestic violence, or if at any time you feel unsafe, you can get confidential help from the
National Domestic Violence Hotline at 800-799-7233 or legal help from the Texas Advocacy Project Family
Violence Legal Line at 800-374-4673.
INSTRUCTIONS to Respondent: If you decide to use this form:
● Do not sign it until at least one day after the Original Petition for Divorce has been filed (turned in to the
court). If you sign this form before then, you will have to redo it. Your spouse should have given you a copy
of the Original Petition for Divorce. The official court stamp on your copy will tell you when it was filed.
● Fill out this form completely. You MUST include your mailing address.
● Sign this form in front of a notary. Do not sign until you are standing in front of the notary.
● File (turn in) the original signed form to the court where your spouse filed the Original Petition for Divorce.
Keep a copy for your records. Give a copy to your spouse.
● Get additional information about divorce at www.TexasLawHelp.org.
The person who signed this affidavit appeared, in person, before me, the undersigned notary,
and stated under oath:
“I am the Respondent in this case.
“My name is: ________________________________________________________________________.
First Middle Last
“My mailing address is: ________________________________________________________________.
Mailing Address City State ZIP
“My phone number is: ______________________________________.
“My email address is: _________________________________________________________________.
“My fax number (if available) is: _________________________________________________________.
“The last three numbers of my driver’s license number are: ___ ___ ___. My driver’s license was
issued in (State): ________________________.
Or “ I do not have a driver’s license number.
“The last three numbers of my social security number are: ___ ___ ___.
Or “ I do not have a social security number.
FM-DivAD-103 Waiver of Service Only (Specific Waiver) [SET A or SET D] (R ev. 09-2021) Page 2 of 2
© TexasLawHelp.org
“I have been given a copy of the Original Petition for Divorce filed in this case. I have read the Original
Petition for Divorce and understand what it says. I do not give up my right to review a different Petition for
Divorce if it gets changed (amended).
“I understand that I have the right to be given a copy of the Original Petition for Divorce by a constable,
sheriff or other official process server (legal notice). I do not want to be given legal notice. I give up my
right to legal notice.
“I ask that the Court not enter any orders in this case unless the order is signed by me or unless I have
received prior written notice of the date, time, and place of hearing.
“If I reach an agreement and sign a Final Decree of Divorce, the court can enter the Decree without me
being present and without giving me notice. If I sign an agreed Final Decree of Divorce, I do not want a
court reporter to make a record of the testimony.
“I understand that by signing this form I am entering an appearance in this case. I agree that a Judge or
Associate Judge in the county and state where this case is filed may make decisions about my divorce,
even if the divorce should have been filed in another county.
“I understand that I must let the Court and my spouse’s attorney (or my spouse if they are not
represented by an attorney) know in writing if my mailing address or email address changes
during this case. If I don’t, then I understand that any notices about this case will be sent to me at the
mailing address or email address on this form.
Military Status
(Check one box.)
“ I am not in the military.
“ I am in the military. I agree to the provisions stated above and I waive only the rights, privileges, and
exemptions I have under the Servicemember’s Civil Relief Act that are contrary to those provisions.
Name Change (Check one box.)
“ I am NOT asking the court to change my name.
“ I ask the Court to change my name back to a name I used before my marriage. I am not asking the
court to change my name to avoid criminal prosecution or creditors. That name is:
________________________________________________________________________________________.”
First Middle Last
Signature of Respondent (Do NOT sign until you are in front of a notary.)
Date
Notary fills out below.
State of
(Print name of state where this Affidavit is notarized)
County of
(Print the name of the county where this Affidavit is notarized)
Sworn to and subscribed before me, the undersigned notary, on this date:
/
/
at
a.m./p.m.
Month day year
time
circle one
by
(Print name of person who is signing this Affidavit. NOT the notary’s name.)
[Notary Stamps Here ]
Notary’s Signature
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
FM-DivAD-102 Respondent’s Original Answer [SET A or SET D] (Rev. 09-2021) Page 1 of 4
© TexasLawHelp.org
Cause No.
Print court information exactly as it appears on the Original Petition for Divorce
In the Matter of the Marriage of
In the
______________
(Court Number)
Petitioner:
Print first, middle, and last name of spouse filing divorce.
District Court
and
County Court at Law
Respondent:
County,
Print first, middle, and last name of other spouse.
Texas
Respondent’s Original Answer
WARNING to Respondent: Without the advice and help of a lawyer, you may be putting yourself, your property
and your money at risk. For a referral to a lawyer or free legal aid office, call the State Bar of Texas Lawyer Referral
Information Service at 800-252-9690. If you are a victim of family violence, or if at any time you feel unsafe, you can
get confidential help from the National Domestic Violence Hotline at 800-799-7233, or legal help from the Texas
Advocacy Project Family Violence Legal Line at 800-374-4673.
WARNING to Out-of-State Respondent: Filing an Answer with the Court enters your appearance in this case. Talk
to a lawyer before filing an Answer if you 1) do not live in Texas and 2) do not want a Texas court to have the
power to make orders that would impose a personal obligation on you. Such orders could include orders dividing
your property and debts and (if requested by your spouse) ordering you to pay spousal support, court costs, and
attorney’s fees. If you file an Answer (or any pleading) before filing a Special Appearance, you will give up your right
to argue that Texas can’t make such orders because you live out of state. Ask a Texas attorney to help you
determine if Texas has personal jurisdiction over you.
INSTRUCTIONS to Respondent: If you decide to use this form:
● Do not sign it until at least one day after the Original Petition for Divorce has been filed (turned in to the court).
Your spouse should have given you a copy of the Original Petition for Divorce. The official court stamp on your
copy will tell you when it was filed.
● Fill out this form completely.
● File (turn in) the original signed form to the court where your spouse filed the Original Petition for Divorce.
Keep a copy for your records. Give a copy to your spouse.
● Get additional information about divorce at www.TexasLawHelp.org.
Print your answers.
My name is: ____________________________________________________________________.
First Middle Last
I am the Respondent in this divorce case.
The last three numbers of my driver’s license number are: ___ ___ ___. My driver’s license was
issued in (State) ________________________.
or I do not have a driver’s license number.
The last three numbers of my social security number are: ___ ___ ___.
or I do not have a social security number
FM-DivAD-102 Respondent’s Original Answer [SET A or SET D] (Rev. 09-2021) Page 2 of 4
© TexasLawHelp.org
1. General Denial
I enter a general denial. I want to be notified of all hearings in this case.
But, if my spouse and I reach an agreement and I sign a Final Decree of Divorce, I agree that the
Judge can finalize this case without my getting notice of the hearing and without my coming to
Court.
2. Contact Information
My mailing address is: ___________________________________________________________.
Mailing Address City State Zip
My email address is: ____________________________________________________________.
My phone number is: ________________________________________________.
I understand that I must notify the Court and my spouse’s attorney or my spouse (if my spouse
does not have an attorney) in writing if my mailing address or email address changes during these
divorce proceedings.
I understand that, unless I notify the Court, my spouse’s attorney or my spouse (if my spouse does
not have an attorney) in writing of changes to my mailing address and email address, all information
about this case, including the date and time of hearings, will be sent to me at the mailing address or
email address on this form.
3. Discovery level
The discovery level in this case, if needed, is: (Check one box.)
Level 1. (Check here if you and your spouse have more than $0 and less than $250,000 in property.)
Level 2. (All other couples check here.)
Check only if applicable.
This is an action involving domestic violence and is exempt from the initial disclosure
requirement under Texas Rule of Civil Procedure 193.2(d)(7).
4. Separate Property
I own the following separate property. I owned this property before I was married, or I received this
property as a gift or inheritance during my marriage, or I received this property as recovery for
personal injuries sustained during my marriage (not including any recovery for loss of earning
capacity during my marriage). I ask the Court to confirm this property as my separate property in my
Final Decree of Divorce.
1. House or land located at: _______________________________________________________.
street address city state ZIP
2. Cars, trucks, motorcycles, mobile homes or other vehicles
Year
Make
Model
Vehicle Identification No. [VIN]
FM-DivAD-102 Respondent’s Original Answer [SET A or SET D] (Rev. 09-2021) Page 3 of 4
© TexasLawHelp.org
3. Other property I owned before I was married or received as a gift or inheritance during my
marriage
(describe):
4. Money I received as recovery for personal injuries sustained during my marriage (not including
any recovery for loss of earning capacity during my marriage)
(describe):
5. Name Change
(Check one.)
I am NOT asking the court to change my name.
I ask the Court to change my name back to:
________________________________________________________________________________.
First Middle Last
This is a name I have used before.
I am not asking the court to change my name to avoid criminal prosecution or to avoid payment
of debt.
6. Request for Judgment
I ask the Court for general relief.
Complete the information below.
_____________________________________________ _________________________________
Respondent’s Signature Date
______________________________________________ _________________________________
Respondent’s Printed Name Phone Number
_____________________________________________________________________________________
Mailing Address City State ZIP
___________________________________________________ _____________________________________
Email Address Fax number (if available)
FM-DivAD-102 Respondent’s Original Answer [SET A or SET D] (Rev. 09-2021) Page 4 of 4
© TexasLawHelp.org
7. Certificate of Service
I will give a copy of this document to my spouse’s attorney or my spouse (if my spouse does not
have an attorney) on the same day this document is filed with (turned in to) the Court as follows:
If I file this document electronically, I will send a copy of it to my spouse or my spouse’s attorney
through the electronic file manager if possible. If not possible, I will give a copy to my spouse or my
spouse’s attorney in person, by mail, by commercial delivery service, by fax, or by email.
If I file a paper copy of this document, I will give a copy of it to my spouse or my spouse’s attorney
in person, by mail, by commercial delivery service, by fax, or by email.
Respondent’s Signature
Date
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
©TexasLawHelp
Page 1 of 9
Required Initial Disclosures in Dissolution of Marriage
Parties to suits for divorce, annulment, or to declare marriage void must give the other party this
information, as required by Texas Rule of Civil Procedure 194.2.
Keep a completed copy of this form for yourself. Attach the documents (like bank statements) that
are required. You can attach additional pages on separate sheets of paper if you need more space
for listing information.
You must give this information to your spouse no later than 30 days after either party files an
answer, waiver of service, or counter-petition with the court clerk. You and the other party may
agree in writing to waive the initial disclosures. Forms to waive initial disclosures by Rule 11
Agreement are available at TexasLawHelp.org.
If a question does not apply to your case, write “N/A,” “none,” or leave it blank. For example, if
you have no property to list in a particular category, write “none.”
1. Correct names and addresses of parties to the lawsuit.
See Texas Rule of Civil Procedure 194.2(b)(1).
Petitioner:
First Middle Last
Street Address
City
State
Zip
Phone
Email
Respondent:
First Middle Last
Street Address
City
State
Zip
Phone
Email
List the full names and dates of birth of the child(ren).
Cause Number:
Fill in cause number and exactly as assigned when the original petition was filed.
In the Matter of the Marriage of
Petitioner:
In the ______________
(Court Number)
District Court
County Court at Law
Print first, middle and last name of the spouse filing for
divorce.
And
Respondent:
Print first, middle and last name of other spouse
County,
Texas
And in the interest of the following child(ren)
1.
4.
2.
5.
3.
6.
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
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Page 2 of 9
Child’s name
Date of Birth
Place of Birth
State where
child lives now
2. Potential parties to the lawsuit.
See Texas Rule of Civil Procedure 194.2(b)(2).
You must provide the names, addresses, and telephone numbers of any potential parties.
Check any that apply. If none apply skip to next section.
The Office of the Attorney General—Child Support Division (OAG). The local field office
address and phone number are: __________________________________________________
____________________________________________________________________________
____________________________________________________________________________
The Texas Department of Family and Protective Services. The office address and phone
number are: __________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Other: ___________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
3. Legal theories and factual bases of claims or defenses.
See Texas Rule of Civil Procedure 194.2(b)(3).
The pleadings in this case contain the legal theories and general factual bases for claims, or
defenses.
4. Amount and any method of calculating economic damages.
See Texas Rule of Civil Procedure 194.2(b)(4).
At the time of this initial required disclosure, economic damages have not been pled for as part
of this family law case. No response to this request is needed at this time. If an amended
pet
ition or counterpetition is filed that alleges economic damages, a response to this request will
be made within 30 days of the filing of the amended petition or counterpetition.
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
©TexasLawHelp
Page 3 of 9
5. Persons with Knowledge of Relevant Facts (Potential Witnesses)
See Texas Rule of Civil Procedure 194.2(b)(5).
You also need to give the other side the names, phone numbers, and addresses of potential
witnesses—that is, people with knowledge of relevant facts. What is each person’s connection
with the case? The list should include all potential witnesses regardless of who they would be
testifying for. Attach another sheet of paper if you need more room.
IF this case is contested, this list could include family members, neighbors, teachers, doctors,
counselors, employers, and financial advisors, among others.
Name
Address
Phone number
Connection to case
6. Documents, electronic items, or tangible things.
See Texas Rule of Civil Procedure 194.2(b)(6).
T
he following is a list of documents, electronically stored information, and tangible things that have been
identified that may be used to support a claim or defense in this case. This Response will be
supplemented, as needed, as responsive items are identified
Describe documents, electronically stored information, and tangible things that you have in your
possession, custody, or control, and may use to support your claims or defenses. The list of
documents, electronic items, or tangible things should include all items in your possession that
you might want admitted as evidence in your case.
No.
Item/Name of Item
or Document
Type of Item (Document,
electronic info, or tangible
item)
Location of
document or
item
Brief Description of
document or item
1
2
3
4
5
If not producing copies of all the documents; access to electronically stored information; and
tangible things, a reasonable time and method for the production of these items is:
__________________________________________________________________________
____________________________________________________________________________
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
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Page 4 of 9
7. Indemnity and insuring agreements
See Texas Rule of Civil Procedure 194.2(b)(7).
Produce the originals or copies of any indemnity and insuring agreements described in Rule
192.3(f).
(Check one).
At the time of this initial response no indemnity and insuring agreements have been
identified. This Response will be amended, as needed.
Any indemnity and insuring agreements that have been identified are attached.
This Response will be amended, as needed.
8. Settlement agreements.
See Texas Rule of Civil Procedure 194.2(b)(8).
Produce the originals or copies of any settlement agreements described in Rule 192.3(g) of the
Texas Rules of Civil Procedure. Rule 192.3(g) provides in part as follows: Settlement Agreements.
A party may obtain discovery of the existence and contents of any relevant portions of a
settlement agreement.
(Check one).
The Parties have not entered into any active settlement agreements that would resolve, or
partially resolve, the disputed issues in this case. This Response will be amended, as needed.
Any active settlement agreements that would resolve, or partially resolve, the disputed
issues in this case are attached. This Response will be amended, as needed
9. Witness statements
See Texas Rule of Civil Procedure 194.2(b)(9).
Produce the originals or copies of any witness statements described in rule 192.3(h) of the Texas
Rules of Civil Procedure.
(Check one).
Attached to this response are copies of any witness statements that have been made by
any of the individuals identified in the fifth response above. This Response will be amended, as
needed, as qualifying witness statements are discovered or obtained in this case.
No witness statements are available at this time. This Response will be amended, as
needed, as qualifying witness statements are discovered or obtained in this case.
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
©TexasLawHelp
Page 5 of 9
10. Medical records or bills.
See Texas Rule of Civil Procedure 194.2(b)(10).
Produce copies of all medical records and bills that are reasonably related to the injuries
or damages asserted or, in lieu thereof, an authorization permitting the disclosure of
such medical records and bills.
At the time of this initial response, this family law case does not allege physical or mental injury,
and therefore is not requesting damages resulting from any physical or mental injury. Therefore
no response to this request is needed at this time. This Response will be amended, as needed.
11. Medical records or bills from 3rd party authorizations.
See Texas Rule of Civil Procedure 194.2(b)(11).
Produce copies of all medical records and bills that you have obtained by using an authorization
that the other party gave you.
At the time of this initial response, this family law case does not allege physical or mental injury,
and therefore is not requesting damages resulting from any physical or mental injury. No
response to this request is needed at this time. This Response will be amended, as needed.
12. Responsible 3rd parties.
See Texas Rule of Civil Procedure 194.2(b)(12).
State the name, address, and telephone number of any person who may be designated as a
responsible third party.
At the time of this initial response no responsible third parties have been identified. This
Response will be amended, as needed.
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
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Page 6 of 9
Required Initial Disclosures for Family Law Cases
S
ee Texas Rule of Civil Procedure 194.2(c).
1. Information Related to Real Property
See Texas Rule of Civil Procedure 194.2(c)(1)(A)
You need to gather documents related to real property. Give your spouse:
• All deed and lien information on any real property owned, and
• All lease information on any real property leased.
You will need information that goes back for the past two years, unless you have been married
less than two years. If you have been married less than two years, you give your spouse
documents going back to the date you got married.
This can include things like deeds, closing documents, and mortgage statements. And you
need to include documents related to property you owned before the marriage or inherited.
If you do not have access to the accounts, and your name is on the account, you need to make
a good faith effort to get the documents. For example, you can reach out to the title company,
landlord, or lender.
Property Address/Location
Closing
Documents
attached
(Y/N)
Mortgage
Statements
attached
(Y/N)
Home
Equity LOC
documents
attached
(Y/N)
Date of
Purchase
Lease
documents
attached?
(Y/N)
2. Information Related to Pensions and Retirement (including SEP/IRA, IRA's, 401k
accounts, profit-sharing or other employee benefit plan)
See Texas Rule of Civil Procedure 194.2(c)(1)(B).
If you do not have access to the accounts and your name is on the account, make all efforts to get
the documents. You will need information that goes back for the past two years, unless you have
been married less than two years. If you have been married less than two years, you give your
spouse documents going back to the date you got married.
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
©TexasLawHelp
Page 7 of 9
Company name/Financial
Institution Name
Last four digits of
Account No.
Description of
documents
Current
Balance/Date
3. Insurance Policies: Life, Homeowners, Automobile and Health
See Texas Rule of Civil Procedure 194.2(c)(1)(C).
If you do not have access to the accounts and your name is on the account, make all efforts to get
the documents. You will need information that goes back for the past two years, unless you have
been married less than two years. If you have been married less than two years, you give your
spouse documents going back to the date you got married. . If your name is on an account, you
have “constructive possession” of the documents and you must diligently try to get copies.
Insurance company
name
Type of
coverage
Last four digits
of policy
number
Declaration
Page
attached to
this form?
(Y/N)
Invoices for
premiums
attached to
this form?
Name of
person
who pays
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
©TexasLawHelp
Page 8 of 9
4. I
nformation Related to Bank Accounts
See Texas Rule of Civil Procedure 194.2(c)(1)(D).
If you do not have access to the accounts and your name is on the account, make all efforts to get
the documents. You will need information that goes back for the past two years, unless you have
been married less than two years. If you have been married less than two years, you give your
spouse documents going back to the date you got married.
Name of Bank, Federal Credit
Union, Savings and Loans,
Brokerage Firms
Last four digits of
account number
Description of
documents
Current
Balance/Date
5. H
ealth Insurance Policies available for child(ren) and spouses
See Texas Rule of Civil Procedure 194.2(c)(2)(A)
In a suit in which child or spousal support is at issue, a party must, without awaiting a discovery
request, provide to the other party: (A) information regarding all policies, statements, and the
summary description of benefits for any medical and health insurance coverage that is or would
be available for the child or the spouse).
If you do not have access to the accounts and your name is on the account, make all efforts to get
the documents. You will need information that goes back for the past two years, unless you have
been married less than two years. If you have been married less than two years, you give your
spouse documents going back to the date you got married.
Insurance company name
Last four digits
of policy no.
Type of
Coverage
Declaration
Page/Premium
invoices
attached?
(Y/N)
Name of
person who
pays
DO NOT FILE THIS DOCUMENT WITH THE COURT.
FM-Div-Disc-101-Required Initial Disclosures-Divorce (Rev. 06-2021)
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6. Federal Income Tax Information
See Texas Rule of Civil Procedure 194.2(c)(2)(B).
I
f child support, spousal support, or both are part of this case: Attach two years of returns (if you do not
have possession of the return, log into www.irs.gov and request a copy of the transcript AND the return)
H
ave you attached it? Y/N (circle one)
A
ttach IRS Form W-2's, IRA Form 1099's and Schedule K-1 for the previous two years
Have you attached it? Y/N (circle one)
7. Payroll Information
See Texas Rule of Civil Procedure 194.2(c)(2)(C).
I
f child support, spousal support, or both are part of this case: Produce complete copies of your two most
recent payroll check stubs (log into your employee account, request from your human resources
department, request from company office manager/bookkeeper).
H
ave you attached it? Y/N (circle one)
Signature.
I
have completed the required disclosures and I have served them on my spouse.
Y
our signature: ______________________________________________________________
Y
our printed name: ___________________________________________________________
Certificate of Service
I
certify that a copy of the Required Disclosures and attached documents were served on my
spouse, ______________________________________________ (name of your spouse) on
___________________________ (date), by
(Check all that apply):
electronic file manager (e-filing)
email
first class (regular) U.S. Mail
certified U.S. Mail
registered U.S. Mail __________________________ (date).
by fax, to ___________________________ (number).
personal delivery by (me/my agent) (circle one).
commercial courier delivery service (such as Federal Express).
giving a copy to my spouse’s lawyer, ______________________________ (lawyer’s name)
via one of the above methods.
_______________________
_________________
Your signature
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
FM-DivA-201 Final Decree of Divorce [Divorce Set A] (Rev. 11-2021) Page 1 of 9
© TexasLawHelp.org
Final Decree of Divorce
A hearing took place on ____________________________.
Date
There was no jury. Neither the husband nor wife asked for a jury.
1. Appearances
Petitioner
The Petitioner’s name is: ______________________________________________________________.
First Middle Last
The Petitioner is the: (Check one box.) husband. wife.
(Check one box.)
The Petitioner was present, self-represented, and announced ready for trial.
The Petitioner was present, self-represented, and agreed to the terms of this Final Decree of Divorce
(called “Decree” throughout this document).
The Petitioner was not present but has signed on page 9 agreeing to the terms of this Decree.
Respondent
The Respondent’s name is: ____________________________________________________________.
First Middle Last
The Respondent is the: (Check one box.) husband. wife.
(Check one box.)
The Respondent was present, self-represented, and announced ready for trial.
The Respondent was present, self-represented, and agreed to the terms of this Decree.
The Respondent was not present, but filed an Answer or Waiver of Service and has signed on page
9 agreeing to the terms of this Decree.
The Respondent was not present, but filed a Global Waiver that waived Respondent’s right to notice
of this hearing and did not otherwise appear.
The Respondent was not present, but was served and has defaulted. The Petitioner has filed a
Certificate of Last Known Address and a Military Status Affidavit.
Cause Number:
Print cause number and other court information exactly as the court assigned.
In the Matter of the Marriage of
Petitioner:
In the ______________
(Court Number)
District Court
County Court at Law
Print first, middle and last name of the spouse filing for divorce.
And
Respondent:
County,
Print first, middle and last name of other spouse.
Texas
FM-DivA-201 Final Decree of Divorce [Divorce Set A] (Rev. 11-2021) Page 2 of 9
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2. Record (The Court fills out this section.)
A Court reporter recorded today’s hearing.
A Court reporter did not record today’s hearing because the parties agreed not to make a record.
A Statement of the Evidence was signed by the Court.
3. Jurisdiction
The Court heard evidence and finds that it has jurisdiction over this case and the parties, that the
residency and notice requirements have been met, and the Petition for Divorce meets all legal
requirements. The Court further finds that:
(Check one box.)
it has been at least 60 days since the Petition for Divorce was filed.
the 60 day waiting period is not required because: (Check one box.)
Petitioner has an active Protective Order under Title 4 of the Texas Family Code, or an active
magistrate’s order for emergency protection under Article 17.292 of the Texas Code of Criminal
Procedure against Respondent because Respondent committed family violence during the
marriage.
Respondent has a final conviction or has received deferred adjudication for a crime involving
family violence against Petitioner or a member of Petitioner’s household.
4. Family Violence Statement
It has been represented to the Court that: (
Check ONLY the option that applies to the situation.)
.
There has been no pattern of child neglect or family violence by any party to this case within two
years preceding the filing of this case or during the pendency of this case.
Or
There has been family violence (Check all that apply.):
while the divorce was pending
during the two years prior to the filing of this lawsuit.
5. Dates of Marriage and Separation (Check ONLY the option that applies to the situation.):
The date of marriage was on or about: _______________________________________________.
Month Day Year
This was an informal (common law) marriage.
6. Divorce
IT IS ORDERED that the Petitioner and the Respondent are divorced.
7. Children
7A. No Children Together
The Court finds that the spouses do not have any biological or adopted children together who are under
18 years old, or over 18 years old and still in high school.
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7B. Wife Not Pregnant
The Court finds that the wife is not pregnant.
7C. Did the wife have a child with another man while married to the husband?
(Check one box.)
The Court finds that the wife did not have children with another man while married to the husband.
The Court finds that the wife did have a child or children with another man while married to the
husband. All of the children born during the marriage that are not the husband’s adopted or biological
children are named below:
Child’s name
Sex
Date of Birth
1
2
3
4
5
If the wife had a child with another man while married to the husband, check one box below and attach
copy of court order or Acknowledgement and Denial of Paternity for each child.
The Court further finds that paternity of each child listed above has been established,
A court order has established that another man is the biological father and/or the husband is not
the biological father of the child(ren) listed above. A copy of the court order is attached to this
Decree as Exhibit ___.
An Acknowledgement of Paternity was signed by the biological father and a Denial of Paternity
was signed by the husband for the child(ren) listed above. A copy of each Acknowledgment and
Denial of Paternity is attached to this Decree as Exhibit(s) ________.
8. Property and Debt
(Fill in all lines. If there is no property to declare in a particular category, write “none”.)
The Court finds that the following is a just and right division of the parties’ property and debt.
8A. Husband’s Separate Property
The Court confirms that the husband owns the following property as his separate property:
1. House or Land located at: __________________________________________________________
Street Address City State Zip
Husband owned this property before marriage.
Husband received this property as a gift or inheritance.
2. Cars, trucks, motorcycles or other vehicles Husband owned these vehicles before marriage or
received them as a gift or inheritance during the marriage:
Year
Make
Model
Vehicle Identification No. [VIN]
3. Other Money or Property Confirmed as Husband’s Separate Property
Husband owned the following money or property before the marriage or inherited or received the
money or property as a gift during the marriage:
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Husband received the following money recovery for personal injuries that occurred during the
marriage that is not for lost wages or medical expenses:
8B. Husband’s Community Property
The Court ORDERS that the husband is awarded the following community property as his sole and
separate property and wife is divested of (loses) all right, title, interest and claim in and to that property.
wife is ORDERED to sign any deeds or documents needed to transfer any property listed below to the
husband. Husband is responsible for preparing the documents.
1. All property in husband’s care, custody or control, or in husband’s name, that this Decree does not
give to the wife.
2. House or land located at:
Street Address City State Zip
Legal Description:
Note: The legal description is on the deed you received when you became an owner of the house or land.
It is also available at the county clerk’s office in the county where the house or land is located. Do NOT
use the legal description listed on your property tax bill because it is usually incomplete. IT IS VERY
IMPORTANT THAT THIS INFORMATION IS CORRECT. If you are not absolutely sure, talk to a lawyer.
3. All cash and money in any bank or other financial institution listed in husband’s name alone.
4. Any insurance policy that covers husband’s life.
5. Husband’s cars, trucks, motorcycles or other vehicles listed below:
Year
Make
Model
Vehicle Identification No. [VIN]
6. Husband will also keep the following property:
8C. Wife’s Separate Property
The Court confirms that wife owns the following property as her separate property:
1. House or Land located at:
__________________________________________________________________________
Street Address City State Zip
Wife owned this property before marriage.
Wife received this property as a gift or inheritance.
2. Cars, trucks, motorcycles or other vehicles Wife owned these vehicles before marriage or
received them as a gift or inheritance during the marriage:
Year
Make
Model
Vehicle Identification No. [VIN]
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3. Other Money or Property Confirmed as Wife’s Separate Property
Wife owned the following money or personal property before the marriage or inherited or received the
money or property as a gift during the marriage:
Wife received the following money recovery for personal injuries that occurred during the marriage
that was not for lost wages or medical expenses:
8D. Wife’s Community Property
The Court ORDERS that the wife is awarded the following property as her sole and separate property and
Husband is divested of (loses) all right, title, interest and claim in and to that property. Husband is
ORDERED to sign any deeds or documents needed to transfer any property listed below to the wife.
Wife is responsible for preparing the documents.
1. All property in wife’s care, custody or control, or in wife’s name, that this Decree does not give to the
Husband.
2. House or land located at:
Street Address City State Zip
Legal Description:
Note: The legal description is on the deed you received when you became an owner of the house or land.
It is also available at the county clerk’s office in the county where the house or land is located. Do NOT
use the legal description listed on your property tax bill because it is usually incomplete. IT IS VERY
IMPORTANT THAT THIS INFORMATION IS CORRECT. If you are not absolutely sure, talk to a lawyer.
3. All cash and money in any bank or other financial institution listed in wife’s name alone.
4. Any insurance policy that covers wife’s life.
5. Wife’s cars, trucks, motorcycles, or other vehicles listed below:
Year
Make
Model
Vehicle Identification No. [VIN]
6. Wife will also keep the following property:
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8E. Retirement Funds in Husband’s Name
(For example: pension, retirement, 401(k), 403(b), employee stock ownership, profit sharing, thrift,
Keogh, and stock option plans, as well as individual retirement accounts (IRAs), annuities and variable
annuity life insurance benefits.)
The Court makes the following orders regarding retirement funds in husband’s name.
(Check 8E(1) or 8E(2).)
8E(1) Husband is awarded 100% of all retirement funds in husband’s name alone, including but not
limited to all rights to any pension, retirement, military retirement, 401(k), 403(b), employee
stock ownership, profit sharing, thrift, Keogh, and stock option plans in husband’s name
alone, along with 100% of any individual retirement accounts (IRAs), annuities, and variable
annuity life insurance in husband’s name alone.
8E(2) The following retirement funds in husband’s name are divided between husband and wife:
(It is very important to list the exact name and account number of any retirement fund the Court is dividing.)
Formal Name of Retirement Fund
Account Number
The Court ORDERS that the portion of each retirement fund listed above accrued between
the date of the marriage _____/_____/________ and the date this Final Decree of Divorce is
signed by the Court:
(Check one.)
is awarded 50% to husband and 50% to wife and as more specifically described in
the Qualified Domestic Relations Order signed by the Court.
is awarded ______% to husband and ______% to wife and as more specifically
described in the Qualified Domestic Relations Order signed by the Court.
is awarded $ __________________ to wife and the remainder to husband and as
more specifically described in the Qualified Domestic Relations Order signed by
the Court.
other:
The Court ORDERS that husband is awarded all retirement funds in husband’s name alone
that are not specifically awarded to wife above.
A Qualified Domestic Relations Order was signed by the Court on the same day this
Final Decree of Divorce was signed by the Court.
The Court checks this box, if applicable.
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8F. Retirement Funds in Wife’s Name
(For example: pension, retirement, 401(k), 403(b), employee stock ownership, profit sharing, thrift,
Keogh, and stock option plans, as well as individual retirement accounts (IRAs), annuities and variable
annuity life insurance benefits.)
The Court makes the following orders regarding retirement funds in wife’s name.
(Check 8F(1) or 8F(2).)
8F(1) Wife is awarded 100% of all retirement funds in wife’s name alone, including all rights to any
pension, retirement, military retirement, 401(k), 403(b), employee stock ownership, profit
sharing, thrift, Keogh, and stock option plans in wife’s name alone, along with 100% of any
individual retirement accounts (IRAs), annuities, and variable annuity life insurance in wife’s
name alone.
8F(2) The following retirement funds in wife’s name are divided between husband and wife:
(It is very important to list the exact name and account number of any retirement fund the Court is dividing.)
Formal Name of Retirement Fund
Account Number
The Court ORDERS that the portion of each retirement fund listed above accrued between
the date of the marriage _____/_____/________ and the date this Final Decree of Divorce is
signed by the Court:
(Check one.)
is awarded 50% to wife and 50% to husband and as more specifically described in
the Qualified Domestic Relations Order signed by the Court.
is awarded ______% to wife and ______% to husband and as more specifically
described in the Qualified Domestic Relations Order signed by the Court.
is awarded $ __________________ to husband and the remainder to wife and as
more specifically described in the Qualified Domestic Relations Order signed by
the Court.
other:
The Court ORDERS that wife is awarded all retirement funds in wife’s name alone that are
not specifically awarded to husband above.
A Qualified Domestic Relations Order was signed by the Court on the same day this Final
Decree of Divorce was signed by the Court.
The Court checks this box, if applicable.
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8G. Debts to Husband
The Court ORDERS husband to pay the debts listed below:
1. All debts, taxes, bills, liens, and other charges, past, present and future, that are in husband’s name
alone unless this Decree requires otherwise.
2. Any debt husband incurred after separation. Date of separation: ____________________________.
Month Day Year
3. The balance due on any loan or mortgage for the real property (house or land) that this Decree gives
to husband alone.
4. The balance due on any loan for any vehicles that this Decree gives to husband alone.
5. All other debts listed below, which are not in husband’s name alone:
(such as credit cards, student
loans, medical bills, income taxes)
8H. Debts to Wife
The Court ORDERS wife to pay the debts listed below:
1. All debts, taxes, bills, liens, and other charges, present and future, that are in wife’s name alone
unless this Decree requires otherwise.
2. Any debt wife incurred after separation. Date of separation: ________________________________.
Month Day Year
3. The balance due on any loan or mortgage for the real property that this Decree gives to wife alone.
4. The balance due on any loan for any vehicles that this Decree gives to wife alone.
5. All other debts listed below, which are not in wife’s name alone:
(such as credit cards, student loans, medical bills, income taxes)
9. Muniment of Title
This Decree shall serve as a muniment of title to transfer ownership of all property awarded to any party
in this Final Decree of Divorce.
(A “muniment of title” creates an official record of ownership transfer.)
10. Name Change
The Court ORDERS the name of the: (Check all boxes that apply.)
Husband changed back to a name used before marriage, as it appears below:
________________________________________________________________________________
First Middle Last
Wife changed back to a name used before marriage, as it appears below:
________________________________________________________________________________
First Middle Last
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11. Court Costs
The costs of court shall be paid by the spouse who incurred them to the extent the party is required to pay
such costs. A spouse who filed a Statement of Inability to Afford Payment of Court Costs or Affidavit of
Indigency or Declaration of Indigency that was not successfully contested is not required to pay court
costs.
12. Other Orders
The court has the right to make other orders, if needed, to clarify or enforce the orders above.
13. Final Orders
Any orders requested that do not appear above are denied.
This Decree is a final judgment that disposes of all claims and all parties and is appealable.
Date of Judgment
Judge’s Signature
Judge’s Printed Name
By signing below, the Petitioner agrees to this Final Decree of Divorce in form and substance.
Petitioner’s Signature
Phone number
Petitioner’s Name (print)
Date
Mailing
Address:
Email:
Fax (if available)
By signing below, the Respondent agrees to this Final Decree of Divorce in form and substance.
Respondent’s Signature
Phone number
Respondent’s Name (print)
Date
Mailing
Address:
Email:
Fax: (if available)
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
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Notice of Current Address
I, , am a party in this case.
Print your full name
My current address is:
PRINT your name and information.
Name:
Telephone:
Email:
Fax number
(if available)
Mailing
Address:
Check only if applicable.
This is a new address and the purpose of this Notice is to update my address for the records
of the Court and other parties.
Respectfully submitted,
Your Signature
Date
Your printed name
Cause Number:
In the Matter of the Marriage of
Petitioner:
In the
______________
(Court Number)
District Court
County Court at Law
County, Texas
Print first, middle and last name of the spouse who filed for divorce.
And
Respondent:
Print first, middle and last name of other spouse.
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Certificate of Service
I will give a copy of this document to the other party’s attorney or the party (if the party does not
have an attorney) on the same day this document is filed with (turned in to) the Court as follows:
If I file this document electronically, I will send a copy of it to the party or the party’s attorney
through the electronic file manager if possible. If not possible, I will give a copy to the party or
the party’s attorney in person, by mail, by commercial delivery service, by fax, or by email.
If I file a paper copy of this document, I will give a copy of it to the other party or the other party’s
attorney in person, by mail, by commercial delivery service, by fax, or by email.
Your Signature
Date
NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA.
FM-DivA-600 – Affidavit for Prove-Up of Agreed Divorce (Rev. 10-2021)
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Cause Number:
Print court information exactly as it appears on the Original Petition for Divorce.
In the Matter of the Marriage of
In the
(Court Number)
Print first, middle and last name of the spouse filing for divorce.
and
Respondent:
Print first, middle and last name of other spouse.
,
County
Texas
Affidavit for Prove-Up of Agreed Divorce Without Children
My name is __________________________. I am above the age of eighteen years, and I am
fully competent to make this affidavit. The facts stated in this affidavit are within my personal
knowledge and are true and correct.
I am presently married to ______________________________________________.
Before the filing of this suit, I was a domiciliary of Texas for the preceding six-month period and
a resident of this county for the preceding ninety-day period.
I filed this divorce at least 60 days ago, on ___________________________ [date].
My spouse (check one) has been served and filed an answer
has signed a waiver of service
We were married on [date] __________________________, and we ceased to live together as
spouses on or about [date] ________________________.
Our marriage has become insupportable because of a discord or conflict of personalities that
destroys the legitimate ends of the marriage relationship.
There is no reasonable expectation of reconciliation.
There are no children under age 18 who were born or adopted during this marriage.
No other child is expected at this time.
There has been no family violence or abuse within two years before or during this suit.
There is no bankruptcy proceeding affecting this suit.
My spouse and I have entered into an agreement concerning the division of our property and
debts.
The terms of the agreement are just and right. The agreement is fair and equitable to both my
spouse and me.
FM-DivA-600 – Affidavit for Prove-Up of Agreed Divorce (Rev. 10-2021)
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Name Change. Check this box and complete this section ONLY IF you, the person
completing this affidavit, are changing your name in this divorce.
The Petitioner/Respondent (circle one) is requesting a name change to
_________________________________________________, a name they had before
this marriage.
Check this box ONLY IF you, the person completing this affidavit, are changing your
name in this divorce.
I am not asking the court to change my name to avoid criminal prosecution.
Check this box ONLY IF you, the person completing this affidavit, are changing your
name in this divorce.
I am not asking the court to change my name to avoid payment of debt.
I have submitted an agreed decree of divorce, which has been signed by my spouse and me.
I am asking the court to grant a divorce and approve all the agreements we have entered into.
Verification (Party must sign in front of a notary below.)
I am the [Petitioner/Respondent] (circle one). I swear under oath that the facts stated in this Affidavit
are true and correct.
ONLY sign in front of a notary!
Signature of Affiant
[Notary Stamps Here]
Notary’s Signature
Notary fills out below.
State of
(Print name of state where this petition is notarized)
County of
(Print the name of the county where this Petition is notarized)
Sworn to and subscribed before me, the undersigned notary, on this date:
/
/
by
(Print name of person who is signing this Petition. NOT the notary’s name.)
