How to Get an Agreed Divorce in Tennessee

If you have NO children who are under 18, disabled or in high school
and you do NOT own buildings or land or a business with your spouse, or have retirement benefits.

This packet has the court forms you will need to get an agreed divorce. It also explains:

 What an agreed divorce is.  How to get ready for your court hearing.
 Who can get an agreed divorce.  Answers to common questions about divorce.
 Steps to get an agreed divorce.
 What goes in a Divorce Agreement.

What is an agreed divorce? Do I need a lawyer?

Agreed means that you and your spouse agree on It is always good to talk to a lawyer if possible.
all points of your divorce AND you must meet all You need a lawyer if:
the rules below. An agreed divorce is easier and  You find the court papers hard to understand;
faster. It costs less than a regular divorce  You or your spouse has an IRS qualified
because: pension or retirement plan;
 There are fewer court papers to fill out.  You or your spouse own buildings or land (this
 You don’t have to have a lawyer. But it’s best is called real property);
to talk to a lawyer before starting any divorce.  You or your spouse own a business;
 Your spouse won’t sign the Divorce
Can anyone get an agreed divorce with this Agreement;
packet?  Your spouse has a lawyer;
 You have questions about your divorce. The
No! It is only for couples if ALL of these are court can’t give you legal advice;
true:  You don’t know how to locate your spouse;
 One or both of you lived in Tennessee for at  Your spouse over controls you or makes you
least the past 6 months OR you both lived in
afraid to disagree; OR
Tennessee when you decided to divorce;
 There is domestic violence. (See page 2 of these
 You and your spouse have no children instructions for free legal help.)
together who are under 18, in high school, or
are disabled. Important! Only want a lawyer for part of the
case? It is always best to talk to a lawyer, if
Children together means children you had possible. Having a lawyer look at your
together that were born before your marriage Divorce Agreement can help you.
AND any born or adopted during your
marriage.
Where can I find a lawyer?
 Neither spouse is not pregnant;
 Your county’s Bar Association. This is a
 You both want to end your marriage; group that lawyers join. They may have
programs that can give you free advice. Or
 You don’t own buildings or land or a business they can refer you to a lawyer.
together or have retirement benefits; AND  Look under “lawyer” in the yellow pages.
 Search for “lawyer” on the internet.
 You can agree on alimony and how to divide
your property, and will both sign a Divorce  Ask divorced friends which lawyer they used.
Agreement (Form 5).  Check the Administrative Office of the Court’s
website at: www.tncourts.gov and the Court's
Access to Justice website,
If any of these are not true for you, you
can’t use this packet! Talk to a lawyer.

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Where can I get legal help and information? Mediation Can Help You and Your Spouse
Agree.
 Legal information and advice hotline -
1-844-Help4TN (1-844-435-7486) You cannot use these forms or this packet if you and
your spouse can't agree on everything in the Divorce
 www.Help4TN.org
Agreement. However, a mediator is someone who
o See if you qualify for free legal help helps people agree. The mediator meets with you
online and your spouse to try to help you and your spouse
o Find legal information find an agreement that is ok for both of you. Many
Court Clerks have lists of mediators that you may
o Find a list of free legal advice clinics contact.
across the state
Note: Are you a victim of domestic violence?
Free Legal Help Then you don’t have to meet the mediator with
for Domestic Violence Victims your spouse. You and your spouse can have
separate meetings. Sometimes a judge can waive
Does your spouse hurt or threaten you? There mediation.
are special programs that can help you get free
legal advice. They can also help if your spouse What if the mediator can’t help us agree?
won’t agree to a divorce. Call these FREE Then you can’t use this packet. Talk to a lawyer
hotlines to find help near you. about filing a regular divorce.
 Tennessee Coalition for Domestic and Sexual
Violence – 1-800-356-6767 / www.tcadsv.org
 Domestic Violence hotline – 1-800-799-7233

Before you fill out the forms, you need to know that
it is against the law to commit perjury.
Perjury is when you lie to the court on purpose.

Always tell the truth when you fill out the

forms and when you are in court.

Steps to Get an Agreed Divorce

Tip! Make extra copies of the blank forms in this packet. This is in case you make a mistake. Also, make
copies of all papers you give the Court Clerk. Ask the Clerk to date-stamp your copy. Keep all your date-
stamped divorce papers in a folder or envelope. Bring it with you when you go to court.

The top of all the forms looks the same. There is a big box with 3 rows. There is an example of this
box on page 3 of these instructions. The information in this box is important.
The first box in Row 1 shows that you are filing for divorce in Tennessee.
The second box in Row 1 shows the type of court where you will file for divorce. Fill out the type of
court where you will file for divorce. If you don't know which court, leave this box empty. Ask the court
clerk which court will hear your divorce. Then write that court in this blank. See page 5 of these
instructions for more information.
The third box in Row 1 shows the name of the county where you will file for divorce. Page 5 of these
instructions has information on what county you can file in. Write the name of the county where you will
file for divorce in this box.

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July 2017 Agreed Divorce Instructions
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 The first box in Row 2 tells the name of the form and the form number.

The second box in Row 2 has a blank for a file number and division.
Important! The court clerk will tell you the file number when you file the paperwork. Do not write in a
file number until you get this information from the court clerk.
Important! Some large counties have different court divisions. Check with the court clerk to see if
the court has divisions in your county. Do not fill in the division blank unless the court tells you that
there is a division.

Row 3 is where you list your name and your spouse's name.
The spouse who is filing the divorce is the Plaintiff. The other spouse is the Defendant.

The information you fill out in the big box must be the same on each form.

State of Tennessee Court County

File No.
Form (Must Be Completed)
Name and Division
Number (Large Counties Only)

Plaintiff
(Name: First, Middle, Last of spouse filing the divorce)

Defendant
(Name: First, Middle, Last of the other spouse)

Step 1 You and your spouse MUST fill out these papers. The Court Clerk can’t do this
for you. When they are filled out, go to the Court Clerk’s office and give them
(file) these papers:
 Request for Divorce, Form 1. Must be signed and notarized.
 Spouses’ Personal Information, Form 2
Fill it out and put it in a letter-size envelope. On the outside, write both spouses’
names and your case number. The Court Clerk will give you your case number.
 Check with your Court Clerk to see if you need to fill out a Civil Case Cover Sheet or a
summons.
Step 2 If you can’t afford to pay the filing fee, also fill out and give the Court Clerk (file):
If you  Request to Postpone Filing Fees and Order, Form 3
The court may let you pay the filing fees at the end of your case. You and your spouse must
need it decide how you will split the cost of the filing fees
Step 3 Complete the Health Insurance Notice for Divorcing Spouses (Form 4):
 Health Insurance Notice, Form 4
Fill it out, file with Clerk and mail a copy to your spouse by certified mail. Keep a copy for
your records. Not on each other’s health insurance or don’t have health insurance? Then
write that on the paper.

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Step 4 Fill out these papers and give them to the Court Clerk (file):
 Divorce Agreement, Form 5. Must be signed and notarized by both you and your spouse.
 Final Decree of Divorce, Form 6. Must be signed by both you and your spouse.
 Court Order for Divorcing Spouses, Form 7 Must be signed by both you and your spouse.
Both spouses must obey this order!
 Divorce Certificate
Ask the Clerk for this paper. Don’t use a copy. Fill out as much of it as you can. Ask the
Clerk about the deadline for this paper.
 Notice of Hearing to Approve Irreconcilable Differences Divorce, Form 8

Step 5 Wait at least 60 days after filing your Request for Divorce (Form 1) then:
 Call the Clerk. Has it been more than 180 days since the last person signed the Divorce
Agreement? Then you must fill out a new Divorce Agreement.
 Ask the court clerk how to get a court date for the Final Divorce Hearing. Ask if you need any
other papers to set the hearing date.
 If needed, complete and file the Notice of Hearing to Approve Irreconcilable Differences
Divorce, Form 8, with the Court Clerk. You must mail your spouse a copy.
Step 6 Go to the Courthouse on the date of your Final Divorce Hearing.
 It’s best if both spouses go, but if you are the spouse who filed the divorce, you must go to the
hearing. It's best if both spouses go to the hearing. Even though you and your spouse agree
on the divorce, the judge still must approve the forms. The judge may have questions on the
forms. It's in your best interest to be in court so you can answer the judge's questions. Some
counties require that both spouses go to the hearing. Check with the Court Clerk.
 What if only one spouse goes and the judge changes something? You will have to go back
to court later. Bring copies of all the date-stamped divorce papers with you. Bring a copy of
the Final Decree of Divorce, Form 6.

Step 7 After the hearing, go to the Court Clerk’s office. Ask how to get the signed copy
of the Final Divorce Order. You may have to pay for copies. You will have to
pay for certified copies.
 If you asked that your name be changed in the divorce papers, get a certified copy
of the Final Divorce Order.
 If your spouse did not go to the hearing, you must mail him/her a copy of this Order.

Get ready for your Court Hearing

 It's best if both spouses go to the hearing.
Before the hearing: Some counties require both spouses to go.
Check with the Court Clerk. You don’t
 Dress neatly. Wear clothes that look like a
need witnesses.
businessperson. Wear clothes that show
respect for the court. This means:  Get to court early on the day of your hearing.
No shorts. You may need to find parking and go through
 No tank tops or low cut tops. security.
No crop tops that show your belly.  Go to the Clerk’s Office to make sure your
No T-shirts with words or pictures. case is on the calendar.
Turn off your cell phone or pager.  Sit down in the courtroom. Wait for your name
 Take all of your court papers. to be called. (There may be other cases
ahead of you.)
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At the hearing:
What if there are mistakes on the divorce
 Step forward when your papers? The judge may ask both spouses to
name is called. make the changes and initial them. If both
 You will be asked to raise spouses aren’t there, you will have to
your right hand and take an come back another day to correct them.
oath to tell the truth.
 After you swear to tell
the truth, say this: At the hearing:
"My name is .
I am the Plaintiff in this case. I am here to get Once approved, the judge will sign the Final
a Final Divorce Order." Divorce Order. Your divorce is not final until the
judge signs the Final Divorce Order and it is filed
 Don’t sit down until your case is over. with the Clerk.
 When you speak to the judge, say, “Your Helpful Tip! After the court makes the Final
Honor.” Be polite. Divorce Order, each spouse has 30 days to
 The judge will look at your court papers and appeal. During this 30-day period, you shouldn't
may ask questions. Listen carefully. Never get married again or buy any property
butt in. Don’t talk until the judge asks you a After the hearing, ask the Court Clerk for certified
question. Answer all questions fully and tell copies of the Final Divorce Order and Divorce
the truth. What if you don’t understand a Agreement. You may need this later.
question? Then ask the judge to explain or
repeat it.
Common Questions About Agreed
The judge may ask you:
Divorce
 Your name and your To get an agreed divorce, do I have to prove
spouse’s name. that my spouse did something wrong?
 How long you have lived
in Tennessee. No. You just have to say that you and your
 If either spouse wants spouse can no longer get along and that you have
their old name back. no hope of working out your marriage problems.
 If a spouse is pregnant. The court calls this “irreconcilable differences”.
 If your Divorce
Agreement divides the Do I have to live in Tennessee to file for
property fairly. divorce here?
 If you want the court to grant the divorce. One or both spouses must have lived in Tennessee
 If you and your spouse have irreconcilable for at least the last 6 months OR you lived in
differences (cannot get along). Tennessee when you decided to divorce.

You may answer, like this: Where do I file my divorce papers?

 In the county where your spouse lives now.
 I have lived in Tennessee for at least 6  OR in the county where you and your
months. spouse lived when you all separated.
 We are not expecting a child now.
My spouse and I have no children together. What if your spouse is in jail or doesn’t live in
 My spouse and I have made a Divorce Tennessee? Then file in the county where you
Agreement that is fair. We have divided all live.
property and debt.
The court in each county is different. The divorce
 I want a divorce. court in your county could be a Circuit, Chancery,
 My spouse and I can’t get along any more. or General Sessions Court. Ask the Court Clerk if
We have no hope of working our marriage out. their court hears divorce cases. DON’T file them
in more than one court.

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 Will my divorce papers be public?  Coalition for Domestic and Sexual Violence
Yes, except for the paper called Spouses' 1-800-356-6767 – www.tcadsv.org
Personal Information, Form 2. The information in  National Domestic Violence hotline
that form will be kept secret. The other papers 1-800-799-7233
you and your spouse file at court are public  Legal Aid or Legal Services
record. To find a legal aid program near you go to
That means anyone can look at your file. Anyone www.Help4TN.org
can get copies of any papers in your file.  Tennessee Alliance for Legal Services
(615) 627-0956 / 50 Vantage Way, Suite 250,
Is there a fee to file my divorce Nashville, TN 37228
papers?
Yes. Each county has its own fee plus state fees. What is a Divorce Agreement?
Ask the Court Clerk’s office how much you will The Divorce Agreement is one of the papers you
have to pay. Bring cash with you. You must pay
must file to get an agreed divorce. It tells the court
the Court Clerk when you file your Request for what you and your spouse agreed about alimony.
Divorce. Many Court Clerks don’t take checks or
It says how you will divide your money, personal
credit cards. property and debts. You can't use these forms if
What if I can’t pay the filing fee up front? you or your spouse own buildings or land (real
property).
If you can't afford the fee now, you can ask if you
can pay it later. Fill out a Request to Postpone Doesn’t the court divide our property?
Filing Fees and Order, Form 3. Take it to the In an agreed divorce, the spouses decide these
Court Clerk's office. things together but the court has to approve. The
How soon can the divorce be granted? court wants to see that you divide your property
The soonest is 60 days after you file your Request and debts fairly. You have to list how all the
for Divorce. It usually will take longer. property is divided, even if you think the property
belongs only to one of you. The property division
Helpful Tip! After the court makes the Final does not have to be equal. The court may
Divorce Order, each spouse has 30 days to change things if the agreement is not fair. The
appeal. During this 30-day period, you court may change things if one spouse will not
shouldn't get married again or buy any property. have enough to live on.
Important! Until the divorce is final, you and your Do you and your spouse agree about how to
spouse can’t do some things. You and your divide the property fairly? Then most of the time
spouse can’t: the court will OK your agreement.
 Disobey the Court Order for Divorcing Important! The court will not OK your
Spouses (Form 7) OR agreement if it is unfair.
 Spend, give away, destroy, waste or use up Important! If a debt is in both spouses' names,
property from the marriage OR creditors may try to collect after the divorce from
 Harass each other OR either spouse even if the Divorce Agreement says
that one spouse or another will pay for it. If you or
 Stop or change insurance policies OR your spouse have a mortgage together, you
 Hide, change, or destroy electronic evidence cannot use these forms.
kept on a computer or memory storage device. Important! If either spouse is thinking of filing
What if I am a victim of domestic violence? bankruptcy, talk to a lawyer. It may cause problems
for the other spouse.
Did your spouse hurt or threaten you? To get an
agreed divorce you must talk to your spouse.
What if it is not safe to contact your spouse? Then
an agreed divorce may not work for you. These
free resources can help you. They can also help
if your spouse doesn’t want the divorce.

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What if my spouse will not sign the Divorce Agreement?
Then you can’t get an agreed divorce. Don’t use What if we can’t agree on alimony?
this packet.
Then you can’t get an agreed divorce. Don’t use
You can still file a petition for divorce but this packet. Is alimony important? Or is there a
you can't use these forms or this packet! big difference in salaries? Then talk to a lawyer.
You and your spouse may:
Will the court decide on alimony?  Talk to a mediator, who may be able to help
Alimony is money that one spouse pays the other you agree, or
for support. In an agreed divorce, the spouses  Talk to a lawyer, or
decide whether there should be alimony, how  File a regular divorce.
much it should be and for how long it should be
paid. This goes in your Divorce Agreement. The How do we divide retirement funds?
Court has to approve it.
If either spouse has retirement funds, then you
For example, some spouses decide that alimony need to talk to a lawyer. You can't use these
will be paid until: forms or this packet.
 The supported spouse remarries or lives with
Should I talk to a lawyer about the Divorce
another person, or
Agreement?
 The supported spouse finishes school, or
 One of the spouses dies. Yes! Talk to a lawyer about your property, debt,
and alimony. Some lawyers will help with just the
Alimony may make a significant difference in your Divorce Agreement. You do the rest of the case on
taxes. Talk to a tax expert before you sign the your own.
Divorce Agreement.

The judge will review the proposed alimony to

make sure it is fair.

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 Court County
State of Tennessee (Must Be Completed) (Must Be Completed)

Request for Divorce File No.

(Complaint) (Must be Completed)
Division
(Form 1) (Large Counties Only)

Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

This form is only for spouses who:

Have no children together who are under 18, in high school, or disabled, AND
Agree how to divide their personal property and debts, and have no land, or businesses,
or retirement benefits, except for Social Security, AND
Agree to sign and notarize the Divorce Agreement, AND
Lived in Tennessee when they decided to divorce OR one or both spouses lived in
Tennessee for at least 6 months.
If you do not meet these rules, you cannot use these forms. Please talk to a lawyer.
You cannot use these forms if a spouse is pregnant no matter who the father is.
You may not be able to use these forms if either spouse is in the military. See sections 8 and 9.
Divorce Certificate - Get this official state paper from the court clerk. You must fill it out before
going to court.
ANSWER EACH QUESTION.
 Residency - (CHECK ALL THAT APPLY):
My spouse or I have lived in Tennessee for at least 6 months.
My spouse and I were living in Tennessee when the reason for this divorce happened.
Our differences arose in Tennessee.

 Venue – (CHECK ONE) I am filing for divorce in this County because:

My spouse and I lived in this County when we separated.
Address:
Street Address City State Zip
My spouse lives in this County.
I live in this County and my spouse does not live in Tennessee, or is in jail.

 Reason for Divorce - My spouse and I can no longer get along, and we have irreconcilable
differences.

Children - My spouse and I have no children together who are under 18, in high school, or disabled.
Children together means children you had together, born before the marriage, and all children born or
adopted during the marriage. This includes all children either spouse had during the marriage.

No spouse is pregnant. (If a spouse is pregnant, you cannot use this form.)

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Date:
Marriage
 Date of Separation -
 Place:
My spouse and I decided to divorce on (CHECK ONE):
The date of filing this paper (REQUEST FOR DIVORCE); or
The date we started living apart: (MM/DD/YYYY):
We were married on (MM/DD/YYYY): in:
(City, County, State or Foreign Country)

Orders of Protection and Other Court Orders: Check the box that is true for you.
There is no Order of Protection.
The Order of Protection has ended (expired).
There is an Order of Protection now in this court. It will stay in effect until the divorce
judge changes it.
Attach a copy of the Order of Protection and write the case number
here: .
There is an Order of Protection now in a different court. It will stay in effect until the other
court ends it. Attach a copy of the Order of Protection. Write the case number
here: .

Restraining Order (check one):

No Restraining Order other than the Statutory Injunction, which applies in every divorce case,
has been in effect during this case. The Statutory Injunction tells both spouses not to spend, give
away, destroy, waste or use up property from the marriage.
Other (describe:

VICTIMS OF DOMESTIC VIOLENCE

You do not have to list a home address below. You may list an alternative address instead. For
example, you can list a P.O. Box instead. The local domestic violence agency can help you. Call
1-800-356-6767 or go to www.tcadsv.org

July 2017
(Form 1) Request for Divorce Page 2 of 5
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Plaintiff's Information
Name:

First Name Middle Name Maiden Name Last Name (now)

Address:
Street Address City State Zip
Birthplace
City and State or Foreign Country
Birth Date (MM/DD/YYYY):
Race: Hispanic Black Native Other:
American

How many marriages before this one? How long has he/she lived in Tennessee?
years months

Plaintiff's Employer:

Active Member of the Armed Services of the United States? Yes No

Reserve Member of the Armed Services of the United States on Active Yes No
Duty?
Yes No
Guard Member of the Armed Services of the United States on Active Duty?

If the answer is "yes" to any of the questions above, talk to a lawyer. You may not be able to use
these forms.

Name:
Defendant's Information

First Name Middle Name Maiden name Last name (Now)

Address:
Street address City State Zip
Birthplace
City and State or Foreign Country
Birth date (MM/DD/YYYY):

Race: White Hispanic Black Other:

How many marriages before this one? How long has he/she lived in Tennessee?
years months

Active Member of the Armed Services of the United States? Yes No

Reserve Member of the Armed Services of the United States on Active Yes No
Duty?
Yes No
Guard Member of the Armed Services of the United States on Active Duty?

If the answer is "yes" to any of the questions above, talk to a lawyer. You may not be able to use
these forms.
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 Financial Information

Real Property (House, Land, or Mobile Homes that are permanently attached to the ground)
My spouse and I:
Do NOT own Real Property. If either of you have REAL Property, you cannot use these forms.

Personal Property (such as Cars, Mobile Homes (not permanently attached to the ground), Bank
Accounts)
Own personal property and have filed the Divorce Agreement (Form 5) that lists how our
property is divided.
Do not own Personal Property (such as Cars, Mobile Homes, Bank Accounts)
(If either of you has a Pension or Retirement Account, except for Social Security, or own a
Business, you cannot use these forms. Please see a lawyer first.)

Debts – My spouse and I (check one):

Do NOT have debts.

Have debts and have filed a Divorce Agreement (Form 5) that lists how our debts are divided.
One or both of us has filed for a Bankruptcy and it is still active.

Alimony (check one):

Neither spouse wants alimony.
One of the spouses wants alimony, as agreed to in our Divorce Agreement.

Name Change (check below to change a spouse’s name back to the name used before this
marriage, either a maiden name or previous married name)
Plaintiff requests
First Name Middle Name Last Name

Defendant requests
First Name Middle Name Last Name

Court Costs (check one):

Who will pay the court costs for this divorce?
Spouses will each pay half of the costs.
Plaintiff will pay all costs.
Defendant will pay all costs.
Other agreement: .

14 Divorce Agreement
Our signed Divorce Agreement (Form 5) is attached, and we ask the Court to approve it.

I ask the Court to grant this divorce, make the other orders I have asked for above, and to make any
other orders I am entitled to.

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 READ THE TEXT BELOW THEN SIGN ONLY IN FRONT OF A NOTARY

Signed at (City): on (Date):

(MM/DD/YYYY)
State of Tennessee, County of
(Name of County Where Notarized)

I know that Tennessee has laws against lying on purpose (perjury). I swear and affirm that:
As far as I know, the information on this form is true.
My request for divorce is serious.
My spouse and I have agreed not to lie about the information in this divorce. As
far as we know, we meet all the rules to use these forms.
SWORN to and SUBSCRIBED before me, on (date):
Signed at (City):

State of Tennessee, County of

By (Name of Person Filing for Divorce):

(Signature of Person Filing for Divorce):

Signature of Notary Public, State of Tennessee

My commission expires:
MM/DD/YYYY

(NOTARY’S SEAL)

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 Court County
State of Tennessee
(Must Be Completed) (Must Be Completed)
File No.
Both Parties' Personal Information- To Be (Must be Completed)
Filed Under Seal Division
(Form 2) (Large Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

This form asks for the personal contact information and Social Security Number of both spouses. To
protect your personal information, follow these steps:
1) Fill out this form.
2) Put the form in an unsealed envelope.
3) Write this information on the envelope: Names of both spouses, and Case Number of your case.
4) Give it to the clerk when you file your other court forms.
5) The court clerk will keep this information secret.

Plaintiff's Information

Name:

First Name Middle Name Maiden Name Last Name (now)

Address:
Street Address

City State Zip

Telephone Number:
Social Security Number: Birth date (MM/DD/YYYY):
Birth Place (State or Foreign Country):

Defendant's Information
Name:
First Name Middle Name Maiden Name Last Name (now)
Address:
Street Address

City State Zip

Telephone Number:
Social Security Number: Birth date (MM/DD/YYYY):
Birth Place (State or Foreign Country):
Personal Information Approved by the
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 Court County
State of Tennessee
(Must Be Completed) (Must Be Completed)
File No.
Request to Postpone Filing Fees and Order (Must be Completed)
(Uniform Civil Affidavit of Indigency) Division
(Form 3) (Large Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

If you cannot afford to pay the filing fees at this time, fill out this form.
And file it with the completed case documents.
Even if the judge approves this form, you may have to pay court costs at the end of the case.

 Your Information:

Address:

Street Address City State Zip

Telephone Numbers:

(Home) (Work) (Cell)

Birth Date: (MM/DD/YYYY):

 Dependents:
List your dependents below.

Dependents can be:

 Your children, and

 Anyone you can claim as a dependent on your taxes.

Name Age Relationship Name Age Relationship

1. 4.

2. 5.

3. 6.

July 2017 (Form 3) Request to Postpone Filing Fees and Order Page 1 of 4
Approved by the Tennessee Supreme Court
 Employment: If you are working now, fill out below. If you are not working now, check here: 
 Employer’s Name:

Employer’s Address:
Street Address

City State Zip

How much do you earn after taxes are deducted?
$ Each (Check One): Week Month Other:

 Other Income: List any other income that you get now or expect to get.
Source of Income How much do you get? Source of Income How much do you get?

AFDC  Unem ployment

$ / month $ / month
Social Security  Worker’s Comp.
$ / month $ / month
Retirement  Other*
$ / month $ / month
Disability SSI

$ / month $ / month

*Explain Sources of Other I n c o m e Here:

Other:

Assets: List all assets that you own separately, with your spouse, or with someone else:
 Fair Market Value - Money
Asset type: (what it's worth now) still owed = Balance

1. Car, truck, or other vehicle $

2. Other car, truck, or other vehicle $
3. House, condominium, land $
4. Other house, condominium, land $
List all bank/financial institutions below:
Bank name. Do not put account number. Balance
1. $
2. $
Cash $
Total: $
July 2017 (Form 3) Request to Postpone Filing Fees and Order Page 2 of 4
Approved by the Tennessee Supreme Court
 Other :

 Expenses:

How much each How much each

month? month?
 Rent/House Payment $  Gas $
 Phone $  Child Care $
 Groceries  Court-ordered Child
$ Support $
 School Supplies $  Transportation $
 Electricity $  Medical/Dental $
 Clothing $  Other $
 Water $  Other $

Debts:
How much do you How much do you
Who do you owe? owe? Who do you owe? owe?
1. $ 4. $
2. $ 5. $
3. $ 6. $


 I declare under penalty of perjury under the laws of the State of Tennessee that:
 The information I have provided is true, correct, and complete.
 I cannot afford to pay the filing fees at this time.

Perjury means lying on purpose. If I lie on purpose I may have to pay a fine or go to jail.

Sign here: Date:

Sworn and subscribed before me this day of , 20 .

Notary Public or Deputy Clerk My Term Expires

IMPORTANT!
Take any proof that supports your case to the hearing, including: witnesses, photos, papers,
receipts, etc. The court will not accept written statements from witnesses. The person must go to
court in person. If you think a witness may not want to go to court, ask the clerk for subpoena forms.
Complete the subpoena as soon as possible so the sheriff can serve them before court.
July 2017 (Form 3) Request to Postpone Filing Fees and Order Page 3 of 4
Approved by the Tennessee Supreme Court
 The court and clerks are not allowed to give you legal advice, even if you don’t have a lawyer.
This form is a public record. It is not legal advice. The law may change and it is best to consult
with a lawyer if possible.

Do Not Fill Out This Section Below. The Judge Will Fill This Section Out At Court.

 The court denies this Request because (judge will check all that apply):
 The applicant did not prove s/he cannot afford to pay costs associated with
this case at this time.
 The applicant did not go to the court hearing concerning this Form. This
Request is dismissed.
 The applicant must pay court costs of: $

 The court approves this Request and the applicant may file without paying the filing fees or costs at
this time.

Judge’s signature: Date:

NOTICE: After reading this paper, the judge may decide you must pay the fees up front. If that happens,
you have the right to a hearing before the judge. An appeal gives you a chance to tell your side. You
may be able to appeal your case to a Circuit Court. If so, you have a right to a hearing before the Circuit
Court Judge.
 July 2017 Page 4 of 4

State of Tennessee Court County

(Must Be Completed) (Must Be Completed)
File No.
Health Insurance Notice (Must Be Completed)
(Form 4) Division
(Larger Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

You must:
 Fill out this form completely, OR ask the person in charge of employee benefits where you work to
fill it out.
 File the copy with the Court.
 Mail a copy to your spouse by certified mail. Keep a copy of this form for your records.
Important! Your spouse must receive this notice at least 30 days before the insurance coverage
ends. Most courts require you to send this to your spouse before you can get a hearing date.

To (Spouse’s Name):

(Spouse’s Address): Street

address or P.O. Box City State
Zip
From (Your Name):

(Your Address): Street

Address or P.O. Box City State
Zip

If you do NOT have health insurance, check here. Fill out the Certificate of Service section
below. Mail a copy of the paper to your spouse. File this form with the court clerk’s office.
If you do HAVE health insurance that covers your spouse now, check here. Then fill
out the information about your health insurance policy that covers your spouse now:
Health Insurance Company: Policy Number:

(Employee Benefits Contact Person): (Name/Phone #/Street Address/City/State/Zip)

Check one:
This policy has COBRA. That means your spouse can keep the insurance after the divorce. BUT
s/he must apply by the deadline and pay the premiums and any fees. To learn more, speak to
the employee benefits person listed above.
This is a group insurance policy. Your spouse might be able to continue coverage under TCA
§56-7-2312(d)(1). To learn more, speak to the employee benefits person listed above. Your
spouse may also get insurance somewhere else.
This policy does not offer COBRA. That means your spouse will lose this insurance after the
divorce. Your spouse must get health insurance somewhere else.
My spouse is not covered by my policy.
Certificate of Service:
I hereby certify that a true and exact copy of this Health Insurance Notice was mailed to my
insured spouse on
(Date) . (MM/DD/YYYY) I sent it to the address listed above by certified

mail. Sign Here: Date (MM/DDD/YYY)

July 2017 (Form 4) Health Insurance Notice for Divorcing Spouses Page 1 of 1
Approved by the Tennessee Supreme Court

State of Tennessee Court County

(Must Be Completed) (Must Be Completed)
File No.
Divorce Agreement (Must Be Completed)
(Marital Dissolution Agreement) Division
(Form 5) (Larger Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

This form explains how you and your spouse will divide your property and debts.
You must file this form with your Request for Divorce, Form 1.

Warning! Divorce cases can be hard.

It is always good to talk with a lawyer, if possible.
For information on how to get legal help, call 1-844-Help4TN (1-844-435-
7486).

Check "yes" or "no" for each question below.

Is a spouse pregnant?
Yes No

Does either spouse have a pension or retirement plan? This includes any retirement
except Social Security. If you have any questions, see a lawyer.
Yes No

Does either spouse own a business?

 Yes No

Does either spouse have real property (real property is houses, land, mobile homes that
are permanently attached to the ground, condominiums, and cooperatives)?
Yes No

If you checked "Yes" for any of the questions above, you cannot use these forms. Please talk to a lawyer.

Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:

July 2017
(Form 5) Divorce Agreement Page 1 of 9
Approved by the Tennessee Supreme Court
We promise the Court that: (Check Yes or No for each box)

1. We are the Plaintiff and Defendant listed above. We are filing a Request for Divorce in the county and
court listed above. We can no longer get along as spouses. We understand our marriage rights and
duties. We want to get an agreed divorce.

 Yes  No

2. We agree on everything in the Request for Divorce. The Request for Divorce does not have to be
served, and there is no need to file an Answer.

 Yes  No
3. Each of us has read this whole Divorce Agreement. We agree it is fair. We agree that each of us has
told the other all information on assets and/or debts that we each have. We understand that the Divorce
Agreement will become part of our Final Divorce Order.

 Yes  No

4. My spouse and I have no children together who are under 18, in high school or disabled.

 Yes  No

Children together means children you had together that were born before your marriage AND all
children born or adopted during the marriage. This includes all children either spouse had during the
marriage.
5. No one made us sign this Agreement. We will sign any other papers needed to carry out this Agreement.

 Yes  No

6. Neither spouse is pregnant.

 Yes  No

7. We agree that this Request for Divorce will take effect only if the Court finds it fairly divides our assets
and debts and fully provides for the care and support of our children and if the Court grants a divorce.

 Yes  No

If you checked "No" on any box, you cannot use any of these forms to file for a divorce. If you have any
questions about the Request for Divorce, or about what might happen if either of you change your mind,
you need to speak with a lawyer before signing it.

Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:

July 2017 (Form 5) Divorce Agreement Page 2 of 9

Approved by the Tennessee Supreme Court
Plaintiff’s Personal Property

The Plaintiff will own the following property:

a. Vehicles (cars, motorcycles, trucks, boats, etc.)
Year Make Model VIN #

Vehicle 1
Year Make Model VIN #

Vehicle 2
Year Make Model VIN #

Vehicle 3

b. Other personal property like bank accounts, cash, furniture, jewelry, trailers, etc., not houses or
land!

Bank or Financial Account Number

Type of Account Account Balance
Institution (Last four Digits)
Check Account
Savings Account
Money Market
Account
Other Account
Other Account

Describe other personal property:

c. All personal property the Plaintiff has now is his/hers.

If you need more lines, copy this page. Make sure it is included when you file this paper.
Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:
July 2017 (Form 5) Divorce Agreement Page 3 of 9
Approved by the Tennessee Supreme Court
Defendant’s Personal Property
The Defendant will own the following property:
a. Vehicles (cars, motorcycles, trucks, boats, etc.)
Year Make Model VIN #
Vehicle 1
Year Make Model VIN #

Vehicle 2
Year Make Model VIN #

Vehicle 3

b. Other personal property like bank accounts, cash, furniture, jewelry, trailers, etc., not houses or
land!

Bank or Financial Account Number

Type of Account Account Balance
Institution (Last four Digits)
Check Account
Savings Account
Money Market
Account
Other Account
Other Account

Describe other personal property:

c. All personal property the Defendant has now is his/hers.

If you need more lines, copy this page. Make sure it is included when you file this paper.
Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:
July 2017 (Form 5) Divorce Agreement Page 4 of 9
Approved by the Tennessee Supreme Court
Debt
Notice: The Final Decree does not necessarily affect the ability of a creditor to proceed against a party
or a party's property, even though the party is not responsible under the terms of the decree for an
account, any debt associated with an account or any debt. It may be in a party's best interest to
cancel, close or freeze any jointly held accounts. T.C.A. §36-4-134.

What this means: This Order does not protect you against creditors. They may try to collect from
you, even if your spouse is supposed to pay the debt. It may be best to cancel, close, or freeze any
accounts you have together.

Plaintiff will pay all debts he or she has made since separating from the
other spouse. He or she will also pay for the following debts:

List all loans,

Name of Creditor
including car notes, Account Number Name on the Amount still
(person or
credit card, cash (last four digits) account owed
company you owe)
advance debts
1.
$
2.
$
3.
$
4.
$

If you need more lines, copy this page. Make sure it is included when you file this paper.

Are any of these debts listed above joint debts? It is a joint debt if both spouses signed a Note or legal
paper to pay the debt.

The Plaintiff will do his or her best to refinance or pay off these joint debts.

The Plaintiff has (choose one): 90 days  180 days  1 year from the date
the Court approves this Agreement to do so or otherwise take the other spouse's name off
of these joint debts.

What if the Plaintiff does not refinance or pay off the joint debts in that time?
Then the other spouse may take him or her back to Court.
The Court may order the Plaintiff's assets sold to pay off the joint debt(s).

Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:

July 2017 (Form 5) Divorce Agreement Page 5 of 9

Approved by the Tennessee Supreme Court
 Defendant will pay all debts he or she has made since separating from the other spouse. He
or she will pay for the following debts:

List all loans, Account Name on the

Name of Creditor
including car notes, Number (last account Amount still
(person or
credit card, cash four digits) owed
company you owe)
advance debts
1.
$
2.
$
3.
$
4.
$

If you need more lines, copy this page. Make sure it is included when you file this paper.

Are any of these debts listed above joint debts? It is a joint debt if both spouses signed a Note or
legal paper to pay the debt.
The Defendant will do his or her best to refinance or pay off these joint debts.

The Defendant has (choose one): 90 days 180 days 1 year from
the date the Court approves this Agreement to do so or otherwise take the other spouse's
name off of these joint debts.

What if the Defendant does not refinance or pay off the joint debts in that time?
Then the other spouse may take him or her back to Court.
The Court may order the Defendant's assets sold to pay off the joint debt(s).

We Both Agree on How to Divide the Debts

(Hold Harmless Provision)

Both the spouses agree to divide their debts as listed above. The Plaintiff agrees to pay all the debts listed
under "Plaintiff’s Debts.” The Defendant agrees to pay all the debts listed under “ Defendant’s Debts.” The
Plaintiff will not try to make the Defendant pay his/her debts. The Defendant will not try to make the
Plaintiff pay his/her debts.

The Plaintiff and Defendant understand that creditors can try to collect from both of them. A creditor may get
one spouse to pay the other spouse’s debt, even after the divorce is final. If that happens, the spouse who
has agreed to pay the debt will pay the other spouse back. He or she will pay back any payments and
reasonable lawyer’s fees the spouse paid. He or she will pay back any costs of trying to stop a creditor
from collecting the debt.

Plaintiff: Initials Date Signed: Defendant: Initials Date Signed:

July 2017 (Form 5) Divorce Agreement Page 6 of 9

Approved by the Tennessee Supreme Court
Alimony (check one):
Warning! This section can be very hard. Please talk with a lawyer if you need help with this section.
Alimony can only be changed if there are significant life changes. Sometimes it cannot be changed at all.
You have to get a court order to change alimony.

If you want alimony but do not agree on all the sections below, you cannot use this form.
You must fill out each section.

Neither spouse wants alimony

OR

1. The Plaintiff Defendant agrees to pay (amount) $: .

2. We agree that the alimony (check all the boxes that are true for your agreement):

 Will be paid until this date

 Will end when the one who gets the alimony dies or gets married again.

 Will end when the one who gets the alimony finishes school, or on ,
Whichever comes first.
 Or if this happens
 Will not be modified.

The court can modify the alimony due to significant changes in our lives, or if the person
receiving alimony lives with another person, with or without a romantic relationship.

3. We agree that the alimony will be paid (you must check one):
 Weekly
 Monthly
 Other:
 Lump sum paid all at one time.

Important! Both of us understand alimony may change our federal taxes. Unless we specifically
agree otherwise, the payor will be able to deduct it on his/her tax return and the person receiving it will
have to declare it as income. Our initials at the bottom of this page show we understand this. We
agree we are responsible for knowing, understanding and accepting this.

Name Change
Check below to change a spouse’s name back to the name used before this marriage (maiden
name or previous married name). A government agency or other business may need proof of this
name change. If so, give them a filed copy of this form.

 Plaintiff
First Middle Last
 Defendant
First Middle Last

Plaintiff Initials: Date Signed: Defendant Initials: Date Signed:

Appro
July 2017 (Form 5) Divorce Agreement Cour
Page 7 of 9
Court Costs will be paid by (check one)

 Plaintiff
 Defendant
 Plaintiff and Defendant will each pay half
 Other (explain):

Waiver of Service
By signing this Agreement, the Plaintiff and Defendant agree they do not have to serve each other with
divorce papers. This form is only good for 180 days after the last spouse signs it. Your final hearing must
be within those 180 days. If the 180 days has passed, you will have to fill out, sign, and file this form
again. The spouses understand that they do not have to file an Answer to a Complaint for Divorce.

Entire Agreement
This document says everything the Plaintiff and Defendant agreed to in this divorce. If they agreed
with each other about anything else, the court cannot make them do it.

Warning - Changes Modification

This form is a legal contract. It is very important this contract is completely filled out. Make sure that you are
OK with everything that is in it before you sign it. Speak to a lawyer before signing or if you have any
questions.

Plaintiff Initials: Date Signed: Defendant Initials: Date Signed:

July 2017 (Form 5) Divorce Agreement Page 8 of 9

Approved by the Tennessee Supreme Court
Read below, but only sign in front of a notary. Read below, but only sign in front of a notary.
You may sign at a different time than your You may sign at a different time than your
spouse, if you want. spouse, if you want.
Plaintiff Defendant
I know that Tennessee has laws against lying
I know that Tennessee has laws against
on purpose (perjury). I swear and affirm that:
lying on purpose (perjury). I swear and affirm
 As far as I know, the information on this form is that:
true.  As far as I know, the information on this form is
true.
 I have told my spouse about all property and all
 I have told my spouse about all property and all
debts that I know about. I have not kept any
debts that I know about. I have not kept any
property or debts a secret from my spouse before
property or debts a secret from my spouse
I signed this agreement.
before I signed this agreement.
 This is everything we have agreed to.
 This is everything we have agreed to.
 Any Agreements we have that are not listed above
 Any Agreements we have that are not listed above
are no longer any good.
are no longer any good.
I understand that even if one of us changes his I understand that even if one of us changes his
or her mind after we both sign it, the Court may or her mind after we both sign it, the Court may
still enforce the Request for Divorce. still enforce the Request for Divorce.

SWORN to and SUBSCRIBED before me, on SWORN to and SUBSCRIBED before me, on
(date): (date):
MM/DD/YYYY MM/DD/YYYY
Signed at (city): Signed at (city):

State of Tennessee, County of State of Tennessee, County

of By (Defendant):
By (Plaintiff):

Signature of Notary Public, State of Tennessee Signature of Notary Public, State of Tennessee
My commission expires on: My commission expires on:

MM/DD/YYYY MM/DD/YYYY

(Notary’s seal) (Notary’s seal)

Plaintiff Initials: Date Signed: Defendant Initials: Date Signed:

July 2017 (Form 5) Divorce Agreement Page 9 of 9

Approved by the Tennessee Supreme Court
 State of Tennessee Court County
(Must Be Completed) (Must Be Completed)
Final Decree of Divorce File No.
(with Marital Dissolution (Must Be Completed)
Agreement) Division
(Form 6) (Larger Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

If you are ready to finalize your divorce, you must fill out this form and file it with the court clerk. Only the
spouse asking for the divorce must sign it, and that spouse must go to the court hearing. BUT, it is a good
idea for both spouses to go in case the court has questions. Ask the court clerk for the rules in your county.
The Judge does not have to sign this Order if he/she thinks your Divorce Agreement is not fair.
Take a copy of this form with you to your court hearing. It is best to take all copies of documents you have
filed in this case and take:
Divorce Agreement, Form 5, signed by both spouses and notarized if not filed with Request for Divorce
Divorce Certificate - you must get the official state form and have it filled out before court.

Court Hearing and Findings:

On (Date) , there was a court hearing at the court and county listed above .
(MM/DD/YYYY)
before
(Judge's Name)

Parties at the Hearing:

Plaintiff (Spouse filing the divorce):

Street or P.O. Box City State Zip Phone #

Defendant (The other spouse):

Street or P.O. Box City State Zip Phone #

July 2017 (Form 6) Final Divorce Order Page 1 of 3

Approved by the Tennessee Supreme Court
The Court affirmatively finds as follows:

The spouses have sworn and affirmed that they do not have any children together who are under 18,
 in high school, or disabled and neither spouse is pregnant. Children together means children they
had together before the marriage and all children born or adopted during their marriage.

 The spouses have both signed under penalty of perjury a Divorce Agreement (Marital Dissolution
Agreement). That Agreement has disclosed fully the spouses' assets and liabilities and the court finds
it equitably settles any and all property rights between them.

 Alimony

 Neither spouse wants alimony OR

 The (check one): Plaintiff Defendant agrees to pay (amount):$

until (date): each
 Week Month Other

 The alimony will end on (date): OR

 The alimony will end when this happens

The spouses are now divorced based on irreconcilable differences and are restored to the rights and
 privileges of unmarried persons. The Divorce Agreement (Marital Dissolution Agreement) is now a
part of this Final Decree of Divorce.

 (Orders of Protection) check one):

 Neither party has a current Protective Order.

 The Court ends the current Protective Order.

 The Court continues the current Protective Order from this Court until (MM/DD/YYYY): .
Attach a Copy of the Order of Protection. Write the Case Number here:
 The parties have an Order of Protection in a different court. This Final Divorce Order does not
change that Order of Protection.
Attach a Copy of the Order of Protection. Write the Case Number here:

Restraining Order (check one):

 Neither party has a current restraining order or wants a restraining order.

 The Court order both parties not to hurt or threaten the other.

 The Court further orders that they cannot contact each other after the divorce is final. They
also cannot send messages to each other through other people.

July 2017 (Form 6) Final Divorce Order Page 2 of 4

Approved by the Tennessee Supreme Court
 Name Change (check one):
 This Order does not change either party's name.
 This Order changes the Plaintiff's name to:

First Name Middle Name Last Name

 This Order changes the Defendant's name to:

First Name Middle Name Last Name

Important! You need to change your name on your driver's license or other records. You may need a
certified copy of this Order to do that.

 Lawyers' fees
 Neither side has a lawyer.

 The Plaintiff will pay for his/her lawyer’s fees. The Defendant will pay for his/her lawyer’s fees.

 Other (explain):

Court Costs will be paid as follows (check one):


 The Plaintiff and Defendant will each pay half of the court costs.
 Plaintiff will pay all costs.
 Defendant will pay all costs.
 Other agreement: .

 Other Orders

Notice: The Final Decree does not necessarily affect the ability of a creditor to proceed against a party or a
party's property, even though the party is not responsible under the terms of the decree for an account, any
debt associated with an account or any debt. It may be in a party's best interest to cancel, close or freeze
any jointly held accounts. T.C.A. §36-4-134.

What this means: This Order does not protect you against creditors. They may try to collect from you,
 even if your spouse is responsible for the debt. It may be best to cancel, close, or freeze any accounts
you have together.

July 2017 (Form 6) Final Divorce Order Page 3 of 4

Approved by the Tennessee Supreme Court
This Order is made on Date (MM/DD/YYYY): by:

Judge's signature

This Order is not final until 30 days after the Judge signs it. During those 30 days, you
may have questions about remarrying or buying property. If so, talk to a lawyer.

Presented by:
Person Getting the Order
Plaintiff's Signature

Date (MM/DD/YYYY): Plaintiff's Phone Number:

Defendant's Signature

Date: (MM/DD/YYYY) Defendant's Phone Number:

If your spouse did not go to this hearing, you must mail him/her a copy of this signed Final Divorce Order.
Then fill out the part below.

Certificate of Service:

I swear and affirm that a copy of the Final Divorce Order was given to my spouse. It was delivered in person
or sent by first-class U.S. Mail to this address:

I did so on the day of 20 .

Spouse who mails it signs here

Date (MM/DD/YYYY): .

Street Address

City, State, Zip

Phone number:
ATTACHED:
Divorce Agreement - Marital Dissolution Agreement (if not already submitted)
Divorce Certificate (if not already submitted)
Other:
July 2017 (Form 6) Final Divorce Order Page 4 of 4
Approved by the Tennessee Supreme Court
 State of Tennessee Court County
(Must Be Completed) (Must Be Completed)
File No.
Restraining Order for Divorcing Spouses (Must Be Completed)
(Statutory Injunction) Division
(Form 7) (Larger Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)
Both spouses must obey all state law below until the divorce is granted.
If you do not obey them, you may be held in contempt.
Behavior You must not:
 Bother, harass, threaten, assault or abuse your spouse.
 Talk about your spouse in a bad way to or in front of your children, your spouse’s children, or
your spouse’s employer.
 Hide, destroy, or spoil any evidence stored on a computer hard drive or memory storage
device.

Property
& Money  DO NOT do anything to any property that makes it worth less money. This means you
can’t sell, spend, destroy, harm, transfer, assign, borrow against, hide, or do anything with it.
This is true unless the court orders it or your spouse agrees.
 You may use your income for expenses that:
– Let you keep living as well as you did when married,
– Pay the usual costs for your business the same way you always do.
 You must keep records of all expenses. If he/she asks, you must give your spouse copies
of those records.
Children You must not move the children:
 Out of Tennessee, or
 More than 50 miles from the home where you lived while married. This is true unless the
court orders it or your spouse agrees.
Important! Do you have a good reason to be afraid that your spouse might hurt you or your children?
Then you may go with your children to a safe place. Later, the other spouse may ask the court for an
emergency hearing and new Orders. The court can hold the hearing by phone, if needed.
Important! If you want to move with the children out of Tennessee or more than 50 miles away after the
divorce, Tennessee's relocation law applies. You must speak with a lawyer.
Insurance Unless the court orders it or your spouse agrees, you must not:
 Change, cancel, or transfer any insurance policy that covers either spouse or the children.
 Change, cancel, or transfer any insurance policy that names either spouse or the
children as beneficiary.
 Stop paying for any insurance policy premium that covers either spouse or the children.

You must follow this Order unless the court changes or ends it, OR your case is final or dismissed. OR
you and your spouse make an agreement. Either spouse may ask the court to change or cancel this Order.

Plaintiff's Signature

Defendant's Signature
July 2017 (Form 7) Court Order for Divorcing Spouses Page 1 of 1
Approved by the Tennessee Supreme Court
 State of Tennessee Court County
(Must Be Completed) (Must Be Completed)
File No.
Notice of Hearing to Approve (Must Be Completed)
Irreconcilable Differences Divorce Division
(Form 8) (Larger Counties Only)
Plaintiff
(Name: First, Middle, Last) of Spouse Filing the Divorce)
Defendant
(Name: First, Middle, Last of the Other Spouse)

This case is set for hearing at the court above on:  a.m.
 p.m.
, 20 at

(Month/Day)

Location: Room #
(Street) (City, State, Zip)

Presented by:

Person asking for the Hearing to approve the irreconcilable differences divorce

Certificate of Service

I swear and affirm that a copy of this Notice was given to my spouse. It was delivered in person or sent by first-
class U.S. Mail to this address:

I did so on the day of 20 .

Person asking for the Order:

Street Address:

City, State, Zip

Phone number:

July 2017 (Form 8) Notice of Hearing 1 of 1

Approved by the Tennessee Supreme Court