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Question	Answer
Form Name	Vs 4 Form
Form Length	1 pages
Fillable?	Yes
Fillable fields	48
Avg. time to fill out	9 min 55 sec
Other names	vs 4 virginia, virginia vs4 form, va tax form pdf, report of divorce or annulment vs 4 form

12

Form Preview Example

NOTE:

ITEMS 1-30 ON THIS FORM TO BE COMPLETED BY PETITIONER OR ATTORNEY AND FILED WITH CLERK OF COURT WITH PETITION OR DECREE

PLEASE PREPARE BY TYPEWRITER OR PRINT IN BLACK UNFADING INK. THIS IS A PERMANENT RECORD

CLERK OF COURT WILL CERTIFY AND FORWARD TO STATE REGISTRAR BY 10TH DAY OF MONTH FOLLOWING DATE FINAL DECREE IS GRANTED

Section 32.1-268

CODE OF VIRGINIA

VS4 7/15

COMMONWEALTH OF VIRGINIA- REPORT OF DIVORCE OR ANNULMENT

Department of Health- Division of Vital Records- Richmond

1. CIRCUIT COURT FOR CITYOR COUNTYOF

I STATE FILE NUMBER

2. FULL NAME

PARTYA

(check one)

0 HUSBAND

0 WIFE

D SPOUSE

(first. middle, last, suffix)

I 5. DATE OF BIRTH

(maiden name, if any)

I

3. SOCIAL SECURITYNUMBER

4. PLACE OF BIRTH

(state or foreign country)

16. RACE

17. SEX

8. NUMBER OF THIS MARRIAGE (first, second, etc.)

I 9. EDUCATION (specify only highest grade

completed)

10. USUAL RESIDENCE

Elementary or Secondary (0-12)

College (1-4 or 5+)

(street number or rural route number)

(city or

town)

(county if not independent city)

(state)

11. FULL NAME

PARTYB

(check one)

0 HUSBAND

D

WIFE

D SPOUSE

(first, middle, last, suffix)

(maiden name, if any)

112. SOCIAL SECURITYNUMBER

13. PLACE OF BIRTH (state or foreign country)

114. DATE OF BIRTH

1

15. RACE

116. SEX

17. NUMBER OF THIS MARRIAGE (first, second, etc.)

1

18. EDUCATION (specify only highest grade completed)

19. USUAL RESIDENCE

Elementary or Secondary (0-12)

College (1-4 or 5+)

(street number or rural route number)

(city or town)

(county if not independent city)

(state)

20. PLACE OF MARRIAGE

(city or town)

(county)

(state or foreign country)

121. DATE OF MARRIAGE

122. DATE OF SEPARATION

23. NUMBER OF CHILDREN UNDER 18

24. NUMBER OF CHILDREN UNDER 18 IN THIS FAMILYWHOSE PHYSICAL CUSTODY\/VAS

AWARDED TO:

IN THIS FAMILY

Party A

Party B

Joint (Party A/Party B)

Other

DNo Children

25. PLAINTIFF

OPARTYB

OBOTH

26. DIVORCE GRANTED TO

0BOTH

I

27. LEGAL GROUND OR

CAUSE OF DIVORCE (if annulment- so state)

OPARTYA

DPARTYA

D PARTYB

28. INFORMANT'S

D PETITIONER

SIGNATURE

29. NAME OF INFORMANT (Type or Print)

I

30. ADDRESS OF

D ATTORNEYFOR PETITIONER

(street number or rural route number)

(city or town)

(state)

I CERTIFYTHAT A FINAL DECREE OF

INFORMANT

CONCERNING THE ABOVE

WAS ENTERED

(divorce or annulment)

(date of divorce or annulment)

MARRIAGE ANO WAS NUMBERED

(court file number)

SIGNATURE OF CLERK OF COURT OR DEPUTY

NAME OF CLERK OR DEPUTY	(Type or Print)

How to Edit Vs 4 Form Online for Free

Our PDF editor was built to be as straightforward as possible. Since you adhere to these steps, the process of completing the vs4 form in excel document will be simple and easy.

Step 1: Select the orange button "Get Form Here" on this website page.

Step 2: Once you have entered the vs4 form in excel editing page you'll be able to notice the whole set of options you can conduct about your file within the upper menu.

Complete the vs, 4 form in excel PDF by typing in the text necessary for each part.

step 1 to writing vs4 form virginia

Add the essential information in the Section, CODE, OF, VIRGINIA Party, AD, PARTY, AD, PARTY, B, BOTH D, PETITIONER, D, ATTORNEY, FOR, PETITIONER number, or, rural, route, number, city, or, town Joint, Party, A, Party Party, B Other, D, No, Children, so, state state, DATE, OF, MARRIAGE, DATE, OF, SEPARATION ADDRESS, OF, street, INFORMANT, I, WAS, ENTERED divorce, or, annulment state, date, of, divorce and or, annulment part.

step 2 to entering details in vs4 form virginia

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