Waiver of Service Only (Specific Waiver) at a glance
What it is: Waiver of Service Only (Specific Waiver): the person who signed this affidavit appeared before the notary and stated under oath: I am the Respondent in this case.
Notary: Sign this form in front of a notary. Do not sign until you are standing in front of the notary.
A filled-in Waiver of Service Only (Specific Waiver) example: a Respondent signs in front of a notary
How to fill out Waiver of Service Only (Specific Waiver), box by box
Cause Number and the court
Enter the Cause Number. Print court information exactly as it appears on the Original Petition for Divorce.
Petitioner: print first, middle and last name of the spouse filing for divorce.
Respondent: print first, middle and last name of other spouse.
Children of you and your spouse
AND IN THE INTEREST OF: list all children you and your spouse have together who are under 18 or still in high school.
Your name, mailing address, phone number and email address
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.
Driver's license number
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.
Social security number
The last three numbers of my social security number are: ___ ___ ___. Or I do not have a social security number.
Military Status
Military Status (Check one box.) I am not in the military. I am in the military. I agree to the provisions stated in this form 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
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.
Signing in front of a notary
Signature of Respondent (Do NOT sign until you are in front of a notary.) and Date.
Notary fills out State of and County of.
Print name of state where this Affidavit is notarized. Print the name of the county where this Affidavit is notarized.
Sworn to and subscribed before me, the undersigned notary, on this date: Month day year at a.m./p.m. time circle one by (Print name of person who is signing this Affidavit. NOT the notary's name.) Notary's Signature and Notary Stamps Here.
More rules for Waiver of Service Only (Specific Waiver)
Fill out this form completely. You MUST include your mailing address.
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 s/he is 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.
Common questions about Waiver of Service Only (Specific Waiver)
Does it need a notary?
Sign this form in front of a notary. Do not sign until you are standing in front of the notary.
Is there a deadline?
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.
Where do I file it?
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.
Sources
[1] Waiver of Service Only (Specific Waiver), FM-DivB-103 [SET B] (Rev. 09-2015), TexasLawHelp.org (the Official source link on this page).
