12. I am requesting to be restored to my former name .
(If you do not request your former name at this time, you may do so later by filing a motion within
18 months after the judgment of absolute divorce was entered.)
13. My grounds (legal reasons) for absolute divorce are (you may check more than one):
☐ Mutual Consent – My spouse and I have signed a written settlement agreement that resolves
issues relating to alimony, the distribution of property, and the care, custody, access, and support of
minor or dependent children. Neither of us has taken any action to set aside the agreement.
Attach a copy of your written and signed agreement. If your agreement provides for the
payment of child support, you must attach a copy of the completed Child Support
Guidelines Worksheet (Form CC-DR-034 for primary physical custody or CC-DR-035 for
shared physical custody).
☐ 12-Month Separation – From on or about , my spouse and I have lived
apart in separate residences, without interruption or sexual intercourse for 12 months or more
before the date of filing of this complaint.
☐ Adultery – My spouse committed adultery.
☐ Actual Desertion – On or about , my spouse deliberately, without just
cause or reason, abandoned and deserted me, with the intention of ending our marriage. This
desertion has continued without interruption for 12 months or more before the date of filing of this
complaint and there is no reasonable expectation we will reconcile (get back together).
☐ Constructive Desertion – On or about , I left my spouse because his/her
persistent conduct or cruel and vicious treatment towards me made continuing our marriage
impossible in order to preserve my health, safety, or self-respect. This conduct was the final and
deliberate act of my spouse and our separation has continued without interruption for 12 months or
more before the date of filing of this complaint, and there is no reasonable expectation we will
reconcile (get back together).
☐ Criminal Conviction or a Felony or Misdemeanor – On or about , my
☐ Cruelty/Excessivel
y Vicious Conduct Against Me and/or my Minor Children – My spouse’s
cruel and excessively vicious conduct toward me and/or my minor child(ren) has made continuing
the marriage impossible, and there is no reasonable expectation that we will reconcile (get back
together).
☐ Insanity – On or about , my spouse was confined to a mental institution,
hospital, or other similar institution, and has been confined for at least three (3) years before the
date this complaint was filed. Two (2) doctors competent in psychiatry will testify that the insanity
is incurable and there is no hope of recovery. My spouse or I have lived in Maryland for at least two
(2) years before the filing of this complaint.
CC-DR-094 (Rev. 08/2020)
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spouse was sentenced to serve at least three (3) years or an indeterminate sentence in a penal
institution and has served 12 or more months of the sentence before the date of filing of this
complaint.
Full former name
Month/Date/Year