COURT OF COMMON PLEAS

DIVISION OF DOMESTIC RELATIONS

HAMILTON COUNTY, OHIO

Enter:
Date:
Case No.
File No.
CSEA No.
Judge

Petitioner

-and-

Petitioner

WAIVER OF FINANCIAL DISCLOSURE AFFIDAVIT NO CHILDREN OR SPOUSAL SUPPORT

Now comes Party Or Attorney and, after being duly cautioned and sworn says:

There is no issue of spousal support and no children involved in this matter and the separation agreement being filed with the Court, and which the Court is asked to approve, contains no orders as to same.

It is therefore represented to the Court that there is no need to file a Financial Disclosure Affidavit in the above captioned matter and that same is hereby waived.

____________________________________

Affiant or Attorney

Sworn to and subscribed in my presence this _______day of ________________________,20________.

_____________________________________	_______________________________________

Attorney for [ ] Husband [ ] Wife	Notary Public