West Virginia Affidavit of Unknown or out of State Residency Form
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AFFIDAVIT OF NON-RESIDENCY OR UNKNOWN RESIDENCY

STATE OF WEST VIRGINIA
COUNTY OF

, to-wit:

I,__________________________, after being sworn, do say that I am the Petitioner in
the foregoing Petition for Divorce now pending in the Family Court of
County, West Virginia; and further that:
(CHECK ALL THAT APPLY)
The Respondent, ____________________, is not a resident of the State of West
Virginia, and that the last known address of the Respondent is
___________________________________,

County,

or,
I have used due diligence to determine the address of the Respondent and have
been unable to locate it, and therefore the address of the Respondent is unknown
to me.

Petitioner, Pro Se

Taken, sworn to and subscribed before me this
20

day of ____________________,

. My Commission expires _______________________.

Notary Public

SCA-F-110 (12/01)

AFFIDAVIT NON-RESIDENCY OR UNKNOWN RESIDENCY