Louisiana Petitioner’s Affidavit Article 103 Form


Petitioners Affidavit Article 103_

Use this form to attach to the divorce petition when filing for divorce in Louisiana.




PARISH OF _____________



BEFORE ME, the undersigned Notary Public, duly commissioned and legally qualified in and for the Parish and State aforesaid, personally came and appeared _________ who, being first duly sworn, did depose and say that:


  1. She/He is the Petitioner in the above proceeding and is duly authorized to make this affidavit;


  1. On the ______ day of _____________ 20__ she/he and Defendant, _____________ separated and they have not lived together as man and wife since that date.


  1. Petition for Divorce was filed on the ______ day of _____________ 20__, and Defendant accepted service on the ______ day of ______ 20__.  The parties have lived separate and apart for more than 180 days prior to the filing of the petition.


  1. Rule for Divorce was filed on the ______ day of _____________ 20__, and service was had on Defendant on the ______ day of ______ 20__.


  1. Petitioner desires a divorce from the Defendant, _________ pursuant to La. Civil Code Article 103.

















SWORN TO AND SUBSCRIBED before me this ______ day of ______ 20__.