On September 13, 2021 a
Party Statement
was filed
involving a dispute between
Clark, Nicole C,
and
for Joint Petition
in the District Court of Barnstable County.
Preview
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss. Probate & Family Court
Docket No. ;
NICOLE C. CLARK, 21p 0572
Co-Petitioner,
JOINT AFFIDAVIT OF
and IRRETRIEVABLE BREAKDOWN
TYLER J. CLARK,
Co-Petitioner.
weer DS
The parties in the above-entitled action, Nicole C. Clark and Tyler J. Clark, state
that we were married in New Bedford, Massachusetts on October 4, 2008.
It is our belief that because of a lack of communication, incompatibility, and
divergent lifestyles the marriage is beyond repair and is irretrievably broken. We have
entered into a Separation Agreement freely and voluntarily, and which we believe is fair
and reasonable.
Signed and sworn under the penalties of perjury this 9" day of September, 2021.
Serle 0. bark —__
Nicole C. Clark
TYrvpUuUA
Tyler J.’Clark
COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this 9" day of September, 2021, before me, the undersigned Notary Public,
personally appeared the above-named Nicole C. Clark proved to me through
satisfactory evidence of identification, which was a picture ID, to be the person whose
name is signed on the preceding document, and acknowledged to me that she signed it
voluntarily for its stated purpose. Ze
DS feay pustte Peter R. Hickey - Notapf Public
@ Commonwealth of My Commission Expirés: 6/2/28
Massachusetts
My Commission Expires i
6/2/2028COMMONWEALTH OF MASSACHUSETTS
Barnstable, ss.
On this 9" day of September, 2021, before me, the undersigned Notary Public,
personally appeared the above-named Tyler J. Clark, proved to me through satisfactory
evidence of identification, which was a picture ID, to be the person whose name is
signed on the preceding document, and acknowledged to me that he signed it
voluntarily for its stated purpose.
Ss Peter R. Hickey L A
NOTARY PUBLIC
@ Commonwealth of Peter R. Hickey - Notary Public
My Commission Expires My Commission Expires: 6/2/28
6/2/2028wwagud 40 AULSIDS2
@ 40 ALNNGS
array Cl 3S ae
Document Filed Date
September 13, 2021
Case Filing Date
September 13, 2021
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