In the Justice Court of Marin County, State of California Case no.

100 Between William George of 13 6th St, San Rafael, California 94902 And James Smith of 123 D St, San Rafael, California 94902

Affidavit of Consent
1. A Complaint for Divorce was filed between Plaintiff and Defendant on the February 08, 2012. 2. The marriage between Plaintiff and Defendant is irretrievably broken and efforts at reconciliation have not been successful. 3. I, James Smith, consent to the entry of a final judgment dissolving the marriage between Plaintiff and Defendant and such further relief as requested in the Complaint for Divorce. 4. I understand that I may lose rights concerning alimony, division of property, lawyer's fees or expenses if I do not claim them before a divorce is granted. 5. I hereby certify that, to the best of my knowledge and belief, all statements made in this document are true and correct. I am aware that perjury and willful false statements will subject me to punishment under the law.

I now affix my signature to these affirmations this ______ date of _________________, 20___ .

_____________________________________ James Smith STATE OF CALIFORNIA COUNTY OF Marin County

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On ____________________ before me, ________________________________, personally appeared _________________, proved to me on the basis of satisfactory evidence to be the person(s) whose name is subscribed to the within Affidavit and acknowledged to me that he/she executed the same in his/her authorized capacity, and who, being first duly sworn on oath according to law, deposes and says that he/she has read the foregoing Affidavit subscribed by him/her, and that the matters stated herein are true to the best of his/her information, knowledge and belief. I certify under PENALTY OF PERJURY under the laws of the State of California that the foregoing paragraph is true and correct. WITNESS my hand and official seal.

________________________________________ (Notary Seal) Signature of Notary Public

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