The VS 4 form is a vital document used in Virginia to report a divorce or annulment. It must be completed by the petitioner or their attorney and filed with the clerk of court alongside the petition or decree. Accurate completion of this form ensures that the necessary information is recorded and forwarded to the state registrar.
To get started on your VS 4 form, click the button below.
The VS 4 form is a crucial document in the process of reporting a divorce or annulment in Virginia. This form is required to be filled out by either the petitioner or their attorney and must be submitted to the Clerk of Court alongside the petition or decree. It serves as a permanent record and is forwarded to the state registrar, ensuring that vital statistics are accurately maintained. The form includes essential information about both parties, such as their full names, dates of birth, social security numbers, and places of birth. Additionally, it captures details about the marriage, including the date and location of the marriage, the number of children involved, and custody arrangements. The VS 4 form also requires the informant's signature, confirming that the information provided is accurate and complete. By adhering to the guidelines for completion—such as using a typewriter or black ink—individuals help facilitate a smooth filing process, which is vital for the legal recognition of the divorce or annulment. Understanding the major aspects of the VS 4 form is essential for anyone navigating this significant life change.
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Filling out the VS 4 form is an important step in the divorce or annulment process in Virginia. Here are some key takeaways to keep in mind:
By following these guidelines, you can navigate the process more smoothly and ensure that your VS 4 form is filled out correctly.
NOTE:
ITEMS 1-30 ON THIS FORM TO BE COMPLETED BY PETITIONER OR ATTORNEY AND FILED WITH CLERK OF COURT WITH PETITION OR DECREE
PLEASE PREPARE BY TYPEWRITER OR PRINT IN BLACK UNFADING INK. THIS IS A PERMANENT RECORD
CLERK OF COURT WILL CERTIFY AND FORWARD TO STATE REGISTRAR BY 10TH DAY OF MONTH FOLLOWING DATE FINAL DECREE IS GRANTED
Section 32.1-268
CODE OF VIRGINIA
VS4 7/15
COMMONWEALTH OF VIRGINIA- REPORT OF DIVORCE OR ANNULMENT
Department of Health- Division of Vital Records- Richmond
1. CIRCUIT COURT FOR CITYOR COUNTYOF
I STATE FILE NUMBER
2. FULL NAME
PARTYA
(check one)
0 HUSBAND
0 WIFE
D SPOUSE
(first. middle, last, suffix)
I 5. DATE OF BIRTH
(maiden name, if any)
I
3. SOCIAL SECURITYNUMBER
4. PLACE OF BIRTH
(state or foreign country)
16. RACE
17. SEX
8. NUMBER OF THIS MARRIAGE (first, second, etc.)
I 9. EDUCATION (specify only highest grade
completed)
10. USUAL RESIDENCE
Elementary or Secondary (0-12)
College (1-4 or 5+)
(street number or rural route number)
(city or
town)
(county if not independent city)
(state)
11. FULL NAME
PARTYB
D
WIFE
(first, middle, last, suffix)
112. SOCIAL SECURITYNUMBER
13. PLACE OF BIRTH (state or foreign country)
114. DATE OF BIRTH
1
15. RACE
116. SEX
17. NUMBER OF THIS MARRIAGE (first, second, etc.)
18. EDUCATION (specify only highest grade completed)
19. USUAL RESIDENCE
(city or town)
20. PLACE OF MARRIAGE
(county)
121. DATE OF MARRIAGE
122. DATE OF SEPARATION
23. NUMBER OF CHILDREN UNDER 18
24. NUMBER OF CHILDREN UNDER 18 IN THIS FAMILYWHOSE PHYSICAL CUSTODY\/VAS
AWARDED TO:
IN THIS FAMILY
Party A
Party B
Joint (Party A/Party B)
Other
DNo Children
25. PLAINTIFF
OPARTYB
OBOTH
26. DIVORCE GRANTED TO
0BOTH
27. LEGAL GROUND OR
CAUSE OF DIVORCE (if annulment- so state)
OPARTYA
DPARTYA
D PARTYB
28. INFORMANT'S
D PETITIONER
SIGNATURE
29. NAME OF INFORMANT (Type or Print)
30. ADDRESS OF
D ATTORNEYFOR PETITIONER
I CERTIFYTHAT A FINAL DECREE OF
INFORMANT
CONCERNING THE ABOVE
WAS ENTERED
(divorce or annulment)
(date of divorce or annulment)
MARRIAGE ANO WAS NUMBERED
(court file number)
SIGNATURE OF CLERK OF COURT OR DEPUTY
NAME OF CLERK OR DEPUTY
(Type or Print)