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In the landscape of family law, the documentation surrounding the dissolution of marriage plays a crucial role in how parties navigate their post-marriage rights and responsibilities. The Nebraska Department of Health and Human Services Finance and Support's HHS 73 form encapsulates a critical step in this journey, serving as a gateway for formally recording the details of a marriage's end in the state's vital records. This comprehensive form captures essential information ranging from the names and residences of both parties, details about any children under 18, to specific aspects of the divorce settlement including alimony, child support, and property settlements. Furthermore, it outlines the racial and ethnic backgrounds of the individuals involved, adding a layer of demographic data to the legal document. This form not only facilitates the administrative processing of a marriage's dissolution but also acts as a pivotal document for those involved, impacting future legal, personal, and financial matters. As such, the HHS 73 form presents a cornerstone document, intertwining legal procedure with the personal narratives of those it represents.

Example - Nebraska Hhs 73 Form

1.฀฀County/Tribal฀Court฀฀฀฀฀฀฀฀State฀of฀Nebraska

Department฀of฀Health฀and฀Human฀Services฀Finance฀and฀Support

Vital฀Records

฀฀2.฀฀Court฀Record฀Number฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀cate฀of฀Dissolution฀of฀Marriage฀or฀Annulment

Certifi

WORKSHEET฀ONLY

฀฀3.฀฀Husband’s฀Name฀(First,฀Middle,฀Last,฀Suffi฀x)

฀฀4a.฀฀Current฀Residence฀-฀Country฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀ ฀ ฀ ฀ ฀

4b.฀฀State฀ ฀ ฀ ฀

4c.฀฀County

฀฀4d.฀City,฀Town฀or฀Location฀฀ ฀ ฀ ฀ ฀

4e.฀฀Residence฀-฀Street฀and฀Number฀ ฀ ฀ ฀

4f.฀฀Zip฀Code

฀฀5.฀฀Place฀of฀Birth฀(City฀and฀State฀or฀Foreign฀Country)฀฀ ฀ ฀ ฀ ฀ ฀

6.฀฀Date฀of฀Birth฀(Mo.,฀Day,฀Yr.)

฀฀7a.฀฀Wife’s฀Name฀(First,฀Middle,฀Last,฀Suffi฀x)฀฀ ฀

฀฀8a.฀฀Current฀Residence฀-฀Country฀฀

8b.฀฀State฀฀ ฀

8c.฀฀County

฀฀฀8d.฀City,฀Town฀or฀Location฀฀ ฀ ฀ ฀ ฀

฀8e.฀฀Residence฀-฀Street฀and฀Number฀ ฀ ฀ ฀

8f.฀฀Zip฀Code

฀฀9.฀฀Place฀of฀Birth฀(City฀and฀State฀or฀Foreign฀Country)฀฀ ฀ ฀ ฀ ฀ ฀

10.฀฀Date฀of฀Birth฀(Mo.,฀Day,฀Yr.)

 

฀11a.฀฀Place฀of฀Marriage฀-฀State฀

11b

.฀฀County฀฀฀

฀฀฀฀

 

฀฀฀฀฀฀฀฀฀฀฀฀

11c.฀฀City฀

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

11d.฀฀Date฀of฀Marriage

฀(Mo.,฀Day,฀Yr.)

฀฀12a.฀฀Number฀of฀Children฀under฀18฀in฀this฀Household฀฀

฀฀12b.฀฀Number฀of฀Children฀Under฀18฀Whose฀Physical฀Custody฀was฀Awarded฀to:

 

 

 

 

 

 

฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀฀

 

Husband฀฀฀฀฀฀฀฀฀

Wife฀฀฀฀฀฀฀฀฀฀฀฀฀

Joint฀Husband/Wife฀

฀฀฀฀฀฀฀฀฀฀฀Number

 

 

 

 

 

 

฀฀

฀฀฀฀฀฀฀฀฀฀฀

 

Other

 

_______________฀฀฀฀฀฀

฀฀

฀฀

฀฀

฀฀

฀฀

฀฀

฀฀

฀฀

฀฀

 

฀No฀Children฀Awarded฀Custody฀

 

฀13.฀฀Plaintiff฀฀฀

฀฀14.฀฀List฀Former฀Name฀of฀Wife,฀if฀restored

 

 

฀฀Husband฀฀฀฀ ฀฀Wife฀

 

 

 

 

 

 

 

 

 

 

 

฀15a.฀฀Attorney฀for฀Plaintiff฀-฀Name฀

฀฀

15b.฀฀Address฀(Street,฀City฀or฀Town,฀State฀and฀Zip฀Code)

฀฀16a.฀฀I฀certify฀that฀the฀marriage฀of฀the฀above฀name฀persons฀was฀dissolved฀on฀฀ ฀

 

16b.฀฀Type฀of฀Decree

฀฀฀฀฀฀฀฀฀฀฀(Mo.,฀Day,฀Yr.)฀฀

 

฀฀฀฀฀฀฀฀฀฀______Dissolution฀฀฀฀฀฀______Annulment

 

฀17.฀฀Clerk฀of฀the฀District฀Court฀or฀Tribal฀Court฀Making฀Return฀to฀the฀Department฀of฀Health฀and฀Human฀Services฀Finance฀and฀Support

฀Information฀For฀Administrative฀Use฀Only.฀Information฀below฀will฀not฀appear฀on฀certifi฀ed฀copies฀of฀the฀record

18.฀฀Settlement(s)฀Made

฀฀฀฀฀฀฀฀฀฀Alimony ฀฀Yes฀ ฀฀No฀฀฀฀฀฀Child฀Support฀ ฀฀Yes ฀฀No฀฀฀฀฀฀฀Property฀Settlement฀ ฀฀Yes฀ ฀฀No฀฀฀฀฀฀฀Medical฀Reimbursement฀ ฀฀Yes฀ ฀฀No

19.฀฀Social฀Security฀Numbers

Husband: ฀฀Wife:

20a.

Is Husband of Hispanic or Latino Origin?

฀฀Yes฀฀ ฀฀No

20b. Is Wife of Hispanic or Latina Origin?

฀฀Yes฀฀ ฀฀No

 

21a. Husband

Race

 

21b. Wife

 

Check the race(s) each person considers him/herself to be

 

 

 

White/Caucasian

 

 

 

Black or African American

 

 

American Indian or Alaska Native

 

 

Asian

 

 

 

Native Hawaiian or Other Pacifi c Islander

 

HHS-73฀(55073)฀6/06

Document Breakdown

Fact Number Fact Description
1 The HHS-73 form is utilized by the State of Nebraska, specifically through the Department of Health and Human Services Finance and Support, for the documentation of Dissolution of Marriage or Annulment.
2 It includes vital record information such as County/Tribal Court, Court Record Number, and the names, residences, and birth details of both spouses.
3 The form requires detailed information about the marriage, including the place and date of marriage, number of children under 18 in the household, and custody arrangements.
4 Settlement information regarding alimony, child support, property settlement, and medical reimbursement can be indicated within the form.
5 Social Security Numbers of both spouses, their ethnic origin, and racial background are also requested for administrative use.
6 Governed under Nebraska law, this form ensures that all necessary details for the dissolution of a marriage or annulment are accurately recorded and processed by the proper state department.

Steps to Writing Nebraska Hhs 73

When it comes to filling out the Nebraska HHS 73 form, it's understandable if you're feeling a bit overwhelmed. This form is a crucial document for recording the dissolution of marriage or an annulment in the state of Nebraska. It's vital to fill it out accurately and thoroughly to ensure that all legal aspects of the dissolution or annulment are properly documented. To help you through this process, we've broken down the steps needed to complete the form. By following these instructions, you can proceed with confidence, knowing that you're taking the necessary steps to formalize the changes in your marital status.

  1. Enter the County/Tribal Court and State of Nebraska at the top of the form to indicate where the legal action took place.
  2. Fill in the Court Record Number associated with your case. This number is unique to your dissolution or annulment proceedings.
  3. Under the section for the husband's details, input his Full Name (First, Middle, Last, Suffix).
  4. For question 4, provide the current residence of the husband, including country, state, county, city, town or location, street and number, and zip code.
  5. Record the husband's Place of Birth (City and State or Foreign Country) and his Date of Birth (Month, Day, Year).
  6. For the wife's details, start with her name (First, Middle, Last, Suffix) in question 7a.
  7. Similar to step 4, question 8 asks for the wife's current residence details. Fill this in following the same format as provided for the husband.
  8. Include the wife's Place of Birth and Date of Birth in the specified fields.
  9. Detail the Place of Marriage, including State, County, City, and the Date of Marriage (Month, Day, Year).
  10. Under question 12, specify the Number of Children under 18 in the household and how physical custody is distributed (Husband, Wife, Joint, or Other). If no children were awarded custody, mark the respective choice.
  11. Indicate who the Plaintiff was in the dissolution or annulment case.
  12. If the wife's former name has been restored, list it.
  13. Provide the Attorney for Plaintiff's Name and Address.
  14. Confirm that the marriage was dissolved or annulled by entering the date and type of decree in question 16.
  15. The Clerk of the District Court or Tribal Court completing the form should be listed in question 17.
  16. Questions 18 and 19 ask for details about settlements made and the social security numbers of both parties, which need to be filled in accordingly.
  17. Questions 20 and 21 are concerned with the ethnic and racial background of both the husband and wife. Please answer these as accurately as possible.

After carefully filling out each section of the Nebraska HHS 73 form, it's crucial to review all the information for accuracy. Ensure that all details match the official documents and court records related to your case. Once completed, the form should be submitted to the appropriate Nebraska Department of Health and Human Services office or as directed by the court. This step marks a significant point in finalizing the legal process of your marriage dissolution or annulment. Remember to retain a copy for your records and for any future references or legal needs.

FAQ

What is the Nebraska HHS 73 form used for?

The Nebraska HHS 73 form, also recognized as the Certificate of Dissolution of Marriage or Annulment Worksheet, is a document utilized by the Department of Health and Human Services Finance and Support in the State of Nebraska. It serves the essential purpose of recording the dissolution of a marriage or an annulment within the state. This form captures detailed information about both parties involved, such as their names, residences, places of birth, dates of birth, and specifics about their marriage and dissolution or annulment. It ensures that vital records are updated accordingly and facilitates the legal and statistical use of this data.

Who needs to fill out the Nebraska HHS 73 form?

Individuals who are undergoing the legal process of marriage dissolution (divorce) or annulment in Nebraska must fill out the HHS 73 form. Specifically, this form is typically filled out by the court handling the case or the legal representatives of the parties involved. The information provided must accurately reflect the details of the marital dissolution or annulment as recognized by the Nebraska county or tribal court system.

What information do you need to complete the form?

To accurately complete the Nebraska HHS 73 form, a series of personal and legal details are required, including:

  1. County or Tribal Court Information and Court Record Number.
  2. Full names of both husband and wife, including the wife’s former name if restored.
  3. Current residence details for both individuals.
  4. Places of birth and dates of birth for both husband and wife.
  5. Details about the marriage, such as place and date of marriage.
  6. Information about children under 18, if applicable, and custody arrangements.
  7. Details of the dissolution of marriage or annulment, including dates and types of decree.
  8. Settlements made in relation to alimony, child support, property, and medical reimbursements.
  9. Social Security numbers and ethnic backgrounds of both parties.

This information assists in the proper documentation and statistical analysis of marriage dissolutions or annulments.

How do you submit the Nebraska HHS 73 form?

After completing the Nebraska HHS 73 form, it should be submitted to the Clerk of the District Court or Tribal Court that is handling the dissolution or annulment case. The form is intended for administrative use by the Department of Health and Human Services Finance and Support and is not typically a document furnished by the individuals involved directly. It is the responsibility of the legal authorities or representatives to ensure its accurate completion and submission.

What happens if you do not fill out the HHS 73 form?

Failing to complete the HHS 73 form can result in an incomplete record of the marriage dissolution or annulment within the state's vital records. This may lead to legal complications for the individuals involved, such as issues with name changes, marital status updates, and difficulties in future legal proceedings related to marital status. Consequently, it could also hinder the accurate collection of statistical data regarding marriage and divorce in Nebraska.

Can the information on the Nebraska HHS 73 form be used for any other purposes?

Yes, while the primary purpose of the Nebraska HHS 73 form is to document the dissolution of marriages or annulments for vital records, the information provided can also be used for statistical analyses. Nonetheless, personal information such as Social Security numbers is specially protected and is not disclosed for public or unauthorized use. The data collected can help in understanding demographic trends and the social implications of marriage dissolutions within the state.

Common mistakes

Filling out the Nebraska HHS 73 form, a document vital for recording the details of a dissolution of marriage or annulment in the State of Nebraska, requires careful attention to detail. However, individuals often make certain mistakes during this process, leading to delays and complications. Understanding these common errors can help in avoiding them and ensure the smooth processing of your document.

  1. Incorrect Information: One of the most prevalent mistakes is entering incorrect information. This includes misspellings in names, wrong dates (for birth, marriage, or dissolution), or inaccurate addresses. Such errors can significantly delay the processing of the form, as the details must be accurate for official records.

  2. Omission of Required Details: Failing to complete all required fields on the form is another common issue. Every section, from the court record number to social security numbers, plays an essential role in the official documentation process. Missing information can lead to the rejection of the form, necessitating a resubmission and leading to further delays.

  3. Failure to Indicate Custody Arrangements Properly: The section concerning child custody arrangements is often filled out incorrectly. It's vital to correctly indicate the number of children under 18 in the household and how custody is awarded, whether it’s solely to one parent, jointly between both, or if custody arrangements involve another party. Accurate depiction of custody arrangements avoids unnecessary confusion and ensures records are properly maintained.

  4. Misunderstanding the Settlement Section: Lastly, a common mistake lies within the settlements section, including alimony, child support, property settlement, and medical reimbursement. Checking the appropriate box to indicate "Yes" or "No" accurately reflects the agreements made during the dissolution process. Incorrect or unclear entries here can cause discrepancies that might lead to disputes or legal challenges in the future.

To ensure the Nebraska HHS 73 form is filled out correctly, it's recommended to review each section carefully and double-check for accuracy before submission. This diligence not only facilitates a smoother process but also helps maintain accurate and official records of significant life events.

Documents used along the form

When you're navigating through the process of legal separation or divorce, handling the Nebraska HHS 73 form becomes a crucial step. This form, essentially a record of dissolution of marriage or annulment, lays the groundwork for the official documentation of the end of a marriage in the state of Nebraska. However, the journey doesn't end there. Along with the Nebraska HHS 73, several other forms and documents come into play, each serving its unique purpose in ensuring the process is thorough and legally sound.

  • Child Custody and Support Agreement: This document outlines the details regarding the custody of any children from the marriage and the terms of support. Both parents must agree on these terms, which must then be approved by a court.
  • Financial Affidavit: A comprehensive document where each party discloses their financial situation in detail. It's vital for determining alimony, child support, and the division of assets and debts.
  • Property Settlement Agreement: Similar to the financial affidavit but more focused on the division of property and debts. It specifies who gets what and how financial obligations are divided between the parties.
  • Decree of Dissolution of Marriage: The final document issued by the court that legally ends the marriage. It includes all of the terms of the divorce, including custody, support, property division, and any name changes.
  • Notice of Entry of Decree: This form is served to both parties after the decree is entered into court records, officially notifying them that the divorce is final.
  • Domestic Relations Affidavit: Used in some cases to provide a detailed account of each party's financial status, including income, expenses, assets, and liabilities. It may be required by the court to make informed decisions about financial matters.

Dealing with the end of a marriage is emotionally and legally challenging. But understanding and properly preparing the necessary documents, including the Nebraska HHS 73 form and its companions, can smooth the path forward. Each form plays a specific role in ensuring that all aspects of the divorce are fairly and legally addressed, paving the way for both parties to begin anew. Remember, it's always recommended to seek legal advice when dealing with complex matters like divorce to ensure your rights are protected throughout the process.

Similar forms

The Nebraska HHS 73 form shares similarities with several other documents commonly used in family law. These include the Petition for Dissolution of Marriage form, the Child Custody and Support Agreement form, and the Marriage Certificate Application form. Each of these forms serves a distinct purpose but shares common elements with the Nebraska HHS 73 form.

The Petition for Dissolution of Marriage form is directly related to the processing of divorce in the state of Nebraska. Like the Nebraska HHS 73 form, it collects detailed information about both spouses, including full names, current residences, places and dates of birth, and the place and date of marriage. What makes it similar to the HHS 73, beyond its collection of personal details, is the requirement to list children under 18 in the household, if any, and decisions regarding their custody. This similarity lies in their mutual focus on the family structure and how it will be reorganized following the dissolution of the marriage.

The Child Custory and Support Agreement form is another document that shows considerable similarities to the Nebraska HHS 73 form, specifically in sections dealing with the care, custody, and support of children under the age of 18. This form, while focused on the arrangements for children post-divorce, overlaps with the HHS 73 form in its collection of data about the children's living arrangements, similar to what's described in Section 12 of the HHS 73. Both documents ensure that the interests and welfare of children are considered during and after the legal proceedings.

The Marriage Certificate Application form shares a different kind of similarity with the Nebraska HHS 73 form. Where the HHS 73 form is used in the context of dissolving a marriage, the Marriage Certificate Application is used at the beginning of a marriage. Both forms require detailed personal information about the individuals entering into or exiting a marriage, such as names, places of birth, and residence details. The key similarity here is in documenting key milestones in a marriage’s lifecycle within the state’s legal and bureaucratic framework.

Dos and Don'ts

When completing the Nebraska HHS 73 form, it is important to follow specific guidelines to ensure the accuracy and validity of the submitted information. Here are nine essential dos and don'ts to consider:

  • Do thoroughly review the entire form before starting to fill it out. This preliminary step provides an overview of the required information and helps with gathering all necessary details beforehand.
  • Do use black or blue ink if completing the form by hand, as these colors are considered standard for ensuring clarity and legibility.
  • Do enter accurate information in every section. The details provided should reflect official documents and records, particularly for names, dates, and places.
  • Do double-check the court record number, as it is crucial for associating the form with the correct legal case within the state of Nebraska.
  • Do sign where required. The presence of a signature verifies that the information provided is correct to the best of your knowledge and belief.
  • Don't leave any required fields blank. If a section does not apply, consider marking it as “N/A” (not applicable) instead of leaving it empty.
  • Don't guess on dates or locations. If uncertain, refer to official documents or records to confirm the accuracy of the information you provide.
  • Don't use correction fluid or tape. Mistakes should be cleanly crossed out with a single line and corrected. Excessive corrections may lead to the need for a new form.
  • Don't hesitate to ask for help if there are sections that are confusing. A legal advisor or the issuing department can provide guidance on how to appropriately fill out the form.

Following these guidelines helps in preparing a properly completed Nebraska HHS 73 form, which is crucial for the involved parties and for complying with state regulations. Attention to detail and willingness to seek assistance when needed can streamline the process and prevent delays.

Misconceptions

When it comes to filling out legal forms, it's easy to get tangled in a web of misinformation. The Nebraska HHS 73 form, a vital document for recording the dissolution of marriage or annulment, is no stranger to common myths and misunderstandings. Let's clear up some of the most prevalent misconceptions.

  • The form is only for divorce proceedings. While the Nebraska HHS 73 form is primarily used for recording the dissolution of marriages (divorces) and annulments, it encapsulates more than just the termination. It also includes details such as settlements, child custody arrangements, and changes in names, offering a comprehensive snapshot of the conclusion of a marriage.

  • Personal attorney information is optional. Actually, the form requires the listing of the attorney's name and address for the plaintiff (the person who initiated the divorce or annulment). This is essential for administrative purposes and further legal clarity.

  • Social security numbers are displayed on certified copies. The form requests the social security numbers of the individuals involved for identification and administrative use only. These numbers do not appear on certified copies of the record to protect privacy.

  • Racial information is mandatory for processing the form. While the form includes sections for indicating the race of both husband and wife, it's designed to gather demographic data for statistical purposes. This information is not a mandatory field for the completion or processing of the form.

  • It can be filled out after the divorce is finalized. The Nebraska HHS 73 form serves as a worksheet that should be completed in anticipation of the final court decree. It's important for the timely and accurate recording of the dissolution of marriage or annulment in state records.

  • All sections must be filled out completely. While thorough completion of the form is encouraged for a clearer legal record, not all sections apply to every situation. For example, if there are no children from the marriage, related sections would not be applicable.

  • Settlement information is irrelevant. Contrary to this belief, the form includes specific sections for settlements related to alimony, child support, property, and medical reimbursement. This information is crucial for legal documentation and future reference.

  • The form is the final step in legal proceedings. Completing and submitting the Nebraska HHS 73 form is indeed a critical step, but it's part of a broader legal process that includes court proceedings, final judgments, and potentially, post-judgment actions.

Understanding the purpose and requirements of the Nebraska HHS 73 form can demystify the process and ensure that individuals are better prepared for completing it accurately and efficiently. Clarifying these misconceptions helps streamline the legalities of divorces and annulments, making a challenging time slightly easier to navigate.

Key takeaways

Filling out the Nebraska HHS 73 form is an important process for those finalizing a divorce or annulment within the state. Here are ten key takeaways to help you navigate this procedure effectively.

  • Accuracy is crucial: Ensure all information is accurate and matches official documents, especially names, addresses, and dates.
  • Understand the sections: The form covers personal information for both parties involved, details of the marriage and dissolution, custody arrangements, settlements, and demographic data.
  • County/Tribal Court jurisdiction: Acknowledge the specific court handling your case as the form requires the county or tribal court's name in Nebraska.
  • Legal representation: If you have an attorney, their name and contact information must be included. This ensures they receive all necessary correspondence regarding your case.
  • Dissolution or annulment: Clearly indicate whether your case is a dissolution of marriage (divorce) or an annulment, as this affects legal rights and obligations.
  • Residence information: Current residence details are essential for both parties, including county and state, which may affect jurisdiction and applicable law.
  • Children under 18: If children are involved, state the number and details of custody arrangements. This information is crucial for determinations regarding child support and custody.
  • Settlements: Indicate whether settlements have been made regarding alimony, child support, property division, and medical reimbursement. This affects both parties' financial obligations.
  • Social security numbers and demographic information: These details are required for identity verification and statistical purposes but are kept confidential and used only for administrative purposes.
  • Review before submission: Double-check the form for completeness and accuracy before submission to avoid delays in the dissolution or annulment process.

Completing the Nebraska HHS 73 form is a step towards finalizing a significant life event. Approach it with care, consult with legal counsel if necessary, and ensure that all information provided is current and accurate. This document is more than paperwork; it's a pathway to your next chapter.)

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