The undersigned Respondent, ____________________, states on oath, that:
1. RESIDENCY. I have been a resident of and domiciled in the State of __________________ for the preceding ___ months and the County of _______________ for the preceding ___ months.
2. ADMISSION. I have received a copy of the Petition which was filed in this cause and I have read and understand it and admit all of the allegations contained in it.
3. APPEARANCE AND WAIVER. I waive all objections to venue and I further waive the issuance, service, and return of process in this cause and voluntarily enter my general appearance in this cause and submit personally to the jurisdiction of the court.
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