CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

N XIN LY HN

Knh gi: TA N NHN DN QUN ...

Ti tn : Nguyn Th Thu nm sinh : 1971
CMND (H chiu) s: 123456789 ngy cp: .../..../20... v ni
cp : Cng an tnh...
Hin c tr: (ghi r a ch lin lc) Xm..., x..., huyn..., tnh...
Xin c ly hn vi: B Nguyn Th B nm sinh 1982
CMND (H chiu) s: 123456789 ngy cp.../.../20... v ni cp :
Cng an tnh...
Hin c tr: (ghi r a ch) Xm..., x..., huyn..., tnh...

* Ni dung xin ly hn: (A1) (Cc bn trnh by theo hon cnh

v l do thc t ca mnh), Lut Minh Khu ch a ra mt v d
c th v cch ghi khch hng tham kho.
Ngy....thng....nm...Ti c kt hn vi b Nguyn Th B v chung
sng vi nhau hnh ph n u nm 20... th B Nguyn Th B c
quan h ngoi lung (ngoi tnh) vi mt ngi n ng khc
cng thn. Mc d ti nhiu ln khuyn gii m bo hnh
phc gia nh nhng V ti l b Nguyn Th B khng thay i n
n gia nh thng xuyn mu thun nh hng n vic tm
sinh l cng nh vic hc hnh ca cc con ti.
Ngy...thng...nm... Ti v v ti chnh thc sng ly thn n
nay trn.....nm. i sng chung ca chng ti khng th ha
hp nay lm n ny ngh ta n nhn dn
Qun/huyn...gii quyt th tc ly hn.

* V con chung: (A2) (Ghi thng tin con chung v tha thun
quyn nui con v tr cp cho con nu c), Lut Minh Khu a ra
mt v d c th v cch ghi khch hng tham kho.
Chng ti c hai con chung:
1. Chu: Nguyn Th Thy Sinh nm: 1992
S CMTND: 017093543 Ngy cp:22/10/2009 Ni cp: Cng an TP.H
Ni
Ngh nghip: Gia s dy ting anh trc tuyn ti cng ty Antoree
2. Chu Nguyn Vn Sn Sinh nm: 1995
Ngh nghip: Bn qun o C Mau
S CMTND: 001095003938 Ngy cp:6/3/2015 Ni cp: Cng an TP H
Ni

Chng ti tha thun sau khi ly hn Chu Nguyn Th E s sinh sng

cng vi M, hng thng Ti s tr cp cho chu mt khon tin
l:.....VN (bng ch.............ng) n khi chu trn 18 tui.

* V ti sn chung: (A3) (Cc bn c quyn t tha thun phn

chia ti sn hoc yu cu ta n phn chia theo quy nh ca
php lut nu nh khng th t c tha thun). Lut Minh
Khu a ra mt v d v trng hp cc bn t c tha thun
phn chia ti sn.
Trong trng hp t c tha thun mc ny ch cn ghi: Ti
sn chung, ring do hai bn t nguyn tha thun khng yu cu
ta n phn chia. Nu khng c ti sn th ch cn ghi : "Khng c
ti sn v khng yu cu ta n phn chia"
Trong trng hp c ti sn khng tha thun c: Cc bn lit
k Ti sn chung ca hai vi chng v ghi r yu cu ta n phn
chia theo ng quy nh ca php lut.
.................. Ngy ........... thng........... nm........
Ngi lm n
(K tn - Ghi r h v tn)