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Fillable Printable Dissolution (Divorce), Cases with No Children - Oregon

Fillable Printable Dissolution (Divorce), Cases with No Children - Oregon

Dissolution (Divorce), Cases with No Children - Oregon

Dissolution (Divorce), Cases with No Children - Oregon

INSTRUCTIONS - Page 1 of 6
1C Dissolution No Children Jackson
6/12/15
Filing for Dissolution (Divorce), Cases with No Children
Instructions for Packet 1C
Noticeabouttheseinstructions and
forms.
These instructions are not a complete statementof the law.Theycover basic procedure for
uncomplicated divorce cases. For legalinformation, please talktoa lawyer and/or visit yourlocallaw
library. Each court has local rules, programsand procedures thatmay not be explained in these
instructions. The Jackson County Court FamilyLawUnitcan be contactedat 541-776-7171ext 582 and
the Family LawResource Centercan becontacted at541-776-7171ext 129.
This set of forms and instructions will allow you to file for andobtain a divorce where the parties do not
haveminor children. Pleaseread themcompletelyand carefully.
The instructions are broken downintofour basic steps. The forms thatgo witheach step are listed
below.
Steps
Page (Instructions)
1.Starting your Divorce
2
Petition for Dissolution with Continuation of Health Coverage andthe Disclosure (ORS
107.089)handouts attached.
Summons
Notice of Statutory RestrainingOrder PreventingDissipation of Assets ATTACHTO
SUMMONS
CIF Information Sheet Information only
2 ConfidentialInformation Forms (CIFs) one foreachparty’s information
Notice of CIF Filing
Acknowledgment aboutDissolution (Divorce/Separation)
Record of Dissolution of Marriage/Domestic Partnership(Vital Statistics form)
Declaration of Service
2. Waiting for a Response;Taking a Default
5
Ex Parte Motion and Declaration for Order for Default
Order for Default
3
. ResolvingYour Case
5
4.
Finalizing Your Divorce
6
Declaration Supporting Judgmentof Dissolution
GeneralJudgment of Dissolution
Possible Attachment: Uniform Support Declaration
Whenfillingout the forms, follow these directions:
Complete ALL forms entirely.Ifa form is in this packet, it is required.Check off each form above
asyou complete it to determine if youare readyto meet with the facilitator or open yourcase.
You are thenamed “petitioneron all court forms and your spouse/partner is the respondent”.
Use full names (first, middle or middle initial, last)andprint thenames the sameon all forms.
Makeanappointment with the Family LawResource Centerby calling 541-776-7171ext. 129for
documentreview,OR follow the packet instructions for making copiesandserving the other party.
File the original withthe court clerk.
The clerk will giveyou a case number when youfile your papers. Make sure to put this on all
copies andoriginals.
Keep the court informedof yourcurrentaddress so you get notice of allcourt dates. You are
not
requiredto use yourresidential address on anycourt form.You mayuse acontact address
whereyou regularly check in. If you use acontact address, the court will assume that you will
receiveall notices sent to thataddress. Note:If youfear for yoursafety,youmay be able to
obtaina non-disclosure order. Consult with your localcourt for instructions aswell asthe
appropriate forms.
INSTRUCTIONS - Page 2 of 6
1C Dissolution No Children Jackson
6/12/15
Legal Issuesto Considerbefore completing your documents.
A divorce casestarts witha “petition” which lists the items you are asking the court to order in the
Judgment”.Thejudgment is the document thatfinalizes yourdivorce, andcontainsyour rights and
responsibilities. Oregonlaw provides thata number of issues must be addressed inthe judgment. Before
you fill out the petition, you should think about how youwant to handle these issues.
You maynot know what realorpersonalproperty toask for in the beginning because you are notsure
whatproperty you own eitheralone or together with the other party.Or you maynot know how much
spousalsupportto ask for inthebeginning becauseyou do not know how muchthe otherparty earns.
The Petition providesoptions for either indicating a specific amount or distribution of property or, where
you do not know,you mayask thatthese be made
equitably”(i.e., fairly)or prior to judgmentso that
you have time afterfiling the petition to find out whatproperty you ownor how much the otherparty
earns. HOWEVER:
if you do NOT ask for a specific amount or distribution in the Petition, or
what youask for in the Judgmentis different from whatyou askedfor in the Petition, thecourt
may require you to re-serve documentson theotherparty before it will enter a finaljudgment.
This is so thatthe otherparent knows whatis being asked for inthe Judgmentis different fromwhatwas
inthe Petition.
Spousal Support.Oregon law provides for threedifferent categories of spousalsupport: transitional,
compensatory andspousalmaintenance. Transitional support maybe orderedfor a spouse/partner to get
work related education and training. Compensatory spousalsupport maybe orderedif one party has
significantly contributed to the education,training, vocationalskills, career orearningcapacity of the other
spouse/partner. Spousalmaintenance maybeordered fo
r the support of one spouse/partner. The judge
will consider a number of factors when making the award, andmay order more thanone type of support.
For more information on whatthe judge willconsider, please refer to ORS107.105(to view,visit your
locallawlibrary or www.leg.state.or.us/ors).
PropertyandDebts. Statutory RestrainingOrder. Oregon lawrequires both Petitioner and
Respondent to obey arestrainingorderpreventingeither party fromdissipating(selling,destroying,
removing, disposing of)realorpersonalproperty,making unilateral(without the agreementof the other
party)changes to insurance policies, and makingextraordinary expenditures. Expenditures thatare
necessaryforthe safety or welfareof the parties are not prohibited.By filingyo
urpetition,you agree
tobeboundbythe termsofthisorder. Theorder is effectiveon boththe petitioner andthe
respondent once the notice hasbeenserved on the respondent. If you violate the order, you maybe
subject to sanctions. You must attach a copyof theNoticeof Statutory Restraining Order Preventing the
Dissipationof Assets in Domestic Relations Actionsto theSummons and serve it on theRespondent.
For information aboutthese issues, talk toa lawyer and/or go to the Oregon State Bar’s web site
(www.osbar.org),Public Info” andreadunderLegalInformation Topics” the sections on“Bankruptcy and
Credit,” “RealEstate,” and “Taxes.” Ifeither spouse/partner hasa retirementplan,you should talk to an
attorney beforefilling out the petition. The attorney can advise you if this packet will work for your
situation. If the parties ownrealestate located in Oregon, a “lis pendens” notice (notice of pending suit)
maybe filed with the county clerk as provided inORS 93.740(to view, visit your locallawlibrary or
www.leg.state.or.us/ors).
If Both Spouses/partners Already Agree.
There are twoways to handle your case if both spouses/partners agree on all issues: (1)one
spouse/partner can file aspetitioner, the other spouse/partner canaccept service of the petition and not
file a response (if there is no disagreementwithwhatthe petitioner requested in the petition) and
judgment will be entered based on whatwas stated in the petition, or (2)the parties canfile asco-
petitioners (see Packet #9B). Forms to file as co-petitioners may also be available throughyourlocal
court, courthouse facilitator and/orattorney.
If yourspouse/partner (the respondent)does not agree withyou at first and files a response,then later
decides thatwhatyou requested inthe petition is okay,he or she can file a WaiverofFurther Appearance
and Consent toEntry of Judgment formto avoid havingto go through the court process
further. Your
localcourthouse facilitator can help you with this process.
INSTRUCTIONS - Page 3 of 6
1C Dissolution No Children Jackson
6/12/15
STEP1: STARTING YOUR
C
ASE
Fill out theforms listedinStep1: Startingyour Divorce.
See the Confidential Information Form (CIF) information sheet abouthow the CIF protectscertain
informationfrombeing disclosed to the public.
Haveyour documentsreviewed.
You mayhaveyour documents reviewed by a lawyer or a courthouse facilitator. The Jackson County
Family
LawResource Center (facilitator)maybe reached at 541-776-7171ext. 129 or
Jackson.facilitators@ojd.state.or.us
. For information abouthow to find a lawyer, callthe OregonState Bar
Lawyer ReferralService at 1-800-452-7636.If you are low income, you mightget yourdocuments
reviewed for a smaller fee through the Oregon State Bar’s Modest Means programat
1-800-452-7636, oryoumaycall your local Legal Aidoffice at541-776-7292.
Make copies
Makeat least twophotocopies of all the documents you filled out, one for your records and another to
serve onthe other party.Youdo not needto servetheotherpartywiththe Confidential
Information Sheets (CIFs).If you have an appointment with the Family LawResource Center, copies
will be made for you of the documents required for service.
Filetheformswith thecourt
File the original Step 1 forms withthe court, EXCEPT the Summons and Declaration or Acceptance of
Service. Thecourt clerk will ask you fora filing fee when yougoto file the papers.Please see Jackson
County Court fee schedule at
www.courts.oregon.gov/jackson
for currentfees. If youfeel you cannot pay
this fee, ask the court if you may apply for a fee waiver or fee deferral. You will needto fill out a
fee waiver
or deferralform andfile this document with the court too. Ifthe fee is waived, youdonot have to payit. If
the fee is deferred, youwill not haveto paythefee now,but you may be required to payitlater. There
are severalrequired handouts inthis packet. You will need twocopies of each handout. Youneed to
keep onecopy for yourself and havethe other copy served on the other party.(See the section “Serving
the Other Partybelow.)
Servingtheotherparty
You are required to have your spouse/partner served (have papers delivered to) with (a)copies of the
documents given to you by the clerk, including the Statutory Restraining Order described above, and
copies of thePetition, Summons and Notice of Filing CIFs.
Iftheother partyis willingto acceptservice, s/he must fill out and signthe Acceptanceof
Service form and file itwith the court. It is not necessary thatyour spouse/partner agreewithwhatis in
the papers, justthathe/she is willing to acknowledge receipt of them.
If theother partywill not completethe AcceptanceofServiceform, YOU CANNOT SERVE
THE PAPERSYOURSELF. You mayhaveservice completed by the Sheriff in the county where your
spouse/partner lives, by a private process server, or by another individualwho is a competent person 18
years or older, an Oregon resident (or ofthe state where service is made) andnot a party nor an attorney
for a party.Caution shouldbe used before asking a friend or relativeto servethe papers if your
spouse/partner might react angrily or violently.A Declaration of Service along withtheoriginal summons
must befiled with the courtafter service hasbeen made.
The best way to servetheotherpartyis to have the person serving thepapers hand them directly to the
respondent (personalservice). Ifpersonalservice cannot be done, there are other waysto servethe
papers including “substitute service,” office service,and service by mail— see the Table below.You
mayask the Sheriff or a private process server about these other options or consult anattorney.
INSTRUCTIONS - Page 4 of 6
1C Dissolution No Children Jackson
6/12/15
Standard Methods of
Service
Personal ServiceDelivery of papersdirectly to the other party
SubstituteServiceDelivery of papersto a person living attheotherparty’s home who
is atleast 14yearsold, PLUS mailing of the documents to the
other party’s home address by firstclass regularmail
OfficeService
Delivery of papersto a person who appears to bein charge at the
other party’s place of employment (whohasabusiness duty to
givethe documents to the other party), done during working
hours, PLUS mailing of thedocument tothe home or business
address of the other party by first class regularmail
Serviceby Mail
(Return ReceiptRequested)
Delivery by mailingthe documents certified or registered, return-
receiptrequested, or by Express mail, PLUSmailing of documents
to home orbusiness addressof the other party by first class
regularmail.
If you are not able to haveyour spouse/partner served by any of the methods described above, you may
ask a judge toallow you to use another service method. The judge might allow you to publish, post or
mailthe documents. Inorder tomake this request, use Packet 6A-AlternativeFormof Service.
STEP2: WAITINGFOR A RESPONSE; TAKING A DEFAULT
Oregon lawgives your spouse/partner 30 days to respond to your petition. The time starts running from
the date of service. Theresponse must be written, andmust be filed with the required filingfee. Your
spouse/partner may askthe courttowaiveor defer the fee.
IfyourSpouse/partneris intheMilitary.
If yourspouse/partner is in the activemilitary service of the United States andhas not responded to the
petition, you mayhave to gothrough some extra steps.The court won’t gofurther withyour case
until
one
of the following things has happened: (1) your spouse/partner is no longer in the activemilitary,(2)
your spouse/partner has waived his or her rightsusing the Waiver of Right toStayof Proceedings form, or
(3) the judge holds a specialhearing inyour case. You mayget aWaiverof RighttoStayof Proceedings
form from the courthouse facilitator or use Form #6G. You mayneed to talk to anattorney if your
spouse/partner is not willingto signthe waiver.
CheckforResponse.
Your spouse/partner should mailor deliver a copy of his or her response toyou when itis filed with the
court. If you haven’t received a copyof a response after 30 days (fromthe date of service), you may
check with thecourt clerk tosee if one hasbeen filed. If noresponse hasbeenfiled, youmayrequesta
“default order.” A default means thatyou may ask the court to enter a judgment giving you the items
you asked for in your petition, withno inputfrom your spouse/partner. If a response hasbeen filed, you
will not be allowed to takea default andyou will go straight tostep 3.
No Response Filed;Requestinga Default.
Toask the court to enter a default,you must fillouttheforms listed in Step 2:Waitingfor Response;
Taking Default and file with the court any timeafter 30 days have expired from the dateof service.
INSTRUCTIONS - Page 5 of 6
1C Dissolution No Children Jackson
6/12/15
STEP3: RESOLVING YOUR
C
ASE
Temporary Orders.
You mayask the court to make temporary orders after the petition is filed. Temporary orders are in effect
once signed by the judge and last until changed by the judge,or until the final judgment is signed by a
judge, or the caseis dismissed. For example, either spouse/partner may request an order forspousal
support, an order preventingoneor bothparties from getting ridof property owned by both
spouses/partners, or anorder requiringone spouse/partner to move out of the family home. Tomakeany
of these requests, you file a “motion” (request)asking the court to do whatyou want. You may need the
assistance of an attorney to file these requests or youmayuse Packet 4 located at
www.courts.oregon.gov/Jackson
intheFamily LawForms section.
In addition, all courts haverestraining order forms for cases involvingdomestic violence. A restraining
ordercan usually be obtained within a day or two of filing if there has been abuse in the last 180 days,
and if there is further danger of abuse. Check with your localcourt aboutforms andfiling instructions.
Conferenceswiththe Judge.
Manycourts willschedule a “status”,pretrialor settlementconference if a responsehas been filed.
These meetings usually takeplace with ajudge with both spouses/partnerspresent, along withtheir
attorneysif they are represented. Youmustattendany conferences thatare scheduled unless you have
received permission fromthe judge not toattend.
At the conference, the judge will probably talk to you about howthe case is going tobe resolved, may
consider requests for temporary orders and will probably set future court dates.
Working TowardAgreement.
The court wants to help you resolvethe issues thatyouand your spouse/partnerdisagree on. You may
discuss these issues with your spouse/partner directly if itis safefor youto do soand if no court order
prohibits thatcontact. You mayalso discuss them with yourspouse’s/partner’s attorney.If you can’t
resolvetheissues on your own, the court mayprovide anumber of options to help you, including
mediation andarbitration.
Mediation.A mediator is a person trained to help people resolvedisagreements. You may meet
with a mediator to resolvethe financialissues in your case. Youmayask to meet with the mediator alone
if youare uncomfortable meeting with the other parent for any reason. JacksonCounty Court does not
offer financial mediation. You may wish to refer to the yellow pages for private mediation services.
Arbitration. Some courts refer spouses/partners who disagree on how to divide their property to
an arbitrator.Thecourtmayalso ask the arbitrator to resolvespousalsupport issues. An arbitrator is a
lawyer appointed by the court who meets with bothspouses/partners andtheir lawyers, if they are
represented,and makesa decision about howthe property shouldbe divided. Both spouses/partnersare
required to pay for this service unless the court hasspeci
fically waived ordeferred the arbitrator’s fee. If
either spouse/partner disagrees withthe arbitrators decision, he or shecan ask thecourt for a trial. If a
trial is not requested, the arbitrators decisionisfinalunless both spouses/partners agree on another
resolution.
STEP4: FINALIZING YOUR
D
IVORCE
A divorce is “finalthe date the judgment of dissolution (divorce) is signed by ajudge. Ifthere are still
items thatyoudon’tagree on,the court will probably set a date for a “finalhearingor trial. Some judges
maywantyoutoattenda “settlement conference(a meetingbetweenthe parties to discusssettlement,
usually led by a different judge thanyour trialjudge) to help you come toagreement.
Formsto Finalize Your Divorce.
Complete the forms listed inStep4:FinalizingyourDivorce.
You may also need tofile the following additionalform, depending on your circumstances.
UniformSupport Declaration.This form is only required if a response wasfiled, and you and
your spouse/partner do not agreeon spousalsupport.
TheFinal Judgment.
The judgment finalizes your divorce andcontains all of the issuesdecided in mediation, arbitration,
hearing, or through your agreement. If both spouses/partners agree on all issues, it maybe prepared
by either spouse/partner as long asit is reviewed and signed by bothspouses/partners. Ifthe
spouses/partners don’t agree on all issues, the judge maydirect one spouse/partner to fill out the
judgment.
If yourspouse/partner didn’t file a response, the information you fill out in thefinaljudgment must be
thesame as what yourequested in the petition. Ifyour spouse/partnerfiled a response,the
informationmust be the same aswasdecided in mediation, arbitration, hearingor through your
agreement.
If you are responsible for filling out and filing the final judgment, makea copy for yourself and one for your
spouse/partner (unless he or she didn’t file a response), andfile the originalwith the court. If yourcase
involvesspousal support, file an extra copyof theproposedjudgmentwiththecourt alongwith
a copyof both Confidential Information Forms(CIFs) that you filedwhenopeningyourcase.
INSTRUCTIONS - Page6 of 6
1C Dissolution No Children Jackson 6/12/15
PETITION FOR DISSOLUTION Page 1 of5
1C Petition Jackson
12/13/12
IN THE CIRCUIT COURT OFTHE STATE OF OREGON
FORTHE COUNTY OF JACKSON
In the Matter of the Marriage of:)
)
, )
CaseNo.
Petitioner,
)
)
PETITION FOR DISSOLUTION OF MARRIAGE/
REGISTERED DOMESTIC PARTNERSHIP (RDP)
and )
)
)
, )
FilingFees at ORS 21.155 (Marriage) and
ORS 21.135 (RDP)
Respondent.
)
CLAIM
SUBJECT
NOT SUBJECT TO
)
MANDATORY ARBITRATION
1. (Check one:)
Date of marriage: Place of marriage:
Date of registration of domestic partnership:
County of registration:
2. Irreconcilable differences between the parties havecaused the irremediable breakdown of their
marriage/domestic partnership.
3. Statement of Residency.
Spouses: One or both of the parties to this case currentlylive in the county in which this petition is
being filed. Petitioner Respondent has/have been a resident of and domiciled in the stateof
Oregon continuouslyforsix month s immediately prior to the filing of the Petition for Dissolution of
Marriage.
Domestic Partners: One or both of the parties to this case currentlylivein the countywhere this petition
has been filed, or neither party currently resides in Oregon but the petition has been filed in the
countywhere Petitioner or Respondent lastresided.
4. No other domesticrelations suit or support proceeding involving this marriage/domestic partnership is
pending in this or anyother state.
5. There are no children under the age of 18 to this marriage, OR no child ofthis marriage/partnership is
age 18 to 21 and a “childattending school” as defined in ORS 107.108.
6. Byfiling thispetition,I acknowledge that Iambound bythe termsof the statutoryrestrainingorder
prohibiting eitherpartyfrom disposingof marital assets,a copy of which I havereceived and read, and
understand that thisrestrainingorder iseffectiveimmediately uponserviceof thispetitionand the
summons upon the Respondent.
PETITION FOR DISSOLUTION Page 2 of5
1C Petition Jackson
12/13/12
7. Spousal Support and Life Insurance.
No spousal support or life insurance claims are made in this case (skip the rest of paragraph 7).
A. Spousal Support.
Support should be paid byPetitioner to Respondent Respondent to Petitioner:
In the amount of $ per month for the following period of time:
, or
In the amount of $ by (date), or
In an amount to be determined before trial or entry of judgment.
List reason(s) support should be paid:
The support shall be called (check one or more): transitional compensatoryspousal maintenance
based on consideration of the followingfactors (list):
B. Payments.
The judgment entered in this case should provide that Petitioner Respondent make spousal
support payments on:
The first (or
_) day of the month followingthe date of the judgment and continuingon the
same dayof each month thereafter, or
The date Respondent was served with the petition and continuing on the same dayof each month
thereafter.
All payments of spousal support should be made directlyinto ’s
checking or savings account. A receipt of deposit should be kept bythe paying spouse as proof of payment.
The spouse receivingsupport should provide the paying spouse with current deposit slips and/or bank name,
account name, and account number.
Spousal support payments are taxable to the obligee spouse and deductible to the obligor spouse. All
payments terminate uponthe death of either party.
8. Life Insurance.
Petitioner Respondent should buyand maintain life insurance for the benefit ofHusband
Wife throughout the period of the spousal support obligation, in the amount of $
9. Real Property.
Neither Petitioner nor Respondent has anyinterest in anyreal propertylocated in this or any other
state.
Petitioner Respondent has/have an interest in real propertylocated at the address of:
PETITION FOR DISSOLUTION Page 3 of5
1C Petition Jackson
12/13/12
This propertyshould be distributed: equitably,or as follows:
The legal description of the real property is attached as Exhibit and incorporated in this
petition.
Distribution of this propertyis not within the jurisdiction of this court.
10. Personal Property (including motor vehicles).
The Petitioner and Respondent have divided between them all personal effects, household goods, and
other personal propertythey own separatelyor together, and neither should claim thoseitems now in possession
of the other.
The Petitioner should be awarded: an equitable distribution of the parties’ personal property, or
the following personal property:
The Petitioner should be awarded his/her retirement benefits, pension plan, profit-sharing plan,
deferred-compensation plan, and /or stock option plan held by Petitioners employer, free of anyinterest in the
Respondent.
The Respondent should be awarded: an equitable distribution of the parties’ personal property, or
the following personal property:
The Respondent should be awarded his/herretirement benefits, pension plan, profit-sharing plan,
deferred-compensation plan, and/or stock option plan held byRespondent’s employer, free of anyinterest in the
Petitioner.
Additional page attached; see section labeled “paragraph 10 continued.
11. Distribution of Debts.
There are no outstanding debts of this marriage/domestic partnership.
The debts should be paid as follows:
Name of
Creditor
(who debt is owed
to)
Whatdebt is for
Amount
Who should pay (Petitioner
or
Respondent)
Additional page attached, labeled, “paragraph 11 continued”.
Each spouse/partner should be responsible for the payment of all debts incurred byhim/her individually
since the date of their separation; all debts which are distributed to him/her bythe court; and all debts which are
secured bypropertydistributed to that spouse/partner. Also, if any creditor asks the spouse/partner not
responsible for a debt to payall or a portion of it, and he or she does so, the spouse/partner responsible for that
debt should reimburse the other spouse/partner for anymonies he/she paid to the creditor after the date of the
judgment.
PETITION FOR DISSOLUTION Page 4 of5
1C Petition Jackson
12/13/12
12. Transfer of Debts andProperty.
Within 30 days of the date of judgment, each party should execute, acknowledge, and deliver whatever
documents are necessary to accomplish the distribution of debts and propertyordered bythe court. The
judgment should operate to conveytitle to the spouse awarded the property if the other spouse fails t o comply
with this requirement.
13. Former Name.
s former name of should be restored.
14. Information Required by ORS 25.020 andORS 107.085.
Disclosure of the followinginformation would unreasonablyput to risk the health, safety, or liberty
of Petitioner Respondent or child/ren for the
following reasons:
Otherwise: (Fill out the information in the table below)
PetitionerRespondent
Full Name
Former Legal Name(s)
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Age
Address or Contact
Address
TelephoneNumber
Social SecurityNumber
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Driver License Number
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Employer Name
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Employer Address
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Employer Telephone
Not listed here.ListedinUTCR 2.130 CIF.Not listed here.ListedinUTCR 2.130 CIF.
Additional page labeled “Paragraph 14 continued” attached.
15. Court Costs and Fees.
A.Deferred Costs and Fees (required to be paid at a later date)
Any court costs and service fees (if service completed bythe Sheriff) that are deferred bythe court
should be paid by: Petitioner Respondent Both parties equally Other:
B. Costs and FeesPaid by the Parties
Each partyshould be responsible for paying his or herown court costs and service fees for this case.
To be paid byboth parties equally
Petitioner Respondent should reimburse the other spouse for his or her court costs and service fees
for this case.
Other:
PETITION FOR DISSOLUTION Page 5 of5
1C Petition Jackson
12/13/12
Judgment should be entered according to the cost and fee allocation listed above.
16. Certificate ofDocument Preparation. Youare required to truthfullycompletethis certificate
regarding the document you are filing with the court.Check all boxes and complete all blanks that
apply:
Iselected this document for myself and I completed it without paid assistance.
Ipaid or will paymoneyto for assistance in preparing this form.
WHEREFORE, Petitioner requests aJudgment granting the relief asked for above, and other equitable
relief that the Court thinks is just.
I hereby declare that the above statements are true to the best of my knowledge and belief, and that I
understand itis made for use as evidence in court and is subject to penalty for perjury.
Dated: , 20 .
Petitioner’s Signature Print Name
Address or Contact AddressCity, State, ZipTelephone or Contact Telephone
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