Free Form 1 Response To Petition - Oregon

Form 1
IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN

In the Matter of the Marriage of: _______________________________________, Petitioner, and

_______________________________________, Respondent.

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Case No. ___________________________ RESPONSE TO PETITION OF DISSOLUTION (CHILD CUSTODY/PARENTING TIME) and COUNTERCLAIM

1.

Respondent appears and agrees with the petition for dissolution filed in this case, except paragraph(s): _____________________________________________________________________________________________________ . Respondent makes the following counterclaim(s): (a) ___________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ (b) ___________________________________________________________________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________ Additional page attached labeled "Counterclaims, continued". Information Required by the Uniform Child Custody Jurisdiction and Enforcement Act. List the places where the minor child/ren of the parties have lived in the last five years and the names of the people they lived with at that time. Dates County, State Parent(s)/Caretaker Current Address or Contact Address of Parent/Caretaker Which Children

2.

3.

Additional page attached; see section labeled "UCCJEA Information Continued".
I have have not participated in any litigation concerning the custody, visitation, parenting time or placement of the child/ren in this or any other state. I have participated in the following litigation: Name of Court State Case No. Date Result

Page 1 of 2 - RESPONSE TO PETITION OF DISSOLUTION (CHILD CUSTODY/PARENTING TIME)
Linn Co unty Form D isso-1D: Form 1 Re sponse To Pe t it ion.wpd (4 /0 4 )

I do not know of any other domestic violence, custody, visitation, parenting time or placement proceeding involving the child/ren, or of any other court case which could affect this case, pending in this or any other state except for:___________________ ____________________________________________________________________________________________________________ (identify court, case number and kind of proceeding) I do not know any person other than my spouse who has physical custody of the child/ren or who claims to have custody, visitation or parenting time rights except for: _________________________________________________________ ___________________________________________________________________________________________________________ (list name and address)

Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to ________________________________ for assistance in preparing this form.

_________________________________________________

Respondent, Signature

______________________ Date

STATE OF __________________________ County of ___________________________

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I, _______________________________, being duly sworn, say that I am the respondent in this matter, and that the statements in this Response are true and correct to the best of my knowledge. ______________________________________________________ Signature ______________________________________________ Print Name

___________________________________________________________________________________________________________ Address or Contact Address City, State, Zip Telephone or Contact Telephone

SIGNED AND SWORN to before me this _________ day of ______________, 20_____,

___________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ______________

I certify that this is a true copy. ________________________________ Respondent, Signature

Page 2 of 2 - RESPONSE TO PETITION OF DISSOLUTION (CHILD CUSTODY/PARENTING TIME)
Linn Co unty Form D isso-1D: Form 1 Re sponse To Pe t it ion.wpd (4 /0 4 )