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 ) ) ) ) ) ) ) ) ) ) ) Case No. ______________________ RESPONSE TO PETITION OF DISSOLUTION (NO CHILDREN) ` AND COUNTERCLAIM
________________________________, Respondent. 1.
Respondent appears and agrees with the petition for dissolution filed in this case, except paragraph(s): _____________________________________________________________________________________ .
2.
` Respondent makes the following counterclaim(s):
(a) ___________________________________________________________________________________
____________________________________________________________________________________________ ____________________________________________________________________________________________ (b) ___________________________________________________________________________________ ____________________________________________________________________________________________ ____________________________________________________________________________________________
` Additional page attached labeled "Counterclaims, continued".
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Page 1of 2 - RESPONSE TO PETITION OF DISSOLUTION (NO CHILDREN)
Linn County Form Disso-1D: Form 1 Response To Petition.wpd (3/22/02)
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 __________________________
) ) ss.
County of ___________________________
)
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 2of 2 - RESPONSE TO PETITION OF DISSOLUTION (NO CHILDREN)
Linn County Form Disso-1D: Form 1 Response To Petition.wpd (3/22/02)