DISPOSITION SHEET STATE OF ARKANSAS /1/2017 CIRCUIT COURT: DOMESTIC RELATIONS The domestic relations reporting form and the information contained herein shall not be admissible as evidence in any other court proceeding or replace or supplement the filing and service of pleadings, orders, or other papers as required by law of Supreme Court Rule. This form is required pursuant to Administrative Order Number 8. Instructions are located at www..gov. Case ID: V Trial Type: (B) Bench Trial (N) Non-Trial Disposition Date: Was an interpreter used for this case? Yes No For whom? Language: Other: Was any party self-represented for any portion of the case? Yes No If so, who? Manner of Disposition (Choose one) If consolidated, case ID: If this case resulted in an annulment or divorce (DCINF): Date of marriage: Number of affected children: Was the divorce/annulment contested? Yes No Grounds for divorce: Grounds for annulment: Alimony granted? Yes No If this case involved custody or support (CSINF): Primary custody was placed with: first name last name Child support ordered: New Modified Terminated N/A Person ordered to pay child support: first name last name Was there an order of protection in this case? Yes No Also file the completed Confidential Information Sheet. If yes, person(s) protected under the order: American LegalNet, Inc. www.FormsWorkFlow.com