Full Name of Party Filing Document Mailing Address (Street or Post Office Box) City, State and Zip Code Telephone Email Address (if any) IN THE DISTRICT COURT FOR THE JUDICIAL DISTRICT FOR THE STATE OF IDAHO, IN AND FOR THE COUNTY OF Case No. , Petitioner, vs. , Respondent. State of Idaho, Department of Health and Welfare (Your name) RESPONSE Fee Category: Filing Fee: $ , for his/her Response to the , states: 1. I completely agree with and admit the following paragraphs (list each paragraph number): 2. I admit the portion of paragraph , that states: FAMILY CASE RESPONSE (NO MINOR CHILDREN) CAO GCS 3-2 07/01/2016 PAGE 1 American LegalNet, Inc. www.FormsWorkFlow.com and I deny everything else in that paragraph. 3. I admit the portion of paragraph , that states: and I deny everything else in that paragraph. 4. I deny the following paragraphs because I do not have enough information to admit or deny them (list each paragraph number): 5. I completely disagree with and deny everything I do not admit. 6. I want the Petition dismissed. AFFIRMATIVE DEFENSE(S) (State each affirmative defense that applies in a separate paragraph ­ see I.R.F.L.P. 208(C)) I certify I have read this Response and state that all facts included are true. I ask the Court to enter any order requested above. CERTIFICATION UNDER PENALTY OF PERJURY I certify under penalty of perjury pursuant to the law of the State of Idaho that the foregoing is true and correct. Date: Typed/Printed Name Signature FAMILY CASE RESPONSE (NO MINOR CHILDREN) CAO GCS 3-2 07/01/2016 PAGE 2 American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I certify that on (date) yourself) I served a copy to: (name all parties in the case other than State of Idaho, Department of Health And Welfare, Division of Child Support Enforcement By mail By fax (number) By personal delivery (Street or Post Office Address) (City, State, and Zip Code) (Name) By mail By fax (number) By personal delivery (Street or Post Office Address) (City, State, and Zip Code) (Name) By mail By fax (number) By personal delivery FAMILY CASE RESPONSE (NO MINOR CHILDREN) CAO GCS 3-2 07/01/2016 PAGE 3 American LegalNet, Inc. www.FormsWorkFlow.com (Street or Post Office Address) (City, State, and Zip Code) Typed/printed name Signature FAMILY CASE RESPONSE (NO MINOR CHILDREN) CAO GCS 3-2 07/01/2016 PAGE 4 American LegalNet, Inc. www.FormsWorkFlow.com