Rule 17.100--Form 104a: Original Notice for Personal Service Read the Guide to Representing Yourself in an Iowa Divorce Case on the Iowa Judicial Branch website for additional important instructions. If filing electronically, Petitioner must use form 104. If filing in paper, Petitioner must use this form. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for County where Petition is filed County Upon the Petition of Equity case no. Original Notice for Personal Service Petitioner Full name: first, middle, last and concerning Respondent Full name: first, middle, last 1. To Respondent Named Above · · · Petitioner (your spouse) has filed a divorce lawsuit naming you as Respondent. A copy of the Petition for Dissolution of Marriage is attached to this Notice. Petitioner asks for a divorce. Petitioner's name Petitioner's contact information during the divorce case: Mailing address City State ZIP code ( ) Email address Phone number 2. Instructions to Respondent Named Above · You must file an Answer or a Motion with the clerk of court in the above county within 20 days after you receive this Original Notice. If you do not file an Answer or Motion within 20 days after receiving this Original Notice, the court may enter a judgment against you giving Petitioner what he or she asked for in the Petition. If you received Petition form 101, you may use Answer form 115. After you file your Answer or Motion, you must serve a copy of it on Petitioner. · · (SEAL) Clerk of Court Important Notice to Respondent You should talk to an attorney at once to protect your interests. City County Courthouse , Iowa ZIP code If you need assistance to participate in court due to a disability, contact the disability coordinator at: (_______) __________________ Persons who are hearing or speech impaired may call Relay Iowa TTY (1-800-735-2942). Disability coordinators cannot provide legal advice. Disability coordinator contact information available at: http://www.iowacourts.gov/Administration/Directories/ADA_Access/. November 2013 Rule 17.100--Form 104a Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com