Circuit Court for Case No. City or County vs. Name Street Address Apt # ( City State Zip Code Name PO Box Street Address Area Code ( Telephone City State Plaintiff ANSWER TO Apt # ) Zip Code PO Box ) Area Code Telephone Defendant COMPLAINT PETITION MOTION (DOM REL 50) I, , representing myself, answering the filed against me, state: Name of Complaint, Petition, or Motion that you are answering 1. Answering Paragraph No. 1 (check one): I admit all of the statement(s) in Paragraph No. 1. I deny all of the statement(s) in Paragraph No. 1, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 1 are true. 2. Answering Paragraph No. 2 (check one): I admit all of the statement(s) in Paragraph No. 2. I deny all of the statement(s) in Paragraph No. 2, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 2 are true. There is no Paragraph No. 2 3. Answering Paragraph No. 3 (check one): I admit all of the statement(s) in Paragraph No. 3. I deny all of the statement(s) in Paragraph No. 3, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 3 are true. There is no Paragraph No. 3 4. Answering Paragraph No. 4 (check one): I admit all of the statement(s) in Paragraph No. 4. I deny all of the statement(s) in Paragraph No. 4, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 4 are true. There is no Paragraph No. 4 5. Answering Paragraph No. 5 (check one): I admit all of the statement(s) in Paragraph No. 5. I deny all of the statement(s) in Paragraph No. 5, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 5 are true. There is no Paragraph No. 5 CC-DR 50 (Rev. 5/2009) Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com 6. Answering Paragraph No. 6 (check one): I admit all of the statement(s) in Paragraph No. 6. I deny all of the statement(s) in Paragraph No. 6, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 6 are true. There is no Paragraph No. 6 7. Answering Paragraph No. 7 (check one): I admit all of the statement(s) in Paragraph No. 7. I deny all of the statement(s) in Paragraph No. 7, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 7 are true. There is no Paragraph No. 7 8. Answering Paragraph No. 8 (check one): I admit all of the statement(s) in Paragraph No. 8. I deny all of the statement(s) in Paragraph No. 8, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 8 are true. There is no Paragraph No. 8 9. Answering Paragraph No. 9 (check one): I admit all of the statement(s) in Paragraph No. 9. I deny all of the statement(s) in Paragraph No. 9, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 9 are true. There is no Paragraph No. 9 10. Answering Paragraph No. 10 (check one): I admit all of the statement(s) in Paragraph No. 10. I deny all of the statement(s) in Paragraph No. 10, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 10 are true. There is no Paragraph No. 10 11. Answering Paragraph No. 11 (check one): I admit all of the statement(s) in Paragraph No. 11. I deny all of the statement(s) in Paragraph No. 11, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 11 are true. There is no Paragraph No. 11 12. Answering Paragraph No. 12 (check one): I admit all of the statement(s) in Paragraph No. 12. I deny all of the statement(s) in Paragraph No. 12, except that I admit that State the facts that you admit or write "none" I do not have enough information to know whether or not the statement(s) in Paragraph 12 are true. There is no Paragraph No. 12 CC-DR 50 (Rev. 5/2009) Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com 13. In my defense, I also want the Court to consider the following facts (A copy of any court order relating to my defense is attached, if available): FOR THESE REASONS, I request the Court (check all that apply): Dismiss/Deny the Complaint/Petition/Motion. Grant the relief requested in the Complaint/Petition/Motion. Grant the relief requested in the Complaint/Petition/Motion except State the relief you do NOT want the Court to grant. Order any other appropriate relief. Date Signature CERTIFICATE OF SERVICE I HEREBY CERTIFY that on this Answer was mailed, postage prepaid, to day of , , a copy of the foregoing Opposing Party or His/Her Attorney Opposing Party's or His/Her Attorney's Address including City / State / Zip Date Signature IMPORTANT (TIME FOR FILING YOUR ANSWER IF YOU WISH TO CONTEST THIS MATTER): You must file your Answer with the Court within the time stated in the summons. If you were served with a "Motion" but no summons, you must file your Answer within 15 days of being served. IMPORTANT (ADDITIONAL PAPERS YOU MUST FILE): If the Opposing Party is seeking child support, alimony, or both, you must complete and attach to your Answer the appropriate financial statement(s) (child support - use Form DOM REL 30 or DOM REL 31; alimony - use Form DOM REL 31). If you want the Court to grant relief to you, you must complete page 3 of this form and file the appropriate additional form(s). CC-DR 50 (Rev. 5/2009) Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com