Page 1 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 IN THE DISTRICT COURT OF COUNTY, NEBRASKA (county where complaint filed) , Case No. CI (spouse222s full name) Plaintiff, (case number assigned by clerk of court) vs. , (your full name) Defendant. ANSWER AND COUNTERCLAIM FOR DISSOLUTION OF MARRIAGE (CHILDREN) ANSWER COMES NOW, , Defendant in the (your full name) above-captioned matter, and for the Answer to Plaintiff222s Complaint for Dissolution of Marriage, hereby admits, denies, and alleges as follows: 1.Admits Paragraph(s)of (paragraph number(s) with which you agree) the Complaint. 2.Denies Paragraph(s)of (paragraph number(s) with which you disagree) the Complaint. COUNTERCLAIM I, , the defendant in the (your full name) above-captioned action, without assistance of an attorney, hereby state and allege as follows: ANSWER AND COUNTERCLAIM FOR DISSOLUTION OF MARRIAGE (CHILDREN) Nebraska State Court Form DC 10:1 Rev. 10/17 Neb. Ct. R. 247 6 - 1112 American LegalNet, Inc. www.FormsWorkFlow.com Page 2 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 1. I live at , (your street address: if confidential under Nebraska or Federal law, enter county and state only and provide an alternative address for mailing of notice) in . (city, county, and state where you live) 2. My spouse222s address is , (spouse222s street address) In . (city, county and state where spouse lives) 3. Either my spouse or I have lived in the state of Nebraska for more than one year prior to the filing of the Complaint, with the bona fide intention of making this state our permanent home. 4. At the time this action was filed, either my spouse or I was living in County, Nebraska. (county where complaint filed) 5. We were lawfully married on , (date of marriage) in . (city and state of marriage) 6. Neither my spouse nor I am a party to any other pending actions for divorce, separation, or dissolution of marriage in this state or in any other state. 7. My spouse is not a member of the Armed Forces of the United States or its allies. 8. My marriage is irretrievably broken. 9. My spouse and I have child(ren) whose custody or (number of children) welfare may be affected by this divorce. Their names and years of birth are: (name of child) (child222s year of birth) (name of child) (child222s year of birth) American LegalNet, Inc. www.FormsWorkFlow.com Page 3 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 (name of child) (child222s year of birth) (name of child) (child222s year of birth) 10.I am Both parents are fit and proper person(s) to have the care, custody, and control of our minor child(ren) subject to the other party222s right of parenting time. 11.The following information is provided because of the requirements of theUniform Child Custody Jurisdiction and Enforcement Act:(a) For the last five years, the child(ren)222s addresses and the personsthey have lived with are: DATES: ADDRESS: NAME and CURRENT ADDRESS OF PERSON(S) WITH WHOM THE CHILDREN HAVE LIVED: (b) Check the box that applies: I have not been a party or a witness in any other proceeding concerning the custody of or parenting time with the child(ren). OR I have been a party or a witness in another proceeding concerning the custody of or parenting time with the child(ren), as follows: American LegalNet, Inc. www.FormsWorkFlow.com Page 4 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 (name of court) (case number) (date of child custody determination, if any) (c) Check the box that applies: I know of no other actions or proceedings that could affect this action. This includes actions or proceedings about domestic violence, protection orders, termination of parental rights, and adoptions. OR There is currently a proceeding which could affect this action. (name of court) (case number) (date of child custody determination, if any) (d) Check the box that applies: I do not know the names and addresses of any person(s) other than my spouse and myself who have physical custody of the child(ren) or claim to have custody or parenting time rights with the child(ren). OR American LegalNet, Inc. www.FormsWorkFlow.com Page 5 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 The following is a list of the names and addresses of persons other than my spouse and myself who have physical custody of the child(ren) or claim to have custody or parenting time rights with the child(ren). NAME: ADDRESS: 12. able to provide support for the child(ren). (223I am224 or 223My spouse is224) 13.During the course of the marriage, my spouse and I have accumulatedcertain items of property, which should be equitably divided between us. 14.My spouse and I have incurred certain debts and obligations during themarriage, and the liability for payment of these debts and obligations shouldbe equitably divided between us. 15.I wish my former name,, (former or maiden name, including first, middle and last names) to be restored to me. 16.I want this dissolution of marriage proceeding heard by a district courtjudge. 17.Check the box that applies: There are no existing restraining orders, protection orders, or criminal no-contact orders regarding either party. OR American LegalNet, Inc. www.FormsWorkFlow.com Page 6 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 There are one or more existing restraining orders, protection orders, or criminal no-contact orders regarding one or more of the parties. Details are as follows: (a) Type of order: restraining; protection; criminal no-contact. (b) Name of court, case number, and date of order for each order: (name of court, case number and date of each order) 18.A Parenting Plan has has not been developed. 19.Child custody, parenting time, or other access, and child support are are not contested. WHEREFORE, I request the court: A. Dissolve my marriage. B. Equitably divide the property and debts between my spouse and me. C. Award custody of the children of this marriage. (223me224 or 223my spouse224) D. Set forth parenting time and each parent222s right of access to the minor child(ren). E. Award child support according to Nebraska Child Support Guidelines. American LegalNet, Inc. www.FormsWorkFlow.com Page 7 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 F. Restore to me my former name of . (former or maiden name, including first, middle and last names) G. Grant any further relief that may be just. Date Signature of the defendant Name of the defendant (printed) Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address American LegalNet, Inc. www.FormsWorkFlow.com Page 8 of 8 Answer and Counterclaim for Dissolution of Marriage (With Children) DC 10:1 Rev 10/17 VERIFICATION STATE OF NEBRASKA ) ) ss COUNTY OF ) (county where signed) I, , first being sworn upon oath, depose (your full name) and say that I am the defendant in the above entitled matter and have read the foregoing Answer and Counterclaim to Complaint for Dissolution of Marriage and state that the facts contained therein are true. (Your Signature 226 DO NOT SIGN UNTIL YOU ARE IN FRONT OF THE NOTARY) SUBSCRIBED AND SWORN to before me this day of, 20 . Notary Public CERTIFICATE OF SERVICE I hereby certify that on the day of , 20 , a true (date) (month) (year) copy of the foregoing Answer and Counterclaim for Dissolution of Marriage was sent by first-class mail, postage prepaid, to my spouse at . (spouse222s address, including street address, city, state, and ZIP code) (your name) American LegalNet, Inc. www.FormsWorkFlow.com