IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF LINN IN THE MATTER OF THE MARRIAGE OF SEPARATION OF CUSTODY OF ____________________________, Petitioner, and ____________________________, Respondent. 1. ) ) ) ) ) ) ) ) ) ) ) Case No. __________________ ORDER FOR TEMPORARY RELIEF SLR 8.005 This matter came before the Court: a. On the motion and affidavit of Petitioner / Respondent, the default of Petitioner / Respondent having been found. b. On the motion and affidavit of Petitioner / Respondent; Petitioner / Respondent having filed a Waiver of Further Appearance. c. On the stipulations of the partie as shown by the signatures below. s, d. At a hearing held ______________________, at which the following persons were present: (Date) e. Petitioner Petitioner's attorney Respondent Respondent's attorney The Court issued an opinion letter dated _________________(date), a copy of which is attached as Exhibit A. IT IS THEREFORE ORDERED that: 1. Custody: a. Petitioner Respondent is awarded sole custody of the child/ren________________________ ________________________________________________________________________________ ________________________________________________________________________________ (Full Names and dates of birth) The parties have agreed to joint custody of the following child/ren: ________________________________________________________________________________ b. Physical custody of the child(ren) named below to: Petitioner ______________________________________________________________________ _ Respondent______________________________________________ _______________________ Joint __________________________________________________________________________ Parenting Time: Petitioner Respondent shall have parenting time with the child/ren in accordance with the attached Standard Linn County Parenting Plan, or theattached parenting plan, labeled "Exhibit 1". Page 1 of 3, Temporary Order LINN COUNTY TEMPORARY ORDER.doc (9/09) American LegalNet, Inc. www.FormsWorkFlow.com OR Petitioner Respondent shall have reasonable parenting time with the child/ren upon giving reasonable notice to the other parent. Minimum parenting time, in case of disagreement, shall be: ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ Additional page(s) attached, labeled "Exhibit 1 ." Petitioner Respondent shall not have parenting time because this would endanger the health and safety of the child/ren. Parenting time shall be supervised by ______ __________________________________________. Any cost of the supervision shall be paid by Petitioner Respondent Other:_______________ Petitioner and Respondent shall each provide contact addresses and contact telephone numbers to the other and notify each other of any emergency circumstances or substantial changes in the child/ren's health. Neither parent shall move to a residence more than 60 miles further distant from the other parent without giving the other parent reasonable notice of the change of residence and providing a copy of such notice to the court, or the requirement of ORS 107.159 regarding notice of move is suspended for good cause found. 2. Debts: Minimum monthly payments of debts required to pay during the pendency of this case are as follows: Name of Creditor (who debt is owed to) What debt is for Amount Who should pay (Husband or Wife) Debt Maintenance: Each party shall make minimum monthly payments on and keep current the following marital debt until further order of the court: Petitioner: _______________________________________________________________________. Respondent: _____________________________________________________________________. Additional page(s) attached, labeled "Exhibit ____ 3. Petitioner Respondent shall b granted_____________________________________________ e ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ [ ]Medical Support: See finding and order under "Insurance below" American LegalNet, Inc. www.FormsWorkFlow.com 4. Page 2 of 3, Temporary Order LINN COUNTY TEMPORARY ORDER.doc (9/09) 5. Findings of fact required by ORS 25.323(3)- see findings in attached judge's decision letter, incorporated herein. [A cap of 7% of gross income applies to Medical Support expenses ordered.] Insurance: The parties shall maintain any existing health, dental, vision, disability and or life insurance currently in force for the benefit of the other party and or the children until further order of the court. Each party shall pay one half of all uninsured medical and dental expenses exceeding the first $250 per child per year incurred. Restraint: Each party is restrained from disposing of or wasting marital assets. Each party shall maintain all existing health, dental, optical, property, auto and life insurance policies in full force until further order of the court. Exclusive Use: The parties are awarded exclusive use and possession of the following property until further order of the court: To Petitioner: _____________________________________________________________________. To Respondent: ___________________________________________________________________. DATED this ________ day of ________________________________, 20______. _______________________________________________ Circuit Court Judge _______________________________________________ Print Name 6. 7. Both parties have agreed (stipulated) to the terms of this Order: (both parties must sign below) __________________________________ ________ _________________________________ _________ Petitioner Signature Date Respondent Signature Date Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all bo