Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Response To Petition Of Dissolution (Child Custody-Parenting Time And Counterclaim Form. This is a Oregon form and can be use in Linn Local County.
Loading PDF...
Tags: Response To Petition Of Dissolution (Child Custody-Parenting Time And Counterclaim, 1, Oregon Local County, Linn
Form 1
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF LINN
In the Matter of the Marriage of:
_______________________________________,
Petitioner,
and
_______________________________________,
Respondent.
)
)
)
)
)
)
)
)
)
)
)
Case No. ___________________________
RESPONSE TO PETITION OF DISSOLUTION
(CHILD CUSTODY/PARENTING TIME)
and COUNTERCLAIM
1.
Respondent appears and agrees with the petition for dissolution filed in this case, except paragraph(s):
_____________________________________________________________________________________________________ .
2.
Respondent makes the following counterclaim(s):
(a) ___________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
(b) ___________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Additional page attached labeled “Counterclaims, continued”.
3.
Information Required by the Uniform Child Custody Jurisdiction and Enforcement Act.
List the places where the minor child/ren of the parties have lived in the last five years and the names of the people they lived with
at that time.
Dates
County, State
Parent(s)/Caretaker
Current Address or Contact Address
of Parent/Caretaker
Which Children
Additional page attached; see section labeled “UCCJEA Information Continued”.
I have have not participated in any litigation concerning the custody, visitation, parenting time or placement of the child/ren in this or
any other state. I have participated in the following litigation:
Name of Court
State
Case No.
Date
Result
Page 1 of 2 - RESPONSE TO PETITION OF DISSOLUTION (CHILD CUSTODY/PARENTING TIME)
Linn Co unty Form D isso-1D: Form 1 Re sponse To Pe t it ion.wpd (4 /0 4 )
American LegalNet, Inc.
www.FormsWorkflow.com
I do not know of any other domestic violence, custody, visitation, parenting time or placement proceeding involving the child/ren,
or of any other court case which could affect this case, pending in this or any other state except for:___________________
____________________________________________________________________________________________________________
(identify court, case number and kind of proceeding)
I do not know any person other than my spouse who has physical custody of the child/ren or who claims to
have custody, visitation or parenting time rights except for: _________________________________________________________
___________________________________________________________________________________________________________
(list name and address)
Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the
document you are filing with the court. Check all boxes and complete all blanks that apply:
I selected this document for myself and I completed it without paid assistance.
I paid or will pay money to ________________________________ for assistance in preparing this form.
_________________________________________________
Respondent, Signature
STATE OF __________________________
County of ___________________________
______________________
Date
)
) ss.
)
I, _______________________________, being duly sworn, say that I am the respondent in this matter, and that the statements in this
Response are true and correct to the best of my knowledge.
______________________________________________________
Signature
______________________________________________
Print Name
___________________________________________________________________________________________________________
Address or Contact Address
City, State, Zip
Telephone or Contact Telephone
SIGNED AND SWORN to before me this _________ day of ______________, 20_____,
___________________________________
Notary Public for ____________/Court Clerk
My Commission Expires: ______________
I certify that this is a true copy. ________________________________
Respondent, Signature
Page 2 of 2 - RESPONSE TO PETITION OF DISSOLUTION (CHILD CUSTODY/PARENTING TIME)
Linn Co unty Form D isso-1D: Form 1 Re sponse To Pe t it ion.wpd (4 /0 4 )
American LegalNet, Inc.
www.FormsWorkflow.com
