IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF In the Matter of the Marriage or Registered Domestic Partnership (RDP) of: Petitioner Case No: ______________________ and Respondent and Unmarried children 18, 19, or 20 years old (full names) DECLARATION SUPPORTING GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE RDP The statements made in the Petition remain true and accurate except: Section Number Explain Additional page attached Minor Children Children of Petitioner and Respondent (under age 18) conceived, born, or adopted during or prior to the marriage/RDP and any children otherwise legally recognized as children of both parties: Name of Child Age Currently lives with (Name, Address or Contact Address) For how long Additional children listed on page attached titled "Additional Children" Petitioner Respondent is pregnant (and) the other party is is not the parent of this child. The expected date of the child's birth is Child support has been requested. I have attached to the proposed judgment a Child Support Worksheet labeled Exhibit . The information included in that worksheet is true and accurate to the best of my knowledge. American LegalNet, Inc. www.FormsWorkFlow.com Disso wCh Declaration Supporting General Judgment 2016 Page 1 of 2 Case No. The parent who should pay child support ("payor") does not live in Oregon but (check all that apply) Was personally served with the Petition in Oregon Filed a response in this case Lived in Oregon with at least one of the children Lived in Oregon and paid for prenatal or other costs for at least one of the children At least one child lives in Oregon as a result of an act or instruction by the payor At least one child may have been conceived in Oregon Claimed parenthood on a Voluntary Acknowledgment of Paternity Both parties lived in Oregon for at least 6 months and the non-resident party moved out of Oregon less than one year before the Petition was filed in this case There is another basis for jurisdiction (explain): I ask the court to enter judgment without a hearing under ORS 107.095(4) because: Respondent has not appeared and an Order of Default has been entered. Respondent has stipulated (agreed) to the terms of the Judgment. Certificate of Document Preparation. Check all that apply: I chose this form for myself and completed it without paid help A legal help organization helped me choose or complete this form, but I did not pay money to anyone I paid (or will pay) for help choosing, completing, or reviewing this form Guide & File selected and completed this form and I did not pay anyone to review the completed form I hereby declare that the above statements are true and complete to the best of my knowledge and belief. I understand they are made for use as evidence in court and I am subject to penalty for perjury. Submitted by Date Petitioner Respondent Signature Name (printed) Contact Address City, State, Zip Contact Phone American LegalNet, Inc. www.FormsWorkFlow.com Disso wCh Declaration Supporting General Judgment 2016 Page 2 of 2 Case No.