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Co-Petition For Dissolution Of Marriage Domestic Partnership (Without Children) (9B) Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: Co-Petition For Dissolution Of Marriage Domestic Partnership (Without Children) (9B), Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF
In the Matter of □ the Marriage of
________________________________,
Co-Petitioner,
and
________________________________,
Co-Petitioner,
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Case No.
CO-PETITION FOR DISSOLUTION OF
MARRIAGE/DOMESTIC PARTNERSHIP
DOMESTIC RELATIONS CASE SUBJECT
TO FEE UNDER ORS 21.111
1.
Date of marriage/domestic partnership:
. Place of marriage/domestic partnership:
2.
(County, State)
Irreconcilable differences between the parties have caused the irremediable breakdown of their
marriage/domestic partnership.
3.
Certificate of Residency:
Marriage Only: I certify that one or both of the parties to this case currently live in the county in which this
petition is being filed.
Domestic Partnership Only: I certify that one or both of the parties to this case currently live in the county
in which this petition is being filed, or □ neither party currently resides in Oregon but I certify that this
petition is filed in the county where □ Petitioner or □ Respondent last resided.
4.
or □Both Co-Petitioners is/are (an) Oregon
□One, (enter name):
resident/s and has/have continuously resided in Oregon for the past six months.
5.
No other domestic relations suit or support proceeding involving this marriage/domestic partnership is
pending in this or any other state.
6.
There are no unemancipated child/ren under the age of 18 born to this marriage/domestic partnership, and
no child/ren of this marriage/domestic partnership is age 18 to 21 and a “child/ren attending school” as
defined in ORS 107.108.
7.
By filing this co-petition, we acknowledge that we are bound by the terms of the statutory restraining
order prohibiting either party from disposing of marital assets, a copy of which we each have
received and read, and understand that this restraining order is effective immediately upon filing of
this co-petition.
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
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8.
Additional Provisions.
□ Additional page attached; labeled “Paragraph 6 Continued - Additional Provisions.”
9.
Spousal Support and Life Insurance.
□ No spousal support or life insurance claims are made in this case (skip the rest of paragraph 7).
A.
Spousal Support.
Support should be paid by □ (write name)
to
□ (write name)
□ In the amount of $
per month for the following period of time:
OR
(date)
□ In the amount of $
by
List reason(s) support should be paid:
The support shall be called (check one or more): □ transitional □compensatory
□ maintenance based on consideration of the following factors (list):
Spousal support payments are taxable to the obligee spouse/domestic partner and deductible to the
obligor spouse/domestic partner. All payments terminate upon the death of either party.
Payments.
Payments should be made on the first day of each month beginning the month following the date the
judgment is signed by a judge.
All payments of spousal support should be made: (check (a) or (b)):
(a) □ To the Department of Justice, Child Support Accounting Unit, P.O. Box 14506, Salem, Oregon,
97309. Co-Petitioners request that collection, accounting, disbursement, and enforcement services be
provided through the Department of Justice. (Required if child support is paid through the state.)
’s checking or savings account. A receipt of deposit should
(b) □ Directly into
be kept by the paying spouse/domestic partner as proof of payment. The spouse/domestic partner
receiving support should provide the paying spouse/domestic partner with current deposit slips and/or
bank name, account name, and account number.
□ The terms for Life Insurance and Medical Coverage indicated below shall be in effect:
Withholding.
□ If child support is also ordered in this case and if enforcement services are provided through the State
of Oregon’s Department of Justice, the spousal support order should be enforceable by income withholding
under ORS 25.378.
B.
Life Insurance.
□ Co-Petitioner, (write name)
the benefit of □Co-Petitioner, (write name)
spousal support obligation, in the amount of $
should buy and maintain life insurance for
throughout the period of the
.
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
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10. Real Property.
□ Co-Petitioners do not have any interest in any real property located in this or any other state.
□ has/have an interest in
□ Co-Petitioner □ Co-Petitioners (write name/s)
real property located at the address of:
□ This property should be distributed as follows:
□ Additional page labeled “Paragraph 10 - Real Property continued” attached.
□ The legal description of the real property is attached as Exhibit
and incorporated in this
petition.
□ Distribution of this property is not within the jurisdiction of this court.
11. Personal Property (including motor vehicles).
□ Co-Petitioners have divided between them all personal effects, household goods, and other personal
property they own separately or together, and neither should claim those items now in possession of the other.
should be awarded the following personal
□ Co-Petitioner, (write name)
property:
□ Additional page labeled “Paragraph 11 - (write name)
Distribution continued” attached.
's Personal Property
□ Co-Petitioner, (write name)
should be awarded his/her retirement
benefits, pension plan, profit-sharing plan, deferred-compensation plan, and /or stock option plan held by
spouse/domestic partner’s employer, free of any interest in the spouse/domestic partner.
□Co-Petitioner, (write name)
should be awarded the following personal
property:
□ Additional page labeled “Paragraph 11 - (write name)
's Personal Property
Distribution continued” attached.
□Co-Petitioner, (write name)
should be awarded his/her retirement
benefits, pension plan, profit-sharing plan, deferred-compensation plan, and/or stock option plan held by
spouse/domestic partner’s employer, free of any interest in the spouse/domestic partner.
12. Distribution of Debts.
□ There are no outstanding debts of this marriage/domestic partnership.
□ The debts should be paid as follows:
Name of Creditor
(who debt is owed to)
What debt is for
Amount
Who should pay (write
names)
□ Additional page attached, labeled, “paragraph 12 continued”.
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
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Each spouse/domestic partner should be responsible for the payment of all debts incurred by him/her
individually since the date of their separation; all debts which are distributed to him/her by the court; and all
debts which are secured by property distributed to that spouse/domestic partner. Also, if any creditor asks the
spouse/domestic partner not responsible for a debt to pay all or a portion of it, and s/he does so, the
spouse/domestic partner responsible for that debt should reimburse the other spouse/domestic partner for any
monies s/he paid to the creditor after the date of the judgment.
13. Transfer of Debts and Property.
Within 30 days of the date of judgment, each party should execute, acknowledge, and deliver whatever
documents are necessary to accomplish the distribution of debts and property ordered by the court. The
judgment should operate to covey title to the spouse/domestic partner awarded the property if the other
spouse/domestic partner fails to comply with this requirement.
14. Former Name.
□
’s former name of
should be restored.
15. Information Required by ORS 25.020 and ORS 107.085.
□ Disclosure of the following information would unreasonably put to risk the health, safety, or liberty
for the
of □ Petitioner □ Respondent or child/ren
following reasons:
□ Otherwise: (Fill out the information in the table below)
Petitioner
Respondent
Full Name
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
Social Security Number
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
Driver License Number
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
Employer Name
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
Employer Address
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
Former Legal Name(s)
Age
Address or Contact
Address
Telephone Number
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
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Petitioner
Employer Telephone
Do not list here. List the information on
the UTCR 2.130 Confidential Information
Form (CIF).
Respondent
Do not list here. List the information on the
UTCR 2.130 Confidential Information Form
(CIF).
□ Additional page labeled “Paragraph 15 continued” attached.
16. Court Costs and Fees.
A.
Deferred Costs and Fees
Any court costs and service fees (if service completed by the Sheriff) that are deferred (required
to be paid at a later date) by the court should be paid by: □ Co-Petitioner (write name)
□ Both parties equally
□ Other:
B. Costs and Fees Paid by the Parties
□ Each party should be responsible for paying his/her own court costs and service fees for this
case.
□ To be paid by both parties equally
should reimburse the other party for
□ Co-Petitioner, (write name)
his/her court costs and service fees for this case.
□ Other:
Judgment should be entered according to the cost and fee allocation listed above.
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:
□ We selected this document for ourselves and completed it without paid assistance.
□ We paid or will pay money to
for assistance in preparing this form.
WHEREFORE, Co-Petitioners request a Judgment granting the relief asked for above, and other
equitable relief that the Court thinks is just.
STATE OF
County of
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, being duly sworn, say that I am a Co-Petitioner in this matter and that the
I,
foregoing petition is true and correct to the best of my knowledge.
Co-Petitioner (signature)
Address or Contact Address
Print Name
City, State, Zip Code
Telephone or Contact Telephone
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
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SIGNED AND SWORN to before me this
day of
, 20
by
Notary Public for
My Commission Expires:
/Court Clerk
///
I,
, being duly sworn, say that I am the Co-Petitioner in this matter and that the
foregoing petition is true and correct to the best of my knowledge.
Co-Petitioner (signature)
Address or Contact Address
Print Name
City, State, Zip Code
SIGNED AND SWORN to before me this
Telephone or Contact Telephone
day of
, 20
by
Notary Public for
My Commission Expires:
I certify that this is a true copy.
Co-Petitioner (signature)
CO-PETITION FOR DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP –
PAGE 6 OF 6,
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/Court Clerk
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