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General Judgment Of Dissolution Of Marriage (Without Children) And Money Award Form. This is a Oregon form and can be use in Circuit Court Statewide.
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Tags: General Judgment Of Dissolution Of Marriage (Without Children) And Money Award, 1C, Oregon Statewide, Circuit Court
IN THE CIRCUIT COURT OF THE STATE OF OREGON
FOR THE COUNTY OF
In the Matter of □ the Marriage of:
________________________________,
Petitioner,
and
________________________________,
Respondent
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Case No.
GENERAL JUDGMENT OF DISSOLUTION
OF MARRIAGE/DOMESTIC PARTNERSHIP
and MONEY AWARD
1. This matter came before the Court:
□ On the motion and affidavit of Petitioner, the default of Respondent having been found.
□ On the motion of Petitioner, the default of Respondent having been found, and Respondent being
represented by a guardian ad litem or another person described in Rule 27.
□ On the motion and affidavit of Petitioner, Respondent having filed a Waiver of Further Appearance.
□ On the stipulations of the parties, as shown by the signatures below.
□ The court has waived the 90 day waiting period based on the following: □ the parties have entered into
a stipulated (agreed to) judgment, or □ other:
□ At a hearing held
, at which the following persons were present:
Date)
□ Petitioner
□ Petitioner’s attorney
□ Respondent
□ Respondent’s attorney:
2. Findings. The Court considered the: □ Affidavit □ Affidavit and stipulations □ Evidence presented
and found that:
A. Irreconcilable differences have caused the irremediable breakdown of this marriage/domestic
partnership.
B. Spouses Only: □ Petitioner □ Respondent has/have been a resident of and domiciled in the state of
Oregon continuously for six months immediately prior to the filing of the Petition for Dissolution of
Marriage.
□ Domestic Partnership Only: One or both of the parties to this case currently live in the county where
this petition has been filed, or □ neither party currently resides in Oregon but the petition has been filed
in the county where □ Petitioner or □ Respondent last resided.
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GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP; AND MONEY
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NOW, THEREFORE, IT IS HEREBY ORDERED:
The terms of this judgment are effective immediately. The marital/domestic partner status of the parties
shall terminate on the date this judgment is signed by the judge.
3. Spousal Support and Life Insurance.
□ No spousal support or spousal life insurance is ordered in this case.
Spousal Support.
Support shall be paid by:□ Petitioner to Respondent (or) □ Respondent to Petitioner
per month, or $
by
(date).
In the amount of:$
Period support payments shall last:
, or the death of either party, whichever comes first.
The support shall be called (check one or more): □ transitional □ compensatory □ spousal
maintenance, based on consideration of the following factors:
Spousal support payments are taxable to the obligee spouse and deductible to the obligor spouse. All
payments terminate upon the death of either party. Judgment is entered accordingly.
Payments.
Payments shall 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 shall be made: (check (a) or (b))
(a) □ To the Department of Justice, Child Support Accounting Unit, P.O. Box 14506, Salem, Oregon,
97309. Petitioner requests that collection, accounting, disbursement, and enforcement services be provided
through the Department of Justice.
(b) □ Directly into
’s checking or savings account. A receipt of deposit
shall 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.
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 shall be enforceable by income withholding under
ORS 25.311.
Life Insurance.
□ Petitioner □ Respondent shall buy and maintain life insurance for the benefit of □ Petitioner
□ Respondent throughout the period of the spousal support obligation in the amount of $
4. Real Property Distribution.
□ Neither Petitioner nor Respondent has any interest in any real property located in this or in any other
state.
□ Petitioner □ Respondent has/have an interest in real property located at the address of
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□ This property shall be distributed as follows:
□ Additional page labeled “Paragraph 4 - Real Property Distribution continued” attached.
□ The legal description of the property is attached as “Exhibit
” and incorporated into this
Judgment.
□ Petitioner □ Respondent shall be responsible for the preparation, signing and recording of a deed,
transferring the real property as required by this judgment.
□ Distribution of this property is not within the jurisdiction of this court.
5. Personal Property Distribution (including motor vehicles).
□ The Petitioner and Respondent have divided between them all personal effects, household goods
and other personal property they own separately or together, and each shall be awarded those items now in their
possession.
□ The Petitioner is awarded the following personal property:
□ Additional page labeled “Paragraph 5 - Petitioner’s Personal Property Distribution continued” attached.
□ The Petitioner is awarded his/her retirement benefits, pension plan, profit-sharing plan, deferred
compensation plan, and/or stock option plan held by Petitioner’s current or past employer, free of any interest in
the Respondent.
□ The Respondent is awarded his/her retirement benefits, pension plan, profit-sharing plan, deferred
compensation plan, and/or stock option plan held by Respondent’s current or past employer, free of any interest
in the Petitioner.
□ The Respondent is awarded the following personal property:
□ Additional page labeled “Paragraph 5 - Respondent’s Personal Property Distribution continued” attached.
6. Distribution of Debts.
□ The debts shall be paid as follows:
Name of Creditor
(who money is owed to)
What debt is for
Amount
Who shall pay
(Petitioner or Respondent)
□ Additional page attached, labeled “Paragraph 6 - Distribution of Debts continued.”
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Each party shall be responsible for the payment of all debts incurred by him/her individually since the
date of the separation; all debts which are distributed to him/her by the court; and all debts which are secured by
property distributed to that party. 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 shall
reimburse the other spouse/domestic partner for any monies s/he paid to the creditor after the date this judgment
was entered.
The date of separation (when you began living apart) was:
.
7. Transfer of Property and Debts.
Within thirty (30) days of the date of this judgment, each party shall execute, acknowledge and deliver
whatever documents are necessary to accomplish the distribution of debts and property ordered by the court.
The judgment shall operate to convey title to the party awarded the property if the other party fails to comply
with this requirement.
8. Former Name.
□ Petitioner’s □ Respondent’s former name of
is restored.
9. Additional Provisions:
□ Additional page attached labeled “Paragraph 9 - Additional Provisions continued.”
10. Court Costs and Fees.
A. Deferred Costs and Fees
Any court costs and service fees (if service was completed by the Sheriff) that were deferred (required to
be paid at a later date) by the court shall be paid by:
□ Petitioner
□ Respondent.
□ Both parties equally
.
□ Other:
B. Costs and Fees Paid by the Parties
□ Each party shall be responsible for paying his/her own court costs and service fees for this case.
□ To be paid by both parties equally
□ Petitioner □ Respondent shall reimburse the other spouse for his/her court costs and service fees for
this case.
Other:
.
Judgment shall be entered according to the cost and fee allocation listed above.
11. Information Required by ORS 25.020 and ORS 107.085.
□ Based on a finding that the health, safety, or liberty of □ Petitioner □ Respondent or a child,
, would unreasonably be put at risk by disclosure of the following
information, □ Petitioner □ Respondent has been allowed not to disclose this information.
Both parties shall inform the Court and the Department of Justice (P.O. Box 14506, Salem, Oregon
97309) in writing of any change in the below information required by ORS 25.020 within ten (10) days of such
change, unless a finding of unreasonable risk has been made in this case. If the court has ordered that a party be
GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP; AND MONEY
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allowed not to disclose information, the Department of Justice or the District Attorney shall not disclose the
information in the following section to the other parent.
□ Otherwise:
Petitioner
Respondent
Full Name
Former Legal Name(s) Do not list here. List the information
Do not list here. List the information on
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Information Form (CIF).
Form (CIF).
Age
Address or Contact
Address
Telephone Number
Do not list here. List the information
Do not list here. List the information on
Social Security
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Number
Information Form (CIF).
Form (CIF).
Driver License
Do not list here. List the information
Do not list here. List the information on
Number
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Information Form (CIF).
Form (CIF).
Employer Name
Do not list here. List the information
Do not list here. List the information on
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Information Form (CIF).
Form (CIF).
Employer Address
Do not list here. List the information
Do not list here. List the information on
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Information Form (CIF).
Form (CIF).
Employer Telephone
Do not list here. List the information
Do not list here. List the information on
on the UTCR 2.130 Confidential
the UTCR 2.130 Confidential Information
Information Form (CIF).
Form (CIF).
□ Additional page labeled “Paragraph 11 - Required Information continued” attached.
Date of marriage/domestic partnership:
Place of marriage/domestic partnership:
.
.
12. Money Award. Child Support Obligation □ included □ not included.
Spousal Support □ included □ not included.
Additional
information
PETITIONER
RESPONDENT
Full Name
Address or
Contact Address
Attorney’s Name,
Telephone Number
and Address (if
applicable)
Year of Birth
GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP; AND MONEY
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Last Four Digits of
Driver License Number
and State of Issuance
Last Four Digits of the
Support Obligor’s Social
Security Number
The following information is to be provided by any party entitled to receive a money award
(a “judgment creditor”) as listed in this Judgment.
Others Entitled to
Portions of Judgment
Payable to
PETITIONER
The following person(s) or public bod(ies) are known by Petitioner to be entitled to a
portion of a payment made on the judgment (other than Petitioner’s attorney):
□ None or □
Others Entitled to
Portions of Judgment
Payable to
RESPONDENT
The following person(s) or public bod(ies) are known by Respondent to be entitled
to a portion of a payment made on the judgment (other than the Respondent’s
attorney): □ None or □
Type of Judgment
Spousal Support
Award
Amount of Judgment
WHO PAYS
□ Petitioner
□ Respondent
WHO RECEIVES
□ Petitioner
□ Respondent
1. $
per month or starting on the □ first
day or
of the month following the date of
□ Other:
the judgment, lasting until
(date), or the death of either party, whichever comes first; or
to be paid
2. A lump sum payment of $
by (date):
SPOUSAL SUPPORT PAYMENTS ARE TAXABLE TO THE OBLIGEE SPOUSE AND
DEDUCTIBLE TO THE OBLIGOR SPOUSE. ALL PAYMENTS TERMINATE UPON THE DEATH
OF EITHER PARTY.
Property Division
(if applicable)
WHO PAYS
□ Petitioner
□ Respondent
WHO RECEIVES
□ Petitioner
□ Respondent
1. $
per month, starting on the
□ first day or □ Other:
of the month following the date of the
judgment until the total amount of $
is paid in
full; or
2. A lump sum payment of $
to be paid by:
(date).
GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP; AND MONEY
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Prejudgment
Interest
(Note: ORS
21.607(1)
disallows interest
on fees that have
been deferred.)
Postjudgment
Interest
(Note: ORS
21.607(1)
disallows interest
on fees that have
been deferred.)
Accrued Arrears
(if any, on
judgments to be
paid on a periodic
basis)
Costs and Service
Expenses
(e.g., filing fees,
hearing fees, trial
fees, process fees)
Attorneys Fees
(if any)
WHO PAYS
□ Petitioner
□ Respondent
$
WHO RECEIVES
□ Petitioner
□ Respondent
WHO PAYS
□ Petitioner
□ Respondent
Nine percent ( 9 %) per annum simple interest on the unpaid
balance of the total judgment amount(s) of
. Interest accrues from the date the
$
judgment is entered and continues until fully paid.
WHO RECEIVES
□ Petitioner
□ Respondent
WHO PAYS
□ Petitioner
□ Respondent
WHO RECEIVES
□ Petitioner
□ Respondent
1. $
per month, starting on the
□ first day or □ Other:
of the month
following the date of the judgment until the total amount of $
is paid in full; or
2. A lump sum payment of $
to be paid by:
(date).
WHO PAYS
□ Petitioner
□ Respondent
$
WHO RECEIVES
□ Petitioner
□ Respondent
WHO PAYS
□ Petitioner
□ Respondent
$
WHO RECEIVES
□ Petitioner
□ Respondent
GENERAL JUDGMENT OF DISSOLUTION OF MARRIAGE/DOMESTIC PARTNERSHIP; and MONEY
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DATED this ________ day of ________________________________, 20______.
Circuit Court Judge
Print Name
□ All parties have agreed (stipulated) to the terms of this judgment. (Sign before a notary public or
court clerk only.)
□Petitioner, Signature
State of
County of
)
)
This instrument was acknowledged before me on
, 20
, (date)
by
(name of person(s)).
/Court Clerk
Notary Public for
My Commission Expires:
□Respondent, Signature
State of
County of
)
)
This instrument was acknowledged before me on
, 20
by
(name of person(s)).
Notary Public for
My Commission Expires:
, (date)
/Court Clerk
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.
for assistance in preparing this form.
□ I paid or will pay money to
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Submitted by:
□Petitioner □Respondent, Signature
Print Name
Address or Contact Address
Telephone or Contact Telephone
City, State, Zip
Certificate of Mailing. I certify that I mailed a copy of this judgment and attachments thereto by U.S. Mail
with postage paid to the other party at the following address:
on the following date:
□ Petitioner □Respondent, Signature
Print Name
I certify that this is a true copy:
______________________________
□Petitioner □Respondent, Signature
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