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: Case No: ___________________ and Petitioner GENERAL JUDGMENT OF SEPARATION OF MARRIAGE RDP and MONEY AWARD and Respondent Unmarried children 18, 19, or 20 years old (full names) This document was presented to the court: On the motion and declaration of Petitioner, the default of Respondent having been found and Respondent being represented by a guardian ad litem or other person described in Oregon Rules of Civil Procedure, Rule 27 On the stipulation of the parties, as shown by the signatures at the end of this Judgment After a hearing held (date), at which the following persons were present: Petitioner Petitioner's attorney Respondent Respondent's attorney Other Children 18, 19, or 20 Years of Age Waived further appearance in these proceedings: (names) Fully participated in the proceedings and are bound by the terms of this judgment: (names) Signed and stipulated to the terms of this judgment as shown by the signatures below FINDINGS: 1. The court considered the Declaration Stipulations Evidence presented and finds that: (Check all that apply) A. Irreconcilable differences have caused the breakdown of this marriage or registered domestic partnership The parties have entered into an agreement (the terms of this judgment) suspending for at least one year their rights and obligations as spouses or domestic partners, as shown by their signatures on this judgment B. At the time the Petition was filed: Marriage Only: At least one spouse lived in the county in which the Petition was filed Registered Domestic Partnership Only: at least one partner lived in the county in which the Petition was filed, or neither partner lived in Oregon and the Petition was filed in the county where { Petitioner Respondent} last resided Sep wCh General Judgment 2016 Page 1 of 15 American LegalNet, Inc. www.FormsWorkFlow.com 2. Party and Marriage/RDP Information: Date of Marriage /RDP: Place of Marriage/RDP: Current age of parties: Petitioner (County, State) Respondent 3. Children of the Parties (Children conceived, born, or adopted during or prior to the marriage/RDP and any children otherwise legally recognized as children of both parties) Name Year of Birth Age Additional page attached titled "Findings 3 ­ Children of the Parties" Petitioner Respondent is not the father of, or paternity has not been established for, the children: (names) Neither party is now pregnant (or) Petitioner Respondent is now pregnant The other party is not the parent of the child due (date) 4. Child Custody Jurisdiction Oregon has jurisdiction under the Uniform Child Custody Jurisdiction and Enforcement Act (UCCJEA) to decide custody and parenting time matters because: Oregon is the children's home state (all of the minor children have lived here continuously for the six month period immediately before this case was filed) Other: Oregon does not have jurisdiction under the UCCJEA because: Sep wCh General Judgment 2016 Page 2 of 15 American LegalNet, Inc. www.FormsWorkFlow.com The The court grants judgment as follows: The parties are legally separated as of the date this Judgment is signed, to continue for the period of time specified in Section 8B below. The terms of this judgment are effective upon entry in the court register. CHILDREN NOTICE ABOUT PARENTING TIME AND CHILD SUPPORT The terms of child support and parenting time (visitation) are designed for the child's benefit and not the parents' benefit. You must pay support even if you are not receiving parenting time. You must comply with parenting time and visitation orders even if you are not receiving child support. Violation of child support orders and visitation or parenting time orders may result in fines, imprisonment, or other penalties. Help may be available to establish, enforce, and modify child support orders. Paternity establishment services are also available. Contact your local district attorney, the domestic relations court clerk, or the Department of Justice at 1.800.850.0228 or 503.378.5567 for information. Help may be available to establish, enforce, and modify parenting time or visitation orders. Forms are available to enforce parenting time or visitation orders. Contact your local court for information. 1. Custody and Parenting Time Custody of the children is awarded as follows: Petitioner and Respondent have joint custody of the following children: Petitioner is awarded sole custody of the following children (names): Respondent is awarded sole custody of the following children (names): Parenting time is awarded as described in the attached Parenting Plan, labeled Exhibit to Petitioner Respondent as follows _____ or Parenting time will be supervised by Any cost of supervision must be paid by Petitioner Respondent Other: Petitioner Respondent is not awarded parenting time because it would endanger the health and safety of the children Sep wCh General Judgment 2016 Page 3 of 15 American LegalNet, Inc. www.FormsWorkFlow.com Relocation Neither parent may move more than 60 miles farther away 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 relocation is suspended for good cause Contact Information Petitioner and Respondent must each provide contact addresses and contact telephone numbers to the other and notify each other of any emergencies or substantial changes in the children's health Good cause exists to suspend the obligation of the parties to provide contact information to each other Parental Authority under ORS 107.154 The non-custodial parent's authority under ORS 107.154 is suspended for good cause 2. Child and Medical Support and Life Insurance for Children A. Child Support Existing Child Support Obligation (list court/agency, case number, and date of prior child support orders and judgments: _______________________________________________________ No action is taken by this judgment regarding any prior child support order or judgment This judgment does not replace any existing child support order or judgment. Payment amount and schedule remain as ordered on (date of order or judgment):_______________ any arrears accumulated under the continued order or judgment remain due This judgment replaces the existing child support obligation because the existing orders a