IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _________________ In the Matter of the □ Marriage of: ________________________________, Petitioner, and ________________________________, Respondent. ) ) ) ) ) ) ) ) ) ) Case No. ____________________ RESPONSE □ AND COUNTERCLAIM DOMESTIC RELATIONS CASE SUBJECT TO FEE UNDER ORS 21.111 CLAIM □ SUBJECT □ NOT SUBJECT TO MANDATORY ARBITRATION 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”. 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. Dated this _______ day of __________________, 20_____. Signature Address or Contact Address Print Name City, State, Zip Telephone or Contact Telephone I certify that this is a true copy: Respondent, Signature RESPONSE □ AND COUNTERCLAIM – DOMESTIC RELATIONS CASE SUBJECT TO FEE UNDER American LegalNet, Inc. ORS 21.111 - Page 1 of 1 Separation-2D: Response2DVer03.doc (3/08) www.FormsWorkflow.com