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. STATUS QUO ORDER Based upon the motion and affidavit of the Petitioner Respondent on file herein, the request for an Ex Parte Status Quo Order is hereby: allowed. denied. IT IS HEREBY ORDERED that until further order of the Court, Petitioner and Respondent are restrained from changing the child/ren's usual place of residence (the place where the child/ren are currently living and have lived for the past three months) at (list address): , from interfering with the present placement and daily schedule of the child/ren, from hiding or secreting the child/ren from the other party, from interfering with the other parent's usual contact and parenting time with the child/ren, or from taking the child/ren out of the state without the written permission of the other parent or permission of the Court, or in any manner disturbing the current schedule and daily routine of the child/ren until custody or parenting time has been determined. /// /// /// /// /// /// STATUS QUO ORDER - PAGE 1 OF 2 StatusQuo-6B: Order6BVer05.doc (9/10) American LegalNet, Inc. www.FormsWorkFlow.com The name/s and year/s of birth of the parties' minor child/ren is/are: Dated this day of , 20 . Circuit Court Judge Print Name Notice You may request a hearing on this order as long as it remains in effect by filing with the court a [ hearing request in the form described in ORS 107.097 (5)] request for a hearing. In the request you must tell the court and the other party that you object to the order and specifically why you disagree with the representation of the status quo described in the order. In the request you must also inform the court of your telephone number or contact number and your current residence, mailing or contact address. This form is available through the Oregon Judicial Department's web site, http://www.ojd.state.or.us/familylaw, and may also be available through your local circuit court. 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. Petitioner Respondent, Signature Print Name Address or Contact Address City, State, Zip Telephone or Contact Telephone I certify that this is a true copy: Petitioner Respondent, Signature STATUS QUO ORDER - PAGE 2 OF 2 StatusQuo-6B: Order6BVer05.doc (9/10) American LegalNet, Inc. www.FormsWorkFlow.com