S:\Web Forms\Superior Court\pdf\ DomPretrialStatement.doc RRU: 07/01/2003 1 of 5 SUPERIOR COURT OF WASHINGTON IN AND FOR SNOHOMISH COUNTY CASE NO. Petitioner/Plaintiff(s) vs. Respondent/Defendant(s) PETITIONER222S/RESPONDENT222S PRETRIAL STATEMENT I. GENERAL INFORMATION 1. BIRTHDATES: Wife: Date (mm/dd/yyyy): Husband: Date (mm/dd/yyyy): 2. DATE AND PLACE OF MARRIAGE: Date (mm/dd/yyyy): Place: 3. DATE OF FINAL SEPARATION: Date (mm/dd/yyyy): American LegalNet, Inc. www.FormsWorkFlow.com S:\Web Forms\Superior Court\pdf\ DomPretrialStatement.doc RRU: 07/01/2003 2 of 5 4. DEPENDENT CHILDREN: CHILDREN OF THIS MARRIAGE NAME AGE RESIDING WITH ATTACH PROPOSED PARENTING PLAN. OTHER CHILDREN: NAME AGE RESIDING WITH 5. CHILD SUPPORT: ATTACH PROPOSED CHILD SUPPORT WORKSHEETS. Proposed allocation of tax exemptions: 6. MAINTENANCE: American LegalNet, Inc. www.FormsWorkFlow.com S:\Web Forms\Superior Court\pdf\ DomPretrialStatement.doc RRU: 07/01/2003 3 of 5 II. EARNINGS AND INCOME 1. EMPLOYMENT INCOME: (Monthly) Wife Husband Employer: Job Title: Gross: Net: 2. SOURCES AND AMOUNT OF OTHER INCOME: III. ASSETS AND DEBTS (This section does not need to be completed if the parties are in complete agreement regarding distribution of assets and debts. If agreement has been reached, attach a copy of such agreement to this statement.) 1. ASSETS: Select: Item (S=Separate) (C=Community)Market Value Amount Owed Net Value Award to whom 2. DEBTS: Creditor Amount Owed Monthly Payment To be paid by Husband/Wife American LegalNet, Inc. www.FormsWorkFlow.com S:\Web Forms\Superior Court\pdf\ DomPretrialStatement.doc RRU: 07/01/2003 4 of 5 IV. STATEMENT OF ISSUES This statement is made after consultation with the opposing party or after making a good faith effort to consult with the opposing party. 1. The following issues have been resolved (set forth the issue and specific manner of resolution, including agreed valuations, if applicable): 2. The following specific issues remain in dispute to be determined at trial: 3. If there are children of this marriage: 1. Is primary residential care a contested issue? (Check one) Yes No 2. Is shared decision making a contested issue? (Check one) Yes No 3. Is either party requesting a restriction in residential time pursuant to RCW 26.09.191? (Check one) Yes No 4. If a restriction is being requested, is it opposed? (Check one) Yes No 5. Has the (petitioner) (respondent) completed the 223For Kids Sake224 program/parenting seminar? (Check one) Yes No American LegalNet, Inc. www.FormsWorkFlow.com S:\Web Forms\Superior Court\pdf\ DomPretrialStatement.doc RRU: 07/01/2003 5 of 5 6. Has the Family Court been ordered to perform a parenting investigation in this matter? (Check one) Yes No 7. Has the Family Court report been filed? (Check one) Yes No 8. Will the Family Court Investigator be testifying at the time of trial? (Check one) Yes No 9. Has a Guardian Ad Litem been appointed in this matter? (Check one) Yes No 1. If so, please state the guardian Ad Litem222s name, professional address and telephone number: Name: Address: Phone: ( ) ext. 2. Has the Guardian Ad Litem filed a report? (Check one) Yes No 3. Will the Guardian Ad Litem be testifying at the time of trial? (Check one) Yes No V. LENGTH OF TRIAL The (Petitioner) (Respondent) estimates this trial will take day(s). Submitted: Date (mm/dd/yyyy): (Signature) American LegalNet, Inc. www.FormsWorkFlow.com