Superior Court of Washington, County of In re: Petitioner/s (person/s who started this case): No. Summons Served by Publication (SMPB) And Respondent/s (other party/parties): Summons Served by Publication (Note to Publisher: publish everything but the headings in the table below and the text following boxes not checked.) To (name): (check all the requests included in the Petition): Divorce, Separation, Valid / Invalid Marriage End your marriage or domestic partnership. Approve a legal separation. Decide whether your marriage or domestic partnership is valid or invalid. Order reasonable spousal support. Order the division of property and debts. Approve a separation / prenuptial agreement. Parenting Plan and Relocation Approve or change a Parenting Plan or Residential Schedule. Order that the children not be relocated (moved). Child Support Approve or change a Child Support Order. Order the parent/s to provide medical support. Order payment of children's day care, education, long-distance transportation, or other expenses. Decide how the parents may claim the dependent children on their tax forms. RCW 4.28.100; CR 4.1 Mandatory Form (05/2016) FL All Family 110 � The other party has asked the court to Parentage Decide who are the legal parents of a child. Decide the presumed parent is not the legal parent. Withdraw (rescind) the Paternity Acknowledgment Invalidate the Paternity Acknowledgment. Withdraw (rescind) the Denial of Paternity. Invalidate the Denial of Paternity. Non-Parent Custody Give custody of the children to a non-parent. Approve reasonable visitation for the parents in a nonparent custody case. Name Change Change the name/s of the: Petitioner Respondent Children Costs and Fees Order payment of court costs. Order payment of lawyer and other professional fees and costs. Summons Served by Publication p. 1 of 3 American LegalNet, Inc. www.FormsWorkFlow.com Restraining or Protection Orders Approve a Restraining Order. Approve a Protection Order. Other Other: You must respond in writing if you want the court to consider your side. Deadline! Your Response must be filed and served within 60 days of the date this summons is published. If you do not file and serve your Response or a Notice of Appearance by the deadline: No one has to notify you about other hearings in this case, and The court may approve the requests in the Petition without hearing your side (called a default judgment). Follow these steps: 1. 2. Read the Petition and any other documents that were filed at court with this Summons. Those documents explain what the other party is asking for. Fill out a Response on this form (check the Response that matches the Petition): FL Divorce 211, Response to Petition about a Marriage FL Divorce 212, Response to Petition about a Registered Domestic Partnership FL Non-Parent 415, Response to Non-Parent Custody Petition FL Parentage 303, Response to Petition to Decide Parentage FL Parentage 332, Response to Petition for Parenting Plan, Residential Schedule and/or Child Support FL Parentage 342, Response to Petition to Withdraw (Rescind) Paternity Acknowledgment or Denial FL Parentage 346, Response to Petition to Challenge Paternity Acknowledgment or Denial FL Parentage 352, Response to Petition to Decide Parentage (after Acknowledgment or Court Decision FL Parentage 356, Response to Petition to Disprove Parentage of Presumed Parent FL Modify 502, Response to Petition to Modify Child Support Order FL Modify 602, Response to Petition to Change Parenting Plan, Residential Schedule or Custody Order FL Relocation 722, Response to Objection about Moving with Children and Petition about Changing a Parenting/Custody Order (Relocation) You can get the Response form and other forms you need at: The Washington State Courts' website: www.courts.wa.gov/forms The Administrative Office of the Courts � call: (360) 705-5328 Washington LawHelp: www.washingtonlawhelp.org, or The Superior Court Clerk's office or county law library (for a fee). RCW 4.28.100; CR 4.1 Mandatory Form (05/2016) FL All Family 110 Summons Served by Publication p. 2 of 3 American LegalNet, Inc. www.FormsWorkFlow.com 3. Serve (give) a copy of your Response to the person who filed this Summons at the address below, and to any other parties. You may use certified mail with return receipt requested. For more information on how to serve, read Superior Court Civil Rule 5. 4. File your original Response with the court clerk at this address: Superior Court Clerk, address city County state zip 5. Lawyer not required: It is a good idea to talk to a lawyer, but you may file and serve your Response without one. Person filing this Summons or his/her lawyer fills out below: Signature Print name and WSBA No., if any Date I agree to accept legal papers for this case at (check one): Lawyer's address: lawyer's address Email (if applicable): city state zip the following address (this does not have to be your home address): address (Optional) email: city state zip (If this address changes before the case ends, you must notify all parties and the court in writing. You may use the Notice of Address Change form (FL All Family 120). You must also update your Confidential Information Form (FL All Family 001) if this case involves parentage or child support.) This Summons is issued according to Rule 4.1 of the Superior Court Civil Rules of the State of Washington. RCW 4.28.100; CR 4.1 Mandatory Form (05/2016) FL All Family 110 Summons Served by Publication p. 3 of 3 American LegalNet, Inc. www.FormsWorkFlow.com