Superior Court of Washington County of In re Parentage: No. Petitioner, Respondent, Order Granting Motion for Summary Judgment (ORGSJ) Respondent, Clerk’s Action Required and and and Child(ren) over age of 2. I. Judgment Summary [] [] Does not apply. Judgment Summary is set forth below. A. B. C. D. E. F. G. H. I. J. K. L. Judgment creditor Judgment debtor Principal judgment amount $ Interest to date of judgment $ Attorney fees $ Costs $ Other recovery amount $ Principal judgment shall bear interest at __________% per annum Attorney fees, costs and other recovery amounts shall bear interest at __________% per annum Attorney for judgment creditor Attorney for judgment debtor Other: Ord Granting Mtn for Summary Jdgmnt (ORGSJ) - Page 1 of 3 WPF PS 03.0270 (06/2012) - CR 56 American LegalNet, Inc. www.FormsWorkFlow.com II. Hearing 2.1 Persons Appearing at This Hearing Were [] [] [] [] [] [] [] [] [] 2.2 Petitioner Respondent (name) __________________ Respondent (name) __________________ Respondent (name) __________________ [ ] Petitioner’s Attorney [ ] Respondent’s Attorney [ ] Respondent’s Attorney [ ] Respondent’s Attorney Child (name) ______________________ [ ] Child’s Guardian ad Litem Child (name) ______________________ [ ] Child’s Guardian ad Litem Guardian ad Litem of __________________________ Attorney for [ ] GAL ___________________ [ ] Child ___________________ Other: The Court Considered the Pleadings Filed in This Action, any Argument, and the Following Evidence [] [] [] [] [] [] Declaration(s) of: (name)____________________________, dated ______________. (name)____________________________, dated ______________. (name)_____________________________, dated ______________. Affidavit/Declaration Regarding Chain of Custody of samples of blood, buccal cells or other body tissue or fluid. Affidavit/Declaration of Genetic Test Expert. Child Support Worksheet. Response of (name) ____________________________, dated _______________. Other: III. Findings Based upon the argument and the evidence presented the court finds: 3.1 That no Genuine Issue of Material Fact Exists as to [] [] [] 3.2 the parentage of the child(ren). any issue raised by the Petition for Establishment of Parentage. Other: Petitioner is Entitled to Judgment as a Matter of Law as to [] [] [] the parentage of the child(ren). any issue raised by the Petition for Establishment of Parentage. Other: Ord Granting Mtn for Summary Jdgmnt (ORGSJ) - Page 2 of 3 WPF PS 03.0270 (06/2012) - CR 56 American LegalNet, Inc. www.FormsWorkFlow.com 3.3 Other IV. Order Based upon the above findings, It is Ordered: 4.1 Petitioner’s Motion for Summary Judgment Is Granted as Set Forth Below [] [] [] [] [] [] [] 4.2 (Name)______________________________________, is a parent of (name) ______________________ born to (name) ___________________________. (Name) ______________________________ is not a parent of this child, and is hereby dismissed from this action. The birth certificate of the child(ren) be amended to identify (name) ________________ as a parent. (Name) ___________________ shall pay past support, medical, and other expenses incurred on behalf of the child(ren) as set forth in the [ ] Judgment and Order Determining Parentage [ ] Order of Child Support. The parties shall pay support as set forth in the Order of Child Support. (Name) ______________________ shall pay court costs, genetic tests costs, guardian ad litem, attorney, and other reasonable fees as follows: The residential schedule/parenting plan of (name) __________________________ is adopted and approved. Other Dated: Judge/Commissioner Presented by: Signature of Party or Lawyer/WSBA No. Print or Type Name Ord Granting Mtn for Summary Jdgmnt (ORGSJ) - Page 3 of 3 WPF PS 03.0270 (06/2012) - CR 56 American LegalNet, Inc. www.FormsWorkFlow.com