Superior Court of Washington, County of In re parentage: Petitioner (person who started this case): No. And Respondents: (parent / presumed parent / alleged parents) Summary Judgment Order (Parentage) (ORGSJ) On some issues (ORGPSJ) On all issues (ORGSJ) Children over age 2: Clerks action required: 1, 5, 9, 10. Summary Judgment Order (Parentage) 1. Money Judgment Summary No money judgment is ordered. Summarize any money judgment from section 9 in the table below. Judgment for Debtor's name (person who must pay money) Creditor's name (person who must be paid) Amount Interest Genetic testing costs Guardian ad litem fees Lawyer fees Court costs Other fees and expenses (specify): Yearly Interest Rate: ____% (12% unless otherwise listed) Lawyer (name): Lawyer (name): represents (name): represents (name): $ $ $ $ $ $ $ $ $ $ CR 56 Mandatory Form (05/2016) FL Parentage 314 Summary Judgment Order (Parentage) p. 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com 2. The following people were present at a summary judgment hearing for this case on (date): (check all that apply): State of Washington, DSHS, through its lawyer (name): Birth Mother (name): Presumed Parent (name): Alleged Parent (name): Alleged Parent (name): Alleged Parent (name): Guardian ad Litem for (children's names): Other (name and relationship to this case): This person's lawyer This person's lawyer This person's lawyer This person's lawyer This person's lawyer 3. The court has heard arguments and reviewed the Motion for Summary Judgment (Parentage) and the following evidence in this case (check all that apply): Petition to Decide Parentage Response/s to Petition to Decide Parentage filed by (name/s): Declaration/s about Parentage filed by (name/s): Guardian ad litem report Chain of Custody Declaration Declaration or affidavit of genetic testing expert (name): Child Support Worksheets proposed by (name): Child Support Order proposed by (name): Parenting Plan or Residential Schedule proposed by (name): Other (specify): Other (specify): 4. Findings Based on the arguments and evidence, the court now finds that no significant facts are in dispute (there is no genuine issue of material fact) and the requesting party has the right to a judgment as a matter of law about (check all that apply): parentage of the children current child support back child support who the children live with most of the time Parenting Plan or Residential Schedule children's name change fees and costs any issue in the Petition to Decide Parentage Other (specify): CR 56 Mandatory Form (05/2016) FL Parentage 314 Summary Judgment Order (Parentage) p. 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com  Court Orders The court approves the Petitioner's Motion for Summary Judgment and now orders: 5. Parentage Parent ­ (full name): (children's current names): (mother's name): Not a Parent ­ (full name): of (children's current names): dismissed from this case. Name change ­ The children's names are changed as follows: From (current name): To (new name): First Middle Last is a legal parent of who were born to . is not a parent and is From (current name): To (new name): First Middle Last Other (specify): 6. Birth Certificate Upon receipt of a certified copy of this Order, the State Registrar of Vital Statistics must amend the children's birth certificates to list the parents as decided above and change the children's names if ordered. Important! The court does not forward this Order to Vital Statistics. To amend the birth certificate, a party must provide a certified copy of this Order and pay a filing fee to the State Registrar of Vital Statistics (360-236-4347). You may order a copy of the amended birth certificate for an additional fee. 7. Child Support The court signed the final Child Support Order and Worksheets filed separately today or on (date): . Back child support is approved as listed in the Final Parentage Order. The court is not deciding current support back child support now. The court signed the temporary Child Support Order and Worksheets filed separately today or on (date): . A final Child Support Order must be entered later after trial or by agreement. CR 56 Mandatory Form (05/2016) FL Parentage 314 Summary Judgment Order (Parentage) p. 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com 8. Parenting Plan / Residential Schedule The children will live with (name): most of the time. This parent is named custodian for those state and federal laws that require a custodian. Either parent may ask the court for a Parenting Plan or Residential Schedule in the future. The court is not naming a custodian or deciding a Parenting Plan or Residential Schedule now because: The court signed the final Parenting Plan or Residential Schedule filed separately today or on (date): . The court signed the temporary Parenting Plan or Residential Schedule filed separately today or on (date): . A final Plan or Schedule must be entered later after trial or by agreement. . 9. Money Judgment for fees and costs (summarized on page 1) The court is not deciding fees and costs now. The court orders a money judgment for fees and costs as follows: Judgment for Debtor's name (person who must pay money) Creditor's name (person who must be paid) Amount Interest Genetic testing costs Guardian ad litem fees Lawyer fees Court costs Other fees and expenses (specify): The interest rate is 12% unless another amount is listed below. The interest rate is % because (explain): $ $ $ $ $ $ $ $ $ $ 10. Guardian ad Litem No guardian ad litem (GAL) has been appointed. The guardian ad litem (GAL) is is not discharged. 11. Other (if any) Ordered. Date CR 56 Mandatory Form (05/2016) FL Parentage 314 Judge or Commissioner Summary Judgment Order (Parentage) p. 4 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Petitioner and Respondent or their lawyers fill out below: This order (check any that apply): is an agreement of the parties is presented by me may be signed by the court without notice to me This order (check any that apply): is an agreement of the parties is presented by me may be signed by the court without notice to me Petitioner signs here or lawyer signs here + WSBA # Respondent signs here or lawyer signs here + WSBA # Print Name Date Print Name Date This order (check any that apply): is an agreement of the parties is presented by me may be signed by the court without notice to me This order (check any that apply): is an agreement of the parties is presented by me may be signe