Fill and Sign the Motion Status Quo Form

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF ____________________ In the Matter of _ the Marriage of: ) ________________________________, ) Case No. ______________________ Petitioner, ) ) AFFIDAVIT IN SUPPORT OF and MOTION FOR STATUS QUO ORDER ) ________________________________, ) Respondent. ) STATE OF ________________________ ) ) County of _________________________ ) I. I, ____________________________________, being first duly sworn, say: I am (print your name) the _ Petitioner _ Respondent in this proceeding. II. The parties’ minor child/ren are: _______________________________________ ________________________________________________________________________ Affidavit in Support of Motion for Status Quo Order 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 III. The child/ren’s present address is: ______________________________________ ________________________________________________________________________ IV. The child/ren have resided at least _____________ nights per week at this address (insert number) since _____________. (insert date) V. The child/ren have had parenting time with ______________________________ (insert name) according to the following schedule: _________________________________________ _______________________________________________________________________ ________________________________________________________________________ VI. The places where the minor child/ren of the parties have lived in the last five years and the names of the person with whom the child/ren have resided are: Dates County/State With Whom Which Children From: _____ to _______ _____________ _______________ __________________ From: _____ to _______ _____________ _______________ __________________ From: _____ to _______ _____________ _______________ __________________ From: _____ to _______ _____________ _______________ __________________ Affidavit in Support of Motion for Status Quo Order 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 _ Additional page attached; see section labeled “paragraph 6 continued.” VII. The current addresses of the persons listed above with whom the minor child/ren have lived are: Name Address ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ VIII. _ I have not participated in any litigation concerning the custody, visitation, parenting time or placement of the child/ren in this or any other state, (or) _ I have participated in the following litigation concerning the custody, visitation, parenting time or placement of the child/ren: Name of Court State Date Result ________________________________________________________________________ ________________________________________________________________________ Affidavit in Support of Motion for Status Quo Order 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 IX. Except as stated below, I do not have any knowledge of any other custody, visitation, parenting time or placement proceeding involving the child/ren of this marriage pending in this or any other state: ________________________________________________________________________ X. Except as stated below, I do not know any person other than the other party who has physical custody of the child/ren or who claims to have custody, visitation or parenting time rights: ________________________________________________________________________ ________________________________________________________________________ XI. There ___ are ___ are not any other custody, parenting time, visitation or restraining orders affecting the child/ren. I have attached copies of any existing orders to this Affidavit. __________________________________________ Signature of ___ Petitioner ___ Respondent, Pro Se __________________________________________ Print name __________________________________________ Address __________________________________________ City, State, Zip Code __________________________________________ Telephone Affidavit in Support of Motion for Status Quo Order 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 SUBSCRIBED AND SWORN to before me this ___________ day of ______________, ______, BY: ____________________________________________ ________________________________________________ Notary Public for ____________/Court Clerk My Commission Expires: ________________________ I certify this is a true copy . _____________________________________________________ ____ Petitioner ____ Respondent, Pro Se (Signature) Affidavit in Support of Motion for Status Quo Order 5