Fill and Sign the Oregon Summary Dissolution 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 ) ___________________________________ ,) NO. ___________________ Petitioner ) PETITION FOR SUMMARY DISSOLUTION OF MARRIAGE and ) DOMESTIC RELATIONS CASE SUBJECT TO FEE UNDER ORS 21.111 Respondent ) Petitioner states that: I. ____ I am a resident of Oregon and have been continuously for the past six months before filing this petition. ____ My spouse is a resident of Oregon and has been continuously for the past six months before filing this petition. II. Statistical Facts: (a) Date and Place of Marriage: _________________________ _________________________ (date) (place) Wife Husband Petition for Summary Dissolution of Marriage 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 (b) Maiden name: _________________________ (c) Former legal names: _________________________ _________________________ _________________________ _________________________ (d) Address or _________________________ _________________________ Contact Address: _________________________ _________________________ _________________________ _________________________ (e) Age: _________________________ _________________________ (f) Social Security Number: _________________________ _________________________ III. My spouse and I have been married not more than 10 years. IV. I do not know of any pending domestic relations suits involving this marriage filed in this or any other state. V. There are no minor children born to my spouse and me or adopted by me and my spouse during or before the marriage. My spouse and I do not have any children age 18 or older attending school. The wife is not now pregnant. VI. I request dissolution of the marriage because irreconcilable differences between my spouse and me have caused the irremediable breakdown of the marriage. Petition for Summary Dissolution of Marriage 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 VII. My spouse and I own personal property worth less than $30,000 (after deducting any encumbrances). I request that the Court divide the property as follows: (a) The court should award to the wife the following personal property: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ____________________________________________________________________________. (b) The court should award to the husband the following personal property: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ (c) The courts should order husband and wife each to sign any documents necessary to remove his or her name as owner of personal property awarded to the other party. VIII. Neither my spouse nor I own any interest in real property. IX. Petition for Summary Dissolution of Marriage 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 The unpaid debts incurred by my spouse and me, together or separately, from the date of our marriage, are 12 not greater than $15,000. I request the following division of debts: (a) The wife should be required to pay the debts listed below. The husband should be awarded a judgment against wife in the sum of $_______________. The wife can satisfy this judgment by paying off the following debts: Creditor Amount Creditor Amount _________________________ ____________ _____________________ ______________ ______________________ ___________ __________________ ____________ ______________________ ___________ __________________ ____________ TOTAL (include any debts listed on additional pages): $_______________ (b) The husband should be required to pay the debts listed below. The wife should be awarded a judgment 22 against husband in the sum of $ _______________. The husband can satisfy this judgment by paying off the following debts: Creditor Amount Creditor Amount ______________________ ___________ __________________ ____________ ______________________ ___________ __________________ ____________ ______________________ ___________ __________________ ____________ TOTAL (include any debts listed on additional pages): $_______________ Petition for Summary Dissolution of Marriage 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 X. I give up all rights I may have to spousal support and waive any right to temporary orders during this dissolution proceeding, except those under ORS 107.700 to 107.730 (the Family Abuse Prevention Act) or 12 ORS 124.005 to 124.040 (the Elder Abuse Prevention Act). XI. ____ (a) I paid the court costs and service fees. I request that my spouse repay the costs and fees and that the Court enter judgment for such costs and fees that I paid in favor of me against my spouse in the amount of $_______________. ____ (b) If the Court defers payment of court costs and service fees, I request that when the Court grants the Decree of Summary Dissolution, the Court enter judgment for the unpaid part of these costs and fees in favor of the state against ____ me ____ my spouse. XII. I request that: ____ Wife’s legal name be restored to ______________________________________________ ____ Husband’s legal name be restored to ___________________________________________ XIV. ____ On the basis of ORS 107.835 and in order to maintain the confidentiality of my residential address, I waive my right to personal service if subsequently charged with contempt. Petition for Summary Dissolution of Marriage 5 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 I select the following contact address for service of process and select the following method of substituted service: (Check ONE blank only.) ____ Mailing address: __________________________________________________________ __________________________________________________________ ____ Business address: _________________________________________________________ _________________________________________________________ ____ Specified agent: __________________________________________________________ __________________________________________________________ __________________________________________________________ _____________________________________________ Signature of Petitioner _____________________________________________ Print or Type Name of Petitioner Submitted by: _________________________________ Print Name ___ Petitioner ___ Attorney for Petitioner OSB No. _____________________________________ _____________________________________________ Petition for Summary Dissolution of Marriage 6 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 Address or Contact Address __________________________________ __________ City State Zip _____________________________________________ Telephone or Contact Telephone Number(s) I certify that this is a true copy. ________________________________ Petitioner (signature) Petition for Summary Dissolution of Marriage 7