Fill and Sign the Original Notice for Personal Service Paper Filing Form

Rule 17.200 —Form 204a : Original Notice for Personal Service If you need assistance to participate in court due to a disability, contact the disability coordinator at: ( _______) __________________ Persons who are hearing or speech impaired may call Relay Iowa TTY (1-800- 735-2942). Disability coordinators cannot provide legal advice. Disability coordinator contact information available at: http://www.iowacourts.gov/Administration/Directories/ADA_Access/. December 2013 Rule 17.200—Form 204a Page 1 of 1 Petitioner: Use this form only if filing in paper. Read the Guide to Representing Yourself in an Iowa Divorce Case with Children for additional important instructions. Iowa divorce forms are available free of charge on the Iowa Judicial Branch website.  If filing electronically, Petitioner must use form 204 .   If filing in paper, Petitioner must use this form. If you do not understand how to use this form, or if you should use this form, talk to an attorney. In the Iowa District Court for County County where Petition is filed Upon the Petition of Petitioner Fu ll name: first, middle, last and concerning Respondent Full name: first, middle, last Equity c ase no. Original Notice for Personal Service 1. To Respondent Named Above  Petitioner (your spouse) has filed a divorce lawsuit naming you as Respondent.  A copy of the Petition for Dissolution of Marriage with Children is attached to this Notice.  Petitioner asks for a divorce. Petitioner’s contact information during the divorce case: Petitioner’s name Mailing address City State ZIP code ( ) Phone number Email address 2. Instructions to Respondent Named Above  You must file an Answer or a Motion with the clerk of court in the above county within 20 days after you receive this Original Notice. If you do not file an Answer or Motion within 20 days after receiving this Original Notice, the court may enter a judgment against you giving Petitioner what he or she asked for in the Petition.  If you received Petition form 201, you may use Answer form 215.  After you file your Answer or Motion, you must serve a copy of it on Petitioner. (SEAL) Clerk of Court County Courthouse , Iowa City ZIP code Important Notice to Respondent You should talk to an attorney at once to protect your interests.