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IN THE CIRCUIT COURT OF THE STATE OF OREGONFOR THE COUNTY OF MULTNOMAHIn the Matter of the Marriage or Registered Domestic Partnership (RDP) of:Case No:Co-PetitionerandCo-PetitionerFamily Law ConfidentialInformation Form (CIF)AmendedThis document is not accessible to thePublic or other parties. Exceptions mayapply. See UTCR 2.130ATTENTION COURT STAFF: THIS IS A RESTRICTED-ACCESS DOCUMENT.The information below is about:Name (Last, First, Middle):The names of the parties and the children, as well as the children’s ages, areNOT confidential.Former Legal Name(s) (if applicable):Date of Birth:Social Security Number:Driver License (Number and State):Employer’s Name, Address, and Telephone Number:I hereby declare that the above statements are true to the best of my knowledge and belief andthat I understand they are made for use as evidence in court and are subject to penalty forperjury.COMPLETED AND SUBMITTED BY:Date: Signature:Type or Print Name:NOTE TO COURT STAFF: Unless ordered or authorized under UTCR2.130, this Confidential Information Form is not available to the opposingparty or his/her attorney, or to the public; except for the state.Page 1 of 2 – 2.130.1 – FAMILY LAW CONFIDENTIAL INFORMATION FORM – UTCR 2.130Multnomah County (Revised 6/16)

IN THE CIRCUIT COURT OF THE STATE OF OREGONFOR THE COUNTY OF MULTNOMAHIn the Matter of the Marriage or Registered Domestic Partnership (RDP) of:Case No:andNotice of Filing ofConfidential Information FormAmendedCo-PetitionerCo-PetitionerNOTICE: Confidential Information Form Has Been Filed Uniform Trial Court Rule (UTCR) 2.130 requires that parties to domestic relations cases place certaininformation about themselves and other parties in a CIF when such information is required in a documentfiled with the court.The CIF is not available for public inspection except as authorized by law.Parties are allowed to see a CIF that contains information about them.A party who wants to see a CIF that contains information about another party must ask for permission fromthe court or the other party by following the procedures set out in UTCR 2.130.I filed Confidential Information Forms with the court about the following parties to this case (complete asection for each party for whom you have filled out a CIF):1)Name (Last, First, Middle):Adult Child Other:Co-PetitionerConfidential Personal Information contained in CIF (check all that apply):party’s social security number, party’s date of birth,driver license number, former legal name(s).2)employer’s name, address, and telephone number,Name (Last, First, Middle):Adult Child Other:Co-PetitionerConfidential Personal Information contained in CIF (check all that apply):party’s social security number, party’s date of birth,driver license number, former legal name(s).employer’s name, address, and telephone number,Dated this day of , 20SignatureContact AddressPrint NameCity, State, ZipContact TelephonePage 1 of 1 –Form 2.130.2 – NOTICE RE: FILING OF CONFIDENTIAL INFORMATION FORM – UTCR 2.130Multnomah County (Revised 6/16)

IN THE CIRCUIT COURT OF THE STATE OF OREGONFOR THE COUNTY OF MULTNOMAHIn the Matter of the Marriage or Registered Domestic Partnership (RDP) of:andCo-PetitionerCase No:Co-PetitionerDECLARATIONSUPPORTING GENERALJUDGMENT OF DISSOLUTIONOF MARRIAGERDPThe statements made in the Petition remain true and accurate except:SectionExplainNumberAdditional page attached Co-Petitioner is pregnant, the other party is is not the parent ofthis child. The expected date of the child’s birth isWe ask the court to enter judgment without a hearing under ORS 107.095(4) because bothparties have stipulated (agreed) to the terms of the Judgment.& File selected and completed this form and I did not pay anyone to review the completed formWe hereby declare that the above statements are true and complete to the best ofour knowledge and belief. We understand they are made for use as evidence incourt and we are subject to penalty for perjury.Submitted by Co-Petitioners:DateSignatureName (printed)Contact AddressCity, State, ZipCo-Petitioner Co-Petitioners without Chs -- Entire Packet, with InstructionsPage 1 of 2Contact Phone

DateSignatureName (printed)Contact AddressCity, State, ZipCo-Petitioner Co-Petitioners without Chs -- Entire Packet, with InstructionsPage 2 of 2Contact Phone

IN THE CIRCUIT COURT OF THE STATE OF OREGONFOR THE COUNTY OF MULTNOMAHIn the Matter of the Marriage or Registered Domestic Partnership (RDP) of:andCo-PetitionerCase No:Co-PetitionerGENERAL JUDGMENT OFDISSOLUTION OFMARRIAGEREGISTERED DOMESTICPARTNERSHIPand MONEY AWARDThis document was presented to the court: On the stipulation of the parties, as shown bythe signatures at the end of this Judgment.FINDINGS:1. The court considered the Declaration and Stipulations presented and finds that: (Check allthat apply)A. Irreconcilable differences have caused the irremediable breakdown of this marriageor registered domestic partnershipB. At the time the Petition was filed:Marriage Only: At least one spouse lived in Oregon and that same spouse had lived inOregon continuously for 6 months prior to the filing of the Petition. At least one spouselived in the county in which the Petition was filed.Registered Domestic Partnership Only: At least one partner lived in Oregon and that same partner had lived in Oregoncontinuously for 6 months prior to the filing of the Petition. At least one partner lived inthe county in which the Petition was filed at the time of filing.or Neither partner lived in Oregon and the Petition was filed in the county where{ Co-Petitioner } last resided.2. Party and Marriage/RDP Information:Date of Marriage /RDP:Place of Marriage/RDP:Full Name:(County, and State, or foreign country)Co-PetitionerCo-Petition wCh General Judgment 2019Page 1 of 7Co-PetitionerCase No.

Age:Address or Contact Address:The court grants judgment as follows:The marriage or RDP is legally dissolved as of the date this Judgment is signed. The terms ofthis judgment are effective upon entry in the court register.SPOUSAL/PARTNER SUPPORT1. Spousal or Partner Support and Life InsuranceA. SupportNo spousal/partner support or life insurance for the benefit of either party is orderedin this case orSpousal support must be paid by Co-Petitioner to CoPetitioner .Type of support and amountordered (check all that apply): transitional Ends: compensatory Ends: maintenance Ends:MonthlyOr Total/mototal/mototal/mototalBased on the following factors (explain):B. PaymentsPayments must be made:on the first or day of each monthbeginningthe month following entry of this judgment orOrin a lump sum in the amount of date.(date)byPayments will end upon the death of either party or:, whichever is sooner.All payments of spousal/partner support must be made: To the Department of Justice, Child Support Accounting Unit, P.O. Box 14506,Salem, Oregon, 97309. Co-Petitioner requests that collection, accounting, disbursement,and enforcement services be provided through the Department of Justice.(NOTE: servicesare only available through DOJ if the receiving party is on public assistance or if your county providesservices locally, DOJ will notify you if your case does not qualify for services.)or Directly into’s bank account. The payingspouse/partner should keep a receipt of deposit as proof of payment. The personCo-Petition wCh General Judgment 2019Page 2 of 7Case No.

receiving support must provide the person paying support with current deposit slips orbank name, account name, and account number.C. Withholding If enforcement services are provided through the State of Oregon’s Department ofJustice, the support order is enforceable by income withholding under ORS 25.311.D. Life InsuranceThe party paying support must carry life insurance for the benefit of the other partythroughout the period of the support obligation if he or she is insurable. The coveragemust be at least . The party paying support must provide to theparty receiving support a true copy of the policy. The party paying support must alsoprovide to the party receiving support written notice of any action that will reduce thebenefits or change the designation of the beneficiaries under the policy.orNeither party is ordered to carry life insurance for the benefit of the other party.PROPERTY AND DEBTS2. Real PropertyNeither party has any interest in any real property in Oregon or any other place.Both parties have or Co-Petitioner has an interest in real propertyat: (address): This property is awarded as follows: Additional page titled “Section 2 – Real Property” attached The legal description of the property is attached as Exhibitinto this Judgment.and incorporated Co-Petitioner is responsible for preparing, signing, and recording a deedtransferring the real property as required by this judgment.3. Personal PropertyThe Co-Petitioners have divided between them all personal property that they own separatelyor together, and each is awarded those items now in their possessionexcept that:A. Co-Petitioner is awarded the following personal property: Additional page attached labeled “Section 3A- Co-Petitioner ’ Personal Property”B. Co-Petitioner is awarded the following personal property: Additional page attached labeled “Section 3B- Co-Petitioner ’ Personal Property” Each Co-Petitioner is awarded all retirement benefits, pension plans, profit-sharingplans, deferred compensation plans, and stock options held by his or her current and pastemployers, free of any interest by the other party.4. Distribution of Debts The debts will be paid as follows:Co-Petition wCh General Judgment 2019Page 3 of 7Case No.

Name of creditor (whomoney is owed to)What the debt is forAmountWho pays(Name of Co-Petitioner) Additional page attached titled “Section 4-Distribution of Debts”Unless otherwise specified above, each party is responsible for the payment of all debts incurred byhim or her individually since the date of separation, all debts distributed to him or her by thecourt, and all debts which are secured by property distributed to that party. If any creditor asksthe party not responsible for a debt to pay any portion of it, and he or she does so, the partyresponsible for that debt must reimburse the paying party for any amount paid to the creditorafter the date this judgment is entered.Debts are divided between the parties as of (date):Transfer of Property and DebtsWithin thirty (30) days of the date of this judgment, each party must execute, acknowledge,and deliver whatever documents are necessary to accomplish the distribution of debts andproperty ordered by the court. This judgment operates to convey title to the party awardedthe property if the other party fails to comply with this requirement.5. Former Name Co-Petitioner’sformer nameofis restored. (Use FULL name(first, middle, last), and print clearly.)6. Additional Provisions Additional page attached titled “Section 6 - Additional Provisions”7. Court Costs and Fees, Whether Paid Or DeferredEach party is responsible for paying his or her own court costs and service feesCo-Petitionerwill reimburse the other party for costsand feesJudgment is awarded to the State of Oregon for deferred costs or fees of Other:8. Information Required by ORS 25.020 and 107.085As required by UTCR 2.130, a Confidential Information Form has been completed for eachparty and filed with the court. The CIF contains all information required by ORS 25.020 and107.085 that is identified as confidential by UTCR 2.130.Co-Petition wCh General Judgment 2019Page 4 of 7Case No.

Both parties must inform the Court and the Department of Justice (P.O. Box 14506, Salem,Oregon 97309) in writing of any change in the information within ten (10) days of such change.The Department of Justice or the District Attorney may not disclose the information in the CIFto the other party.MONEY AWARDSupport Obligation included not includedCo-PetitionerCo-PetitionerFull NameContact AddressYear of BirthSocial Security # (last 4 digits)Driver License # (last 4digits) and StateLawyer Name, Address,Phone #NOTE: a party RECEIVING a money award is the JUDGMENT CREDITOR; a party PAYING a moneyaward is the JUDGMENT DEBTORThe following information must be provided by any party entitled to receive amoney award as listed in this JudgmentThe following person or public body is known to be entitled to a portion of a payment made on thejudgment (other than payee’s lawyer):Co-PetitionerNone orName:Co-PetitionerNone orName:Type ofJudgmentSpousal/PartnerSupportAmountWHO RECEIVES(write name)Co-Petition wCh General Judgment 2019Page 5 of 7 per monthBeginning / EndingBeginning:the first orday of the monthfollowing entry of thisjudgmentorOtherand due on the same day ofeach month thereafterCase No.

Ending the earlier of:(date) orthe death of either partyorA lump sum ofPaid by (date): PropertyDivisionWHO RECEIVES(write name) per month until atotal of is paidorA lump sum of PrejudgmentInterestPost-judgmentInterest Court Costs andService Feesalready paidWHO RECEIVES(write name)WHO PAYS(write name)WHO PAYS(write name)Paid by (date):9% per year simpleWHO RECEIVES interest on the unpaid(write name)balance of the totaljudgment amount of Deferred CourtCosts and ServiceFees Beginning the (day)of the month following entryof judgmentInterest accrues from the datethe judgment is entered andcontinues until the judgment isfully paidNamed party reimburses the other party’s costs andfees of: Directly to the awarded partyNamed party must pay deferred costs and fees of: To the State of Oregon through this court.Judge Signature:Certificate of ReadinessThis proposed judgment is ready for judicial signature because, each party affected by thisjudgment has stipulated to or approved the judgment, as shown by the signatures on thejudgment.Co-Petition wCh General Judgment 2019Page 6 of 7Case No.

We understand that we are subject to penalty for perjury for giving falseinformation to the court. All factual information in this Judgment is true to thebest of our knowledge and belief. We agree to the terms of this Judgment. Weunderstand that this Judgment is enforceable by the court.Both parties hereby agree (stipulate) to the terms of this judgment.Co-Petitioner, SignatureDateCo-Petitioner, Name (printed)Co-Petitioner, SignatureDateCo-Petitioner, Name (printed)Co-Petition wCh General Judgment 2019Page 7 of 7Case No.

FILING FOR CO-PETITION DISSOLUTION (DIVORCE)NO CHILDRENMULTNOMAH COUNTYWhat these forms doThis set of forms will help you to get a divorce (legally called a “dissolution of marriage”)if you have NO joint children under 21 years old.TALK TO A LAWYER BEFORE USING THESE FORMS IF: You are part of a same-sex couple AND:o You are married, have a civil union, or registered in another stateo You are married, have a civil union, or registered in another state in addition toOregono You registered as domestic partners in Oregon before February 4, 2008o You are unsure if your partnership is a Registered Domestic Partnership (RDP)o If either of you is not the biological or adoptive parent of one of your children, see alawyer before using these forms, even if both of your names are on the birthcertificate. You may need to complete an additional step to get a “Declaration ofParentage” for full legal recognition of your parenting rights. Click here 1 for moreinformation.o If you want partner support and either party lives in (or may move to) another state You want to divide the retirement benefits of either party Either party is a debtor in a current bankruptcy caseBoth parties MUST agree to use Co-Petitioner forms.If both parties do not both agree, you cannot use these ights.htmlInstruction – Multnomah County (6/16)Page 1 of 7

Important Contact InformationOregon Judicial Department - http://courts.oregon.govOregon State Bar Lawyer Referral Service - www.oregonstatebar.orgPhone: 503.684.3763 or toll-free in Oregon at 800.452.7636If you are deployed or about to be deployed, contact the Oregon State Bar Military AssistanceSymbolsused in this form:Panel(www.osbar.org/ docs/ris/militaryflier.pdf)for information about special rights andrules that may apply to you.Important NoteSTOP! You may not be able to use this formCaution! You may need a lawyerConcerns moneyTiming requirementNotice about these instructions and formsThese instructions are not a complete statement of the law. They cover basic procedures forsimple dissolution cases involving custody, parenting time, and child support. If you havecomplicated issues or questions about the law, talk to a lawyer.All of the necessary forms should be online. If you cannot find a form, ask your local court.Information about Dissolution Petition and Judgment - A dissolution case starts with a “petition,” which tells the court what you want.That’s why you are called the “co-petitioners,” since you are asking for this dissolution together.oThe case ends with a “judgment,” which is the court’s final decision. The judgment is thedocument that finalizes your case and contains your rights and responsibilities. Yourdissolution is effective once the judge signs the judgment. (See “The Judgment” section for moredetails about the terms of your judgment.)oNOTE: the general judgment in this case will create rights and responsibilities that may bepermanent. Property orders usually cannot be modified. Talk to a lawyer if you have questions aboutthese issues.Instruction – Multnomah County (6/16)Page 2 of 7

Contact Information - Keep the court and all other parties informed of your currentaddress. You do not have to use your home address. You may use any contact addresswhere you regularly check in, as long as it is in the same state as your home. The court willassume that you

IN THE CIRCUIT COURT OF THE STATE OF OREGON . FOR THE COUNTY OF MULTNOMAH . In the Matter of the Marriage or Registered Domestic Partnership (RDP) of: Co-Petitioner . Case No: _ and CO-PETITION FOR DISSOLUTION OF MARRIAGE REGISTED Co-Petitioner DOMESTIC PARTNERSHIP Filing fees at ORS 21.155 (Marriage) & ORS 21.135 (RDP)