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cffcfd20cffcc803cffcc803e7fbde02e7fbdc0260d2040000002d01000004000000f001030007000000fc020100000000000000040000002d01020004000000f001010003000000000000}}{\insrsid11225825 
\par }}\dpx0\dpy27\dpxsize9360\dpysize12960\dpfillfgcr255\dpfillfgcg255\dpfillfgcb255\dpfillbgcr255\dpfillbgcg255\dpfillbgcb255\dpfillpat0\dplinehollow}}}}{\f2\insrsid11225825 
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\par }\pard \qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\b\f1\fs54\insrsid11225825 SUMMARY DISSOLUTION}{\f2\insrsid11225825 
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\par }{\b\f1\fs42\insrsid11225825 of}{\f2\insrsid11225825 
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\par }{\b\f1\fs54\insrsid11225825 MARRIAGE}{\f2\insrsid11225825 
\par }{\b\f1\fs28\insrsid11225825 With Children
\par }{\f2\insrsid11225825 
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\par }{\b\f1\fs28\insrsid11225825 Prepared by:
\par Office of Attorney General
\par Department of Justice
\par State of Montana}{\f2\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f2\insrsid11225825 
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\par \sect }\sectd \binfsxn256\binsxn256\psz1\linex0\headery1440\footery1440\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f2\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
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\par }\pard \qj \fi6480\li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825        F  O  R  E  W A  R  D }{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par The 1991 Legislature provided a simplifi
ed procedure for certain people to obtain a dissolution of their marriage.  This publication, prepared pursuant to the Legislature's directive, is designed to enable those people to determine if they qualify for this procedure.  It includes a brief overvi
ew of statutory requirements and forms that can be removed and used to obtain a dissolution.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par 
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\par }\pard \qj \fi5760\li0\ri0\sl-240\slmult0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 Mike McGrath\tab 
\par Montana Attorney General
\par Justice Building
\par 215 North Sanders
\par Helena  MT  59620
\par (406) 444-2026
\par }\pard \qj \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par 
\par Revised November 2005
\par \sect }\sectd \binfsxn256\binsxn256\psz1\linex0\headery1440\sectdefaultcl\sftnbj\saftnnar \pard\plain \qj \li0\ri0\nowidctlpar\tqc\tx4680\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 \tab }{
\b\f1\insrsid11225825 SUMMARY DISSOLUTION OF MARRIAGE}{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 I.\tab WHAT IS THIS BOOKLET ABOUT? }{\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
This booklet describes a way to end a marriage through a divorce proceeding called Summary Dissolution of Marriage.  It is not intended to take the place of an attorney's advice, nor should it be relied upon as a guid
e for self-representation in summary dissolution proceedings.
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
Although you can appear in court without an attorney, it is in your best interests to consult with one in order to protect your legal interests in ending your marriage.  An attorney can help yo
u decide if this method is the right one for your situation and can give you advice concerning the division of your assets and liabilities.  You may obtain legal services through lawyer referral services, group or prepaid legal services, or legal aid orga
nizations.  Attorneys\rquote  fees vary; some attorneys charge a set fee while others charge an hourly rate.  Don\rquote 
t be afraid to ask the attorney in advance what fee will be charged.  If you are not pleased with one attorney, you should feel free to consult with another one.    
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
If you wish to use the summary dissolution proceeding you must, at the time you file the joint petition, sign a statement which says you have read and understood this booklet.  It is important for you to read the entire booklet very carefu
lly to ensure that you qualify for this type of dissolution.  If you do not qualify because of children or excessive debts or property, you may obtain a formal dissolution of marriage and probably should consult an attorney. 
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }{\b\f1\insrsid11225825 II.\tab ARE YOU STILL INTERESTED IN TRYING TO SAVE YOUR MARRIAGE?}{\f1\insrsid11225825   
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
Montana law allows two persons to dissolve their marriage only when irreconcilable differences have caused irretrievable breakdown of the marriage and either the husband or the wife states that the marriage should be diss
olved.  If you aren't sure your marriage has completely broken down and would like to try to reconcile, there may be help available.  Many communities offer marriage counseling services and a few counties have a conciliation court.
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }{\b\f1\insrsid11225825 WHAT IS A CONCILIATION COURT?
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
The purpose of a conciliation court is to help preserve a marriage and to provide the means for reconciliation of a husband and wife and a peaceful settlement of any marital controversy.  However, a conciliation court is not available in all countie
s.  The clerk of the district court will tell you if there is one in your area.   
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\ulw\insrsid11225825 

\par \sect }\sectd \binfsxn256\binsxn256\psz1\sbknone\linex0\headery1440\footery1440\sectdefaultcl\sftnbj\saftnnar \pard\plain \qj \li0\ri0\nowidctlpar
\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\ulw\insrsid11225825 IF}{\f1\insrsid11225825 
 there is a conciliation court in your area and you want a reconciliation with your spouse or a peaceful settlement of a marital controversy, either of you can file a pe
tition with the conciliation court.  Ask the clerk of court if there is a form available.  The judge of the conciliation court may hold a hearing on the dispute or refer you to a conciliation counselor. The counselor may be a pastor or director of the rel
igious denomination to which either or both of you belong, or a psychiatrist, physician, attorney, social worker, or other person who is trained and experienced in personal counseling.  
\par 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 If there has been no reconciliation within 30 days after the date of 
the hearing in conciliation court and you and your spouse still wish to end your marriage, a petition for summary dissolution can be filed with the district court.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }{\b\f1\insrsid11225825 III.\tab WHAT IS A SUMMARY DISSOLUTION PROCEEDING?
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 A summary dissolution proceeding is a dist
rict court procedure to end a marriage more quickly and simply than through the regular dissolution procedure.  Not everyone can use it.  It is only for those people who meet the legal requirements listed below and who have no disagreements about how thei
r
 belongings and their debts are going to be divided once they are no longer married to each other.  It cannot be done in small claims court, justice court, or conciliation court.  It is not necessary to go through the conciliation court procedure before f
iling for summary dissolution.
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 A.\tab WHO CAN USE THE SUMMARY DISSOLUTION PROCEEDING?}{
\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 You can get a divorce through a summary dissolution proceeding only if ALL of the following conditions exist on the date you file the Joint Petition for Summary Dissolution. 
 Check this list very carefully.  If even one of the statements is not true for you, you cannot use the summary dissolution procedure to get a divorce.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs24\insrsid11225825 ___\tab 1.\tab You or your spouse have lived in Montana (or either of you was a member of the armed services 
stationed and residing in Montana) for at least 90 days before the filing of the action;
\par 
\par ___\tab 2.\tab Irreconcilable differences have caused the irretrievable breakdown of the marriage, and you both agree that the marriage should be dissolved;
\par 
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 ___\tab 
3.\tab The wife is not pregnant and:
\par }\pard \qj \li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\f1\insrsid11225825 a.\tab 
there are no children from the relationship born before or during the marriage or adopted by the parties during the marriage; }{\b\f1\insrsid11225825 or}{\f1\insrsid11225825 
\par 
\par b.\tab the parties have executed an agreed-upon parenting plan and the child support and medical support h
ave been determined by judicial or administrative order for all children from the relationship born before or during the marriage or adopted by the parties during the marriage.  
\par 
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs24\insrsid11225825 ___\tab 4.\tab Neither of you has any legal interest (ownership or lease) in any rea
l property such as land or buildings.  However, this does not apply to a lease on a residence which is occupied by either spouse as long as the lease does not have an option to purchase the residence and the lease terminates within one year from the date 
the petition is filed;  
\par ___\tab 5.\tab There are no unpaid, unsecured obligations in excess of $8,000 incurred by either or both of the parties after the date of their marriage.  A debt is unsecured when the debtor\rquote s promise to pay the debt is not secured by speci
fic property if the debtor does not pay the debt.  For example, a credit card is usually an unsecured debt because you do not have to give the credit card company the financed property if you do not pay your debt;
\par 
\par ___\tab 6.\tab The total fair market value of your and your spouse\rquote s assets, excluding secured obligations, is less than $25,000.  A debt is secured when the debtor\rquote 
s promise to pay the debt is backed by specific property if the debtor does not pay the debt.  For example, your car can be taken by the bank to pay the debt if you miss a payment.  This means that your car loan would be a secured debt.  
\par 
\par ___\tab 7.\tab Both of you have signed an agreement agreeing to the division of property and who will be responsible for any bills or obligations.  Signed documents
, title certificates, bills of sale, or other evidence of transfer or agreement should be presented to the court at the time of your hearing to confirm the division and responsibilities.
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par In addition, you and your spouse:
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\fs24\insrsid11225825 ___\tab 8.\tab Must give up your individual right to maintenance (financial support from the other) (see sec. B below);
\par 
\par ___\tab 9.\tab Must permanently give up your individual right to appeal the terms of the dissolution and your right to move for a new trial once the marriage is formally dissolved by the court;
\par 
\par ___\tab 10.\tab Do not want help from the conciliation court to settle any controversy, or assistance in reconciling (see Part II) (If your county does not have a Conciliation court, this requirement does not apply);
\par 
\par ___\tab 11.\tab Have read and state that you understand the contents of this summary dissolution booklet; and
\par 
\par ___\tab 12.\tab Indicate to the court that you want the court to end the marriage.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 B.\tab SPOUSAL MAINTENANCE OR SUPPORT
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 Maintenance is financial support and assistance paid by one spouse to the oth
er after dissolution of the marriage.  Neither spouse may obtain maintenance from the other in a summary dissolution proceeding. 
\par 
\par }\pard\plain \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\f1\insrsid11225825 
C.\tab HOW IS THE PROCEEDING STARTED?}{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
The summary dissolution proceeding is started by filing in district court a joint petition 
which has been signed under oath by both of you.  The petition must include the required information, set out below in section D.  A copy of the property settlement agreement must be attached to the petition.  The agreement should be }{
\f1\ulw\insrsid11225825 neatly}{\f1\insrsid11225825  typed or printed and signed by both of you.
\par 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 D.\tab WHAT INFORMATION IS REQUIRED IN THE PETITION?}{
\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
A sample petition form is included in this booklet.  The verified petition must be signed by each of you, under oath before a notary public, and include the following information:  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \qj \fi-720\li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\f1\insrsid11225825 1.\tab 
A statement that all of the required conditions listed in part A have been met (list the conditions);
\par 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 2.\tab The mailing address of each party; 
\par 
\par }\pard \qj \fi-720\li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\f1\insrsid11225825 3.\tab 
Whether or not the wife wishes to have her maiden or former name restored and, if so, the name to be restored;
\par 
\par \sect }\sectd \binfsxn256\binsxn256\psz1\sbknone\linex0\headery1440\footery1440\sectdefaultcl\sftnbj\saftnnar \pard\plain \qj \fi-720\li1440\ri0\nowidctlpar
\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 4.\tab 
The age, occupation, and residence of each party and length of residence, date of marriage, and the place at which it was registered.
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 E.\tab HOW SOON CAN THE MARRIAGE BE DISSOLVED?   }{
\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 The district court judge will hold a hearing sometime after 
20 days from the date the joint petition is filed, at which time both of you must appear.  If the required conditions exist, the judge will enter a final judgment dissolving the marriage.  The judgment restores each of you to the status of a single person
, at which time either is free to marry someone else.   
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \qj \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 F.}{\f1\insrsid11225825 \tab }{\b\f1\insrsid11225825 
WHAT DOES THE FINAL JUDGMENT MEAN?}{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
A judgment is the written decision of the court.  Upon conclusion of the hearing the judge will consider all the facts and make his or her decision.  Until the f
inal judgment is entered you are considered married.  Once the judgment is entered each is returned to the status of a single  person.  }{\b\f1\insrsid11225825 
The Final Judgment means that all marital rights and obligations have been decided, including property and maintenance. }{\f1\insrsid11225825 
\par 
\par }\pard \ql \fi720\li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 G.}{\f1\insrsid11225825 \tab }{\b\f1\insrsid11225825 
CAN THE JUDGMENT BE APPEALED OR A TRIAL REQUESTED?}{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 
The Final Judgment cannot be appealed or a new trial requested.  However, the Court may be asked to set aside the Final Judgment for reasons of fraud, duress, accident, mistake, or other recognized legal grounds.  
\par 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
An example of those grounds may be that the things you agreed to give your spouse were much more valuable than you thought; or your spouse used threats or other kinds of unfair pressure to get you to go along with the dissolution; or there 
are serious mistakes in the original agreement.  Correcting mistakes and unfairness in a Summary Dissolution proceeding can be expensive, time-consuming, and difficult.  It is very important for both of you to be honest, cooperative, and careful when you 
or your lawyers do the paperwork for the dissolution.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 A final judgment will be set aside upon proof that all the requirements of Mont. Code Ann. \'a7\~
40-4-130  (see section III A. above) were not met on the date the petition was filed.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \ql \fi-1440\li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\f1\insrsid11225825 \tab }{\b\f1\insrsid11225825 H.\tab WHAT ARE COURT
 COSTS FOR A SUMMARY DISSOLUTION PROCEEDING?
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
The usual court costs are $200 for filing a petition for dissolution and a $45 fee for the final judgment.  The fees must be paid in cash or money order.  Other usual charges include a stenographer fee and a do
cument certification fee.  The district judge can excuse you from paying court costs if your income is very low and you file an affidavit with the court showing your inability to pay the costs.  
\par \tab 
\par }\pard \s16\qj \li0\ri0\sl480\slmult1\widctlpar\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\insrsid11225825 \tab }{\b\f1\insrsid11225825 I.\tab ARE THERE REASONS FOR STOPPING THE PROCEEDING?
\par }\pard \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\f1\insrsid11225825 There a
re three reasons you might want to stop the summary dissolution proceeding:
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 
\par }\pard \qj \fi-720\li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\f1\insrsid11225825 1.\tab 
You have decided to return to your spouse and continue the marriage;
\par 
\par 2.\tab You may want to change over to the regular dissolution as a better way of getting your dissolution (i.e., you feel you will get a better settlement if you go to court); or
\par 
\par 3.\tab The wife becomes pregnant.  
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\f1\insrsid11225825 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 If you wish to stop the proceeding, it must be done BEFORE the final decree is signed by the Judge by filing a notice of revocation with the clerk of cou
rt.  A copy of the notice must be sent to your spouse by first-class mail, postage prepaid.  A sample form is provided with this booklet.  
\par }\pard\plain \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825  
\par }{\b\f1\insrsid11225825 RELEVANT MONTANA CODE ANNOTATED SECTIONS:}{\f1\insrsid11225825 
\par }{\b\f1\insrsid11225825 Part I}{\f1\insrsid11225825 :\tab \tab \'a7 40-4-136. 
\par }{\b\f1\insrsid11225825 Part II}{\f1\insrsid11225825 :\tab \'a7\'a7 40-3-111, 40-3-125, 40-3-127.
\par }\pard \qj \fi-1440\li1440\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin1440\itap0 {\b\f1\insrsid11225825 Part III}{\f1\insrsid11225825 :\tab A. \'a7\'a7
 40-4-130, 40-4-104; B. \'a7 40-4-130(8); C. \'a7 40-4-131; 
\par }{\b\f1\insrsid11225825 \tab \tab }{\f1\insrsid11225825 D. \'a7\'a7 40-4-130, 40\_4\_131; E. \'a7 40-4-133; F.\'a7\'a7 40-4-134, 40-4-136; 
\par \tab \tab G. \'a7 40-4-135; H. \'a7 25-1-201.
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 Part IV}{\f1\insrsid11225825 :\tab \'a7 40-4-132.
\par \sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar {\header \pard\plain \s21\ql \li0\ri0\sl-471\slmult0\widctlpar
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\par }}\pard\plain \qj \li0\ri0\nowidctlpar\tqc\tx4680\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 \tab }{\b\f1\insrsid11225825 
INSTRUCTIONS FOR FILING AND COURT APPEARANCE
\par }{\f1\insrsid11225825 
\par }\pard \qj \li0\ri0\nowidctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\faauto\rin0\lin0\itap0 {\b\f1\insrsid11225825 NOTE:  BEFORE FILLING OU
T THE FORMS, READ THE ENTIRE SUMMARY DISSOLUTION BOOKLET TO DETERMINE IF YOU QUALIFY FOR THE SUMMARY DISSOLUTION PROCEDURE.
\par 
\par }\pard\plain \s16\qj \li0\ri0\widctlpar\tx-1440\tx-720\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\tx9360\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\f2\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\f1\insrsid11225825 \tab 1.\tab Carefully read and fill out the Petition for Summary Dissolution of Marriage form found in this booklet.  Each of you must sign
 it before a Notary Public. (The Notary Public must watch you sign the document.)  After the petition is signed, take it to the clerk of court in the county courthouse where you reside.  The clerk will file the petition and charge you a filing fee.  Call 
t
he clerk if you need to know the fee in advance.  Twenty (20) days or more after the date you file the petition, you can go to court and obtain your dissolution.  When you file the petition ask the clerk what time and date are available for your appearanc
e before the Judge.  The clerk will assign your case a number.  Write down the number and take it with you.  Ask the clerk what you must do to insure your case is scheduled for a particular day.  Judges do not necessarily hold Court every day.
\par   
\par \tab 2.\tab On the
 date of your court appearance be sure to be on time.  Both of you must attend.  Take with you the Final Decree of Summary Dissolution found in this booklet.  When you get to the courthouse, check with the clerk to ensure your case is ready to be heard an
d
 to find out what courtroom you should wait in for your case to be called.  Have your written property/debt agreement with you (neatly typed or printed), along with the documents that were signed to effect the agreement (such as car title, etc.).  Make su
re the cause number assigned earlier is written in the blank on the Final Decree.  If the wife seeks to have her former name restored, make sure the name to be restored on the decree is identical to the name to be restored on the petition.
\par 
\par \tab 3.\tab When the Judge calls your case, approach the Judge\rquote 
s bench and prepare to be sworn in by the court clerk who sits near the Judge.  Each Judge has his/her own procedures in dissolution hearings.  Some Judges may ask few or even no questions.  Others may inquire as to t
he elements of your petition.  If the Judge directs the hearing, answer the questions asked.  If the Judge expects you to proceed, each of you can make a short statement.  Be prepared to tell the Judge that your marriage is irretrievably broken, that you 
have lived in Montana for more than ninety (90) days, that there are no children and the wife is not now pregnant, and that you have divided your debts and property. 
\par  
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 TO THE CLERK OF COURT so your dissolution can be recorded and the c
ourt file doesn't get misplaced.  The clerk of court keeps the original signed Decree, but you can get certified copies from the clerk if you need them.  The dissolution is final as of the time the Judge signs the Decree.}{\insrsid11225825 \page Wife
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\fs28\insrsid11225825 ____________________________\tab 
\par ____________________________
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\par Husband\rquote s Name, Address, Phone
\par ______________________________
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 MONTANA ________ JUDICIAL DISTRICT COURT,  ____________ COUNTY
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\fs28\insrsid11225825 IN RE THE MARRIAGE OF\tab \tab 
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\par Joint Petitioners.
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\par }}{\footer \pard\plain \s22\qr \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs18\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 
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\fs28\insrsid11225825 The Petitioners jointly request this court to issue a decree for summary dissolution of marriage based upon the contents of this petition and subsequent hearing.
\par The parties certify to the Court as follows:
\par }\pard\plain \s9\ql \fi1440\li0\ri0\sl-480\slmult0\keepn\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\outlinelevel8\adjustright\rin0\lin0\itap0 
\b\fs28\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 BASIC INFORMATION ABOUT THE PARTIES
\par }\pard\plain \ql \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 1.\tab We have read and understand the booklet issued by the Montana Attorney General entitled SUMMARY DISSOLUTION OF MARRIAGE.
\par 2.\tab We have both lived in Montana for at least ninety (90) days or have otherwise met residency requirements.  Wife has resided in Montana since _____________.  Husband has resided in Montana since ___________. 
\par 3.\tab We were married on ____________________, _____, (month, day, year) at  ______________________________________________.  The marriage is registered at ______________________________________ (city, county, state).
\par 4.\tab The occupation of the wife is ________________________________ and the occupation of the husband is ____________________________________.
\par }\pard \ql \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825  \tab 5.\tab 
We both want our marriage dissolved because irreconcilable differences have caused the irretrievable breakdown of our marriage.  We do not want help from the conciliation court to settle any controversy or assistance in reconciling.  
\par }\pard \ql \fi-750\li1485\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1485\itap0 {\fs28\insrsid11225825 6.\tab 
We both agree to appear at a hearing before this Court. 
\par }\pard \ql \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 7. \tab 
Our Social Security Numbers are set forth in the attached Confidential Report of Social Security Numbers filed with this petition.  
\par }\pard \qc \li0\ri45\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin45\lin0\itap0 {\b\fs28\ul\insrsid11225825 
INFORMATION ABOUT OUR CHILD(REN) AND PARENTING PLAN
\par }\pard \ql \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 8.\tab 
We have the following child(ren) from our relationship born before or during the marriage or adopted during the marriage: ________________________
\par }\pard \ql \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
__________________________________________________________________.  
\par }\pard \ql \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 9.\tab 
Wife declares that she is not now pregnant.  
\par 10.\tab We have both signed an agreed-upon parenting plan in the best interests of our child(ren), which is attached as Exhibit B.
\par }\pard\plain \s7\qc \li0\ri0\sl-480\slmult0\keepn\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\outlinelevel6\adjustright\rin0\lin0\itap0 
\b\fs28\ul\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 CHILD SUPPORT AND MEDICAL SUPPORT
\par }\pard\plain \ql \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 11.\tab ________________ shall pay ________________ child support of $__________ per month (combined child support for all our children of this marriage).  This child support amount has been determined by a ju
dicial (District Court) or administrative order (Child Support Enforcement Division of the Montana Department of Public Health and Human Services, if determined in Montana).  }{\b\fs28\insrsid11225825 
A COPY OF THE ORDER DETERMINING CHILD SUPPORT AND MEDICAL SUPPORT IS ATTACHED AS EXHIBIT C.  }{\fs28\insrsid11225825 
\par 12.\tab Child support and medical support shall be paid/provided until terminated by emancipation of each child or each child\rquote s graduation from high school if the child is enrolled in high school, whichever occurs later, but in no event later than
 each child\rquote s 19th birthday.  This obligation to pay child support should be enforced by immediate income withholding under Mont. Code Ann. Title 40, chapter 5.
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\insrsid11225825 OUR ASSETS AND DEBTS
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\fs28\insrsid11225825 13.\tab Neither of us owns any land, nor do we have a lease that ends more than one year from the date we sign below.     
\par 14.\tab The total value of all our assets in the name of husband or the name of wife, or in both our names, minus any debts that are secured by those assets do not total more than $25,000.  
\par 15.\tab All our unsecured obligations incurred after the date of our marriage, in the name of husband or name of wife, or in both names, do not total more than $8,000.  
\par 16.\tab We have divided our assets and debts as set forth in Exhibit A attached.  The division of our assets and debts is fair and equitable to both of us.  
\par 17.\tab If the wife seeks restoration of her former name, the name to be restored is set out here in full: ________________________________________.
\par 18.\tab Upon entry of the judgment for summary dissolution of marriage, we both waive any right to maintenance.  
\par 19.\tab Upon entry of the judgment for summary dissolution of marriage, we both waive any right to appeal the terms of the dissolution.  
\par 20.\tab Upon entry of the judgment for summary dissolution of marriage, we both waive any right to request a trial.
\par WHEREFORE, Wife and Husband pray:  
\par 1.\tab That the marriage of the parties be dissolved.  
\par 2.\tab That the Court adopt the Final Parenting Plan attached as Exhibit B as the Final Parenting Plan governing the parties and minor child(ren) and incorporate same as part of the Final Decree dissolving the marriage of the parties.  
\par 3.\tab That the Court take notice of the prior Child Support and Medical Support Order, a certified copy of which is attached as Exhibit C.  
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl-480\slmult0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 4.\tab That the property and debts of the parties be distributed between them as provided in Exhibit.  
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\fs28\insrsid11225825 5.\tab For such other and further suitable relief as this Court may seem just and proper.  
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 DATED:  ____________\tab \tab \tab __________________________________
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\fs28\insrsid11225825 WIFE, Joint Petitioner
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par 
\par DATED: ____________\tab \tab \tab ____________________________________
\par \tab \tab \tab \tab \tab \tab HUSBAND, Joint Petitioner
\par 
\par 
\par STATE OF MONTANA\tab \tab )
\par \tab \tab \tab \tab \tab : ss.
\par }\pard \ql \fi-4320\li4320\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin4320\itap0 {\fs28\insrsid11225825 County of _____________\tab )
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____________________, being first duly sworn, deposes and says that she has read the foregoing Petition for Summar
y Dissolution of Marriage, knows the contents thereof and that the same is true of her own knowledge, except as to matters stated on information and belief, and as to those matters she believes them to be true.  
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par }\pard \ql \fi3600\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab _________________________________
\par }\pard \ql \fi4320\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 WIFE, Joint Petitioner
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par 
\par }\pard\plain \s17\ql \fi720\li0\ri0\sl-480\slmult0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 SUBSCRIBED AND SWORN to before me this _______ day of ____________________, 20__.
\par }\pard\plain \ql \fi2880\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 __________________________________________
\par Name (Printed) _____________________________
\par Notary Public for the State of Montana.
\par Residing at ________________________________.
\par }\pard \ql \fi720\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 (SEAL)\tab \tab 
My Commission expires______________________.
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par 
\par 
\par \page STATE OF MONTANA\tab \tab )
\par }\pard \ql \fi3600\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 : ss.
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 County of _________________\tab )
\par 
\par }\pard \ql \fi720\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
____________________, being first duly sworn, deposes and says that he has read the foregoing Petition for Summary Dissoluti
on of Marriage, knows the contents thereof and that the same is true of his own knowledge, except as to matters stated on information and belief, and as to those matters he believes them to be true.  
\par }\pard \ql \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par }\pard \ql \fi3600\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab __________________________________

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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 SUBSCRIBED AND SWORN to before me this _____ day of ___________________, 20___.
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\par Name (Printed) _____________________________
\par Notary Public for the State of Montana.
\par Residing at ________________________________.
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 (SEAL)\tab \tab My Commission expires______________________. 
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\par MONTANA ______ JUDICIAL DISTRICT COURT, ____________ COUNTY 
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\par }}{\footer \pard\plain \s22\qr \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs18\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 The petition for summary dissolution of marriage was fully filed herein by the parties.  Both petitioners appeared in Court in open hearing and testified in support of the petition.

\par }\pard\plain \qj \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\b\fs28\insrsid11225825 FROM THE EVIDENCE AND PLEADING, THE COURT FINDS:}{\fs28\insrsid11225825 
\par }\pard \qj \fi720\li0\ri-90\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin-90\lin0\itap0 {\fs28\insrsid11225825 1.\tab 
That the parties have both signed the Petition for Summary Dissolution.
\par }\pard \qj \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 2.\tab 
That there are irreconcilable differences causing the irretrievable breakdown of the marriage.
\par 3.\tab That the parties have read and understand the booklet entitled SUMMARY DISSOLUTION OF MARRIAGE and have met its requirements and qualify for dissolution of marriage under Mont. Code Ann. \'a7\~40-4-130.
\par 4.\tab That the wife is not now pregnant.  
\par 5.\tab That the parties have entered into a written agreement regarding the debts and property of their marriage and have executed all documents required to enact its provisions. 
\par 6.\tab That the parties have ____ children from their relationship born before or during the marriage or adopted during the marri
age, that the parties have signed an agreed-upon parenting plan for the child(ren) of the relationship which is attached to the Petition as Exhibit B.
\par }\pard \qj \fi720\li0\ri-360\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin-360\lin0\itap0 {\fs28\insrsid11225825 7.\tab 
That child support and medical support for the child(ren) has been determined by a judicial or administrative order.  A certified copy of the order determining child support and medical support is attached as Exhibit C to the Petition.
\par }\pard \qj \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 8.\tab 
If the wife seeks restoration of her former name, the name to be restored is set out here in full: _________________________________________.
\par 9.\tab Both parties waive any right to maintenance.
\par 10.\tab Both parties waive any right to appeal the terms of the dissolution.
\par 11.\tab Both parties waive any right to request a trial.
\par }\pard \qj \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab 12.\tab 
That all the requirements set out in the summary dissolution statutes have been met.  
\par }\pard \qj \li0\ri0\sl-480\slmult0\nowidctlpar\tqc\tx4392\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab }{\b\fs28\ul\insrsid11225825 CONCLUSIONS OF LAW}{\fs28\ul\insrsid11225825 
\par }\pard \qj \fi720\li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 1.\tab 
The Court has jurisdiction over this cause.
\par 2.\tab The marriage of the parties is irretrievably broken.  
\par 3.\tab The division of assets and debts of the parties as set forth in Exhibit A is equitable and should be approved.
\par 4.\tab The parenting plan proposed by the parties and attached to the petition as Exhibit B is in the best interests of the child(ren) and should be approved.
\par 5.\tab The child support and medical support order attached as Exhibit C to the petition is a valid order for the child and medical support of the child(ren) of the parties.
\par 6.\tab The parties waive any right to maintenance and upon entry of this final decree irrevocably waive their respective rights to appeal or move for a trial on the terms of the dissolution of the marriage.  
\par }\pard \qj \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\b\fs28\insrsid11225825 
FROM THE FOREGOING FINDINGS AND CONCLUSIONS, THE COURT ENTERS THE FOLLOWING DECREE:
\par }\pard \qj \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\b\fs28\insrsid11225825 
\par }{\fs28\insrsid11225825 \tab 1.\tab The marriage of the parties is dissolved.  
\par }\pard\plain \s19\ql \li0\ri0\sl-480\slmult0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 \tab 2.\tab The former name of the wife is restored as requested to ____________
\par ______________________________.
\par }\pard\plain \qj \li0\ri0\sl-480\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 \tab 3.\tab 
The assets and debts of the parties shall be distributed between them equitably in accordance with Exhibit A to the petition.  Both parties shall promptly sign all documents reasonably necessary to accomplish this distribution of assets and debts.
\par \tab 4.\tab The Court hereby adopts Exhibit B as the Final Parenting Plan governing the parties and minor children, and Exhibit B is hereby incorporated as part of this Final Decree by reference as if fully restated herein.
\par \tab 5.\tab The Court acknowledges that a valid Child Support and Medical Support Order has been entered and is attached as Exhibit C to the petition.
\par }\pard\plain \s18\qj \fi720\li0\ri0\sl-240\slmult0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 ENTERED this ______ day of ___________________, _______.
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\fs28\insrsid11225825 
\par 
\par }\pard \qj \fi2880\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab __________________________________

\par }\pard \qj \fi3600\li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 DISTRICT COURT JUDGE
\par }\pard \qj \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1315\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par }\pard \qj \li0\ri0\sl-240\slmult0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\b\fs28\insrsid11225825 \page (USE THIS FORM ONLY IF 
YOU WISH TO STOP THE PROCEEDING 
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\par MONTANA _____ JUDICIAL DISTRICT COURT, ____________ COUNTY
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\fs28\insrsid11225825 IN RE THE MARRIAGE OF\tab \tab 
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\par _______________________________,\tab \tab Cause No. ___________
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\par _______________________________,
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 I,  __________________________, hereby request the Court to revoke the Petition for Summary Dissolution of Marriage because: 
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\fs28\insrsid11225825 \tab 1.___\tab I have decided to return to my spouse and continue the marriage.
\par \tab 2.___\tab I want to change to the regular dissolution procedure. 
\par \tab 3.___\tab The wife is pregnant.  
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I certify that a copy of this Notice was mailed to my spouse at the following address, ____________________________________________ first-class mail, postage-prepaid, on the ___ day of ________________, 20___.  \tab \tab \tab 
DATED THIS ____ day of ___________, 20____.
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\par ____________________________________}{\insrsid11225825 
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\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 \sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar {\header \pard\plain 
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{\shp{\*\shpinst\shpleft9360\shptop0\shpright9360\shpbottom15840\shpfhdr1\shpbxmargin\shpbxignore\shpbypage\shpbyignore\shpwr3\shpwrk0\shpfblwtxt0\shpz4\shplid2059{\sp{\sn shapeType}{\sv 20}}{\sp{\sn fFlipH}{\sv 0}}{\sp{\sn fFlipV}{\sv 0}}
{\sp{\sn fFilled}{\sv 0}}{\sp{\sn wzName}{\sv RightBorder}}{\sp{\sn posrelh}{\sv 0}}{\sp{\sn posrelv}{\sv 1}}{\sp{\sn fHidden}{\sv 1}}{\sp{\sn fLayoutInCell}{\sv 1}}}{\shprslt{\*\do\dobxmargin\dobypage\dodhgt8196\dpline\dpptx0\dppty0\dpptx0\dppty15840
\dpx9360\dpy0\dpxsize0\dpysize15840\dplinew15\dplinecor0\dplinecog0\dplinecob0}}}}{\insrsid11225825 
\par }}\pard\plain \qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs26\insrsid11225825 SUMMARY DISSOLUTION EXHIBIT A
\par 
\par DIVISON OF ASSETS AND DEBTS
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\b\fs26\insrsid11225825 
\par }\pard\plain \s17\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs26\insrsid11225825 The following is a description of our assets and debts and how our assets and debts should be divided between us:
\par 
\par }\trowd \ts11\trgaph108\trrh-432\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx9270\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs26\insrsid11225825 ASSETS:\cell CHECK ONE:\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx4680
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx9270\row }\trowd \ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 Describe the Asset (car, bank account, etc.)\cell Approximate Value\cell Wife gets these:\cell Husband get these:\cell 
}\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\trowd 
\ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \lastrow \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2286\clshdrawnil \cellx2286\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil 
\cellx4680\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2394\clshdrawnil \cellx7074\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2196\clshdrawnil \cellx9270\row }\pard\plain \s17\ql \li0\ri0\widctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs26\insrsid11225825 
\par Be specific in description of assets.  The value should be determined taking current fair market value minus debt owed on item.
\par 
\par 
\par 
\par 
\par }\pard \s17\qr \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs26\insrsid11225825 EXHIBIT A, page 1
\par \page 
\par }\pard \s17\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\fs26\insrsid11225825 \sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\sbknone\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar {\header \pard\plain \s21\ql \li0\ri0\sl-471\slmult0\widctlpar
\tqc\tx4320\tqr\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \f2\fs18\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 
\par }}\trowd \ts11\trgaph108\trrh-432\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4590\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr
\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx9270\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs26\insrsid11225825 DEBTS:\cell CHECK ONE:\cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\b\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 
\trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4590\clshdrawnil \cellx4590
\clvertalc\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth4680\clshdrawnil \cellx9270\row }\trowd \ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 Describe the Debt (name of credit card, bank account, etc.)\cell Approximate Amount of Debt:\cell Wife pays these:\cell 
Husband pays these:\cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh
\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil 
\cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\trowd 
\ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 
\clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \ts11\trgaph108\trrh-432\trleft0\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil \cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard 
\ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs26\insrsid11225825 \cell \cell \cell \cell }\pard \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \trowd \lastrow \ts11\trgaph108\trrh-432\trleft0\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 
\clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx2430\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2160\clshdrawnil 
\cellx4590\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2250\clshdrawnil \cellx6840\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 
\clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth2430\clshdrawnil \cellx9270\row }\pard \ql \li0\ri0\nowidctlpar\tqc\tx4392\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\b\fs28\insrsid11225825 \sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \qc \li0\ri0\nowidctlpar\tqc\tx4392\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs28\insrsid11225825 SUMMARY DISSOLUTION EXHIBIT B
\par }\pard\plain \s3\ql \li0\ri-90\keepn\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin-90\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\ul\insrsid11225825 
\par }{\b\ul\insrsid11225825 FINAL PARENTING PLAN
\par }\pard\plain \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 1.}{\fs28\insrsid11225825 \tab }{
\b\fs28\insrsid11225825 IDENTIFICATION OF THE PARTIES
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab a.\tab Mother\rquote s Name: ___________
_______________________________
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \tab \tab Address: ________________________________________________

\par \tab b.\tab Father\rquote s Name: ___________________________________________
\par \tab \tab Address: ________________________________________________
\par 
\par \tab }{\b\fs28\insrsid11225825 2.}{\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 IDENTIFICATION OF THE CHILD(REN)
\par 
\par }{\fs28\insrsid11225825 This parenting plan applies to the following minor child(ren) of the parties:
\par Name (first and last): _______________________________\tab Date of Birth:   /   /    
\par State of residence for last six months: ____________________________________
\par Name (first and last): _______________________________\tab Date of Birth:  /   /     
\par }\pard\plain \s19\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 State of residence for last six months: ____________________________________
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
Name (first and last): _______________________________\tab Date of Birth:  /   /     
\par State of residence for last six months: ____________________________________
\par Name (first and last): _______________________________\tab Date of Birth:  /   /     
\par State of residence for last six months: ____________________________________
\par Name (first and last): _______________________________\tab Date of Birth:  /   /     
\par State of residence for last six months: ____________________________________
\par 
\par If needed, attach additional sheets as Exhibit ____.
\par 
\par \tab }{\b\fs28\insrsid11225825 3.}{\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 OBJECTIVES OF THE PARENTING PLAN
\par }\pard \ql \li360\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin360\itap0 {\b\fs28\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 a.\tab To protect the best interest(s) of the minor child(ren);
\par b.\tab To provide for the physical care of the minor child(ren);
\par }\pard\plain \s18\qj \fi-720\li720\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 c.\tab To maintain the child(ren)\rquote s emotional stability and minimize the child(ren)\rquote s exposure to parental conflict;
\par }\pard\plain \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 d.\tab To provide for the minor child(ren)\rquote s changing needs as they grow and mature, in a way that minimizes the need for future amendment to the final parenting plan;\sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \fi-720\li720\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 e.\tab 
To set forth the authority and responsibilities of each parent with respect to the minor child(ren);
\par f.\tab To encourage the parents, when appropriate under 40-4-234, to meet their responsibilities to their minor children through agreements in the parenting plan rather than through judicial intervention.
\par 
\par \tab }{\b\fs28\insrsid11225825 4.}{\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 RESIDENTIAL SCHEDULE FOR THE CHILD(REN)
\par }\pard \ql \li360\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin360\itap0 {\b\fs28\insrsid11225825  
\par }\pard\plain \s19\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 The provisions set forth below in Paragraphs 4(a)-(i) are one way to write your residential schedule. This schedule is designed to provide for the child(ren)\rquote 
s changing needs as they grow and mature.  It specifies the periods of time during which the child(ren) will reside with each parent, including holidays, vacations, and other s
pecial occasions. If you choose not to use the provisions provided, you may write your own schedule in Paragraph 4(j) below.
\par 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 a.
\tab Pre-School Schedule (Choose One):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]   There are no child(ren) under school age.
\par }\pard\plain \s18\qj \fi-1440\li1440\ri-90\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1200\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin-90\lin1440\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 \tab [ ]\tab There are child(ren) under school age, but the school schedule set forth in 4(b) below shall apply to the child(ren) regardless of their age(s). 
\par }\pard\plain \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 [ ]\tab Prior to enrollment in school, the child(ren) shall reside primarily with the }{\fs28\insrsid11225825 [ ]\tab Mother / [ ] Father, except for the following days and times whe
n the other parent shall have parenting time with the child(ren):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 _____________________________________________________________

\par _____________________________________________________________
\par _____________________________________________________________.
\par or
\par [ ]\tab Describe the residential schedule for the minor child(ren) prior to their enrollment in school: ___________________________________________.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 b.\tab School Schedule  (Choose One):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ] \tab 
Upon enrollment in school, the child(ren) shall reside with the 
\par }\pard \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 [ ]\tab Mo
ther / [ ] Father, except for the following days and times when the other parent shall have parenting time with the child(ren):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 _____________________________________________________________

\par _____________________________________________________________
\par _____________________________________________________________.
\par or
\par [ ]\tab Describe the residential schedule for the minor child(ren): 
\par _____________________________________________________________
\par _____________________________________________________________
\par _____________________________________________________________.\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 c.\tab 
Holiday and Special Occasion Schedule
\par }\pard\plain \s17\ql \fi-720\li1440\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 [ ]\tab No holiday and special occasion schedule shall apply.  The school year or pre-school schedule set forth above shall apply.
\par }\pard\plain \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 or

\par }\pard \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 [ ]\tab The following schedule 
shall apply for the holidays and special occasions listed below:
\par 
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 With Mother\tab \tab \tab \tab \tab With Father
\par (Specify Odd/ Even/Every Year)\tab \tab (Specify Odd/ Even/Every Year)
\par }\pard\plain \s4\qc \li720\ri0\keepn\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin720\itap0 
\b\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Holiday/Special Occasion
\par }\pard\plain \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
New Year\rquote s Day \tab \tab \tab                              \tab                               
\par Martin Luther King Day*\tab \tab                              \tab                               
\par Presidents\rquote  Day*\tab \tab \tab                              \tab                               
\par Easter\tab \tab \tab \tab \tab                              \tab                               
\par Mother\rquote s Day\tab \tab \tab \tab                              \tab                               
\par Memorial Day*\tab \tab \tab                              \tab                               
\par Father\rquote s Day\tab \tab \tab \tab                              \tab                               
\par July 4th \tab \tab \tab \tab                              \tab                               
\par Labor Day*\tab \tab \tab \tab                              \tab                               
\par Halloween\tab \tab \tab \tab                              \tab                               
\par Veterans\rquote  Day*\tab \tab \tab                              \tab                               
\par Thanksgiving\tab \tab \tab \tab                              \tab                               
\par Christmas Eve\tab \tab \tab                              \tab                               
\par Christmas Day\tab \tab \tab                              \tab                               
\par Mother\rquote s Birthday\tab \tab \tab                              \tab                               
\par Father\rquote s Birthday\tab \tab \tab                              \tab                               
\par Child(ren)\rquote s Birthday(s)
\par _____________________________________________________________
\par _____________________________________________________________
\par _____________________________________________________________
\par 
\par Choose All That Apply:
\par }\pard \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 [ ]\tab 
Unless otherwise noted below, holidays/special occasions shall begin at ____ a.m. and end at ______ p.m.
\par }\pard \ql \fi-720\li1440\ri-270\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin-270\lin1440\itap0 {\fs28\insrsid11225825 [ ] \tab Holidays which fall
 on a Friday or a Monday and which are traditionally considered three day holidays (as noted by an asterisk (*) above) 
\par }\pard \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 [ ]\tab 
shall not/[ ] shall include the Saturday and Sunday immediately preceding or following the holiday.
\par [ ]\tab Thanksgiving shall begin on (day and time)_____________________
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 \tab 
and shall extend until (day and time) __________________________.\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain 
\ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 [ ]\tab 
Christmas Eve shall begin on (day and time)____________________ and shall extend until (day and time) __________________________ 
\par [ ]\tab Christmas Day shall begin on (day and time)____________________ and shall extend until (day and time)__________________________.
\par [ ]\tab The child(ren)\rquote s school attendance shall take priority over the holiday and special day schedule.  The child(ren) shall not miss school because of the holiday or special occasion schedule.
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 d. \tab Winter Vacation (Choose One):
\par }\pard \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 [ ]\tab 
No winter vacation schedule shall apply.  The school year or pre-school schedule set forth above shall apply.
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 or
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 \tab [ ] \tab (i)\tab 
The parent exercising parenting time with the child(ren) on Christmas Eve (as outlined above) shall have the following additional parenting time with the child(ren) over winter vacation:
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 _____________________________________________________________

\par _____________________________________________________________.
\par (ii)\tab The parent exercising parenting time with the child(ren) on Christmas Day (as outlined above) shall have the following additional parenting time with the child(ren) over winter vacation:
\par _____________________________________________________________
\par _____________________________________________________________.
\par or
\par [ ]\tab Describe the residential schedule for the child(ren)\rquote s winter vacation:
\par _____________________________________________________________
\par _____________________________________________________________.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 e.\tab Summer Vacation (Choose One):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab 
No summer vacation schedule shall apply.  The school year or pre-school schedule set forth above shall apply.
\par or
\par [ ]\tab The child(ren) shall reside with the [ ] Mother / [ ] Father during summer vacations, except for the following days and times when the child(ren) shall be with the other parent: _____________________________
\par _____________________________________________________________.
\par or
\par }\pard \ql \li720\ri-90\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin-90\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab Describe the residential schedule for the child(ren)
\rquote s summer vacation:
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 _____________________________________________________________

\par _____________________________________________________________
\par _____________________________________________________________.\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 f.\tab Spring Break (Choose One):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab No Spring Break sche
dule shall apply. The school year or pre-school schedule set forth above shall apply.
\par or
\par [ ]\tab The child(ren) shall reside with the [ ] Mother / [ ] Father during Spring Break, except for the following days and times when the child(ren) shall be with the other parent: _____________________________________
\par _____________________________________________________________.
\par or
\par [ ]\tab Describe the residential schedule for the child(ren)\rquote s Spring Break:
\par _____________________________________________________________
\par _____________________________________________________________
\par _____________________________________________________________.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 g.\tab Other Vacations with Parents
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 Describe the schedules for any other vacations with the parents:

\par _____________________________________________________________
\par _____________________________________________________________
\par _____________________________________________________________.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 h.\tab Priorities under the Residential Schedule
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 If the residential schedule outlined above results in a confli
ct where the child(ren) are scheduled to be with both parents at the same time, the conflict shall be resolved by priority being given as follows:
\par [ ]\tab Rank the order of priority, with 1 being the highest priority
\par ____\tab Preschool and School Schedule
\par ____\tab Holidays/Special Occasions
\par ____\tab Winter/Summer/Spring Break Vacations
\par ____\tab Other Vacations with Parents
\par or
\par [ ]\tab Other: __________________________________________________
\par _____________________________________________________________.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 i.\tab Supervised and Limited Visitation (Choose One):
\par }\pard\plain \s17\ql \li720\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin720\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 [ ]  \tab The residential schedule listed above is not subject to any additional restrictions or limitations on parenting time.
\par }\pard\plain \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 or
\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li720\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
\par [ ]\tab (i)\tab The [ ] Mother\rquote s/ [ ] Father\rquote s parenting time shall be supervised or limited because he/she has exhibited the following behavior which is not in the best interest(s) of the minor child(ren):
\par _____________________________________________________________
\par _____________________________________________________________
\par _____________________________________________________________.
\par 
\par (ii)\tab It is in the best interest(s) of the minor child(ren) that the 
\par [ ] Mother\rquote s/[ ] Father\rquote s parenting time be subject to the following conditions:
\par }\pard \ql \li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 How Often/ For How Long: _________________________________
\par ________________________________________________________.
\par Where: _________________________________________________.
\par Supervised by Whom: _____________________________________.
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 (iii)\tab 
The supervised and limited visitation conditions shall take priority over any other terms of the residential schedule above.
\par (iv)\tab If the [ ] Mother /[ ] Father has completed the following and has followed through with any and all recommendations by the evaluator, treatment counselor, and/or other professional recommendations, the [ ] Mother/[ ] Fath
er agrees to consider a modification to allow less restricted visitation after ______ months of supervised and limited visitation. (Check All That Apply):
\par [ ] \tab Alcohol/drug evaluation
\par [ ]\tab Substance abuse treatment
\par [ ]\tab Psychological evaluation
\par [ ]\tab Anger management counseling
\par [ ]\tab Parenting classes
\par [ ]\tab Other: __________________________________________________.
\par [ ]\tab Other: __________________________________________________.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 j.\tab Other: _______________________________________________________

\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 _____________________________________________________________

\par _____________________________________________________________.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par \tab }{\b\fs28\insrsid11225825 5.}{\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 DESIGNATION OF CUSTODIAN
\par 
\par }{\fs28\insrsid11225825 For the purpose of all other state and federal statutes which require a designation or determination of custody, the [ ] Mo
ther /[ ] Father shall be designated the custodian.  However, this designation shall not affect either parent\rquote s rights and responsibilities under this parenting plan.  \sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri-180\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin-180\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 6.}{
\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 TRANSPORTATION ARRANGEMENTS (}{\fs28\insrsid11225825 Choose All That Apply):
\par }\pard \ql \li360\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin360\itap0 {\fs28\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 [ ]\tab Transportation arrangemen
ts for the child(ren) between parents shall be as follows: ___________________________________________________________
\par __________________________________________________________________
\par }{\fs28\insrsid11225825 __________________________________________________________________. [ ]\tab Unless both parents agree upon a different meeting place, the exchange of the child(ren) shall be at: _____________________________________________
\par __________________________________________________________________.
\par [ ]\tab Transportation costs shall be distributed as follows: ___________________
\par __________________________________________________________________.
\par }\pard\plain \s19\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 [ ]\tab If the [ ] Mother /[ ] Father is more than ____ minutes late to pick the child(ren) up for a visit, that visit shall be canceled.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 

\par \tab }{\b\fs28\insrsid11225825 7.}{\fs28\insrsid11225825 \tab }{\b\fs28\insrsid11225825 TELEPHONE CONTACT }{\fs28\insrsid11225825 (Choose One):
\par 
\par [ ] \tab While the child(ren) reside with one parent, the other parent shall be permitted to speak with the child(ren) at reasonable times.
\par [ ]\tab While the child(ren) reside with one parent, the other parent shall be permitted to speak with the child(ren) at the following times only: ____________
\par _________________________________________________________________.
\par 
\par }{\b\fs28\insrsid11225825 \tab 8.\tab CO-PARENTING GUIDELINES }{\fs28\insrsid11225825 (Choose All That Apply):
\par 
\par [ ] \tab Each parent shall promote a healthy, beneficial relationship between the child(ren) and the other parent and shall not demean or speak out negatively in any manner that would damage the relationship between either parent and the child(ren).

\par [ ]\tab Each parent shall notify the other parent at least _____ days in advance when a 
particular parenting time shall not be exercised.  The missed time shall not be substituted unless mutually agreed to by both parents.  The parents are expected to fairly modify visitation when family necessities, illnesses, or other commitments reasonabl
y so require.  The requesting parent shall act in good faith and give as much notice as circumstances permit.
\par [ ]\tab Each parent shall supply the appropriate child(ren)\rquote s clothing with them for their scheduled time with the other parent.  These clothes are to be considered the child(ren)\rquote s clothes and shall be returned with the child(ren).  
\par [ ]\tab Each parent shall provide separate clothes for the child(ren) at their own residence, unless mutually agreed to by both parents.  In the cold months of the year, both p
arents are required to have adequate boots, gloves, hats, and jackets for the child(ren), unless mutually agreed to by both parents.\sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 [ ]\tab 
If a parent plans a special activity that requires clothing and/or equipment that would normally not be with the child(ren), it is that parent\rquote 
s responsibility to check and see if the child(ren) have such clothing and/or equipment with the other parent, to ask that the clothing and/or equipment travels with the child(ren), and to ensure that the clothing and/or equipment r
eturns the same with the child(ren).
\par [ ]\tab Each parent shall be responsible for ensuring that the child(ren) attend regularly scheduled activities, including but not limited to sports and extra-curricular activities, while the child(ren) are with that parent.
\par [ ]\tab Neither parent shall permit the child(ren) to be subjected to (Choose All That Apply):
\par [ ] \tab Persons abusing alcohol or using illegal drugs within 24 hours of contact with the child(ren).  This includes the abuse of alcohol or the use of illegal drugs by the parent.
\par [ ]\tab Smoking environment.
\par [ ]\tab Use of profane language.
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab 
Removal of the child(ren) from Montana, except as authorized by the Court or mutually agreed to by both parents.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 [ ]\tab 
Other: _______________________________________________________.
\par [ ]\tab Other: _______________________________________________________.
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab 
Any violation of these terms will result in the immediate termination of that parent\rquote s contact with the child(ren).
\par [ ]\tab Relationships between the child(ren) and relatives and family fri
ends on both sides of the family shall be protected and encouraged.  The parents shall have their child(ren) maintain ties with both the maternal and paternal relatives.  In Montana, grandparents have a legal right to request a court to order reasonable v
i
sitation with their grandchild(ren), if it is in the best interest(s) of the child(ren).  Usually the child(ren) will visit with the paternal relatives during times the child(ren) are with their father and with the maternal relatives during times they are
 with their mother.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par }{\b\fs28\insrsid11225825 \tab 9.\tab DECISION-MAKING
\par 
\par }{\fs28\insrsid11225825 a.\tab Day-to-Day Decisions
\par 
\par Each parent shall be authorized to make decisions regarding the day-to-day care and control of the child(ren) while the child(ren) are residing with that parent, unless or except as provided below (Choose All That Apply):
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 [ ]\tab 
Sole decision making shall be granted to the [ ] Mother/[ ] Father for the following reasons: ___________________________________________
\par _____________________________________________________________
\par _____________________________________________________________.\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li720\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 [ ]\tab 
Major decisions concerning the child(ren)\rquote s education shall be made by [ ]\tab the Mother/[ ] the Father/[ ] both parents jointly.
\par [ ]\tab Major decisions concerning the non-emergency health care of the child(ren) shall be made by [ ] the Mother/ [ ] the Father/ [ ] both parents jointly.
\par [ ]\tab Major decisions concerning the spiritual development of the child(ren) shall be made by [ ] the Mother/ [ ] the Father/ [ ] both parents jointly.
\par [ ]\tab The consent of both parents shall be required before any minor child(ren) shall be permitted to (Choose All That Apply):
\par [ ]\tab Get a tattoo
\par [ ]\tab Pierce any body part
\par [ ]\tab Marry
\par [ ] \tab Enlist in the armed services
\par [ ]\tab Other: __________________________________________________.
\par [ ]\tab Other: __________________________________________________.
\par [ ]\tab Other: __________________________________________________.
\par [ ]\tab Other: __________________________________________________.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par b.\tab Emergency Decisions
\par 
\par Regardless of the allocation of decision making in this parenting plan, each parent shall be authorized to make emergency decisions affecting the health or safety of the child(ren).
\par 
\par }{\b\fs28\insrsid11225825 \tab 10.\tab ACCESS TO INFORMATION
\par 
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 a.\tab As required by Mont. Code Ann. \'a7
 40-4-225, both parents shall have access to all information relating to their child(ren) including, but not limited to, school records, counseling records, medical and dental records.
\par b.\tab As required by Montana Code Annotated \'a7 40-4-204(6)(a), both parents shall update each other and the Court with written notice of changes to the following information:
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 (i)\tab Residential and mailing addresses;
\par (ii)\tab Telephone number;
\par (iii)\tab Social Security number;
\par (iv)\tab Driver\rquote s license number;
\par (v)\tab Name, address, and phone number of employers;
\par (vi)\tab Health insurance coverage for the child(ren);
\par }\pard\plain \s17\ql \fi-720\li1440\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin1440\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 (vii)\tab Health insurance available through either parent\rquote s employer which could cover the minor child(ren).
\par }\pard \s17\ql \fi720\li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 {\insrsid11225825 
\par \sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 [ ] \tab 
It is appropriate that the personal information of the [ ] Mother/ [ ] Father shall remain confidential and shall not be provided to the other p
arent because:                                                                                                                                
\par _________________________________________________________________
\par _________________________________________________________________.
\par 
\par }{\b\fs28\insrsid11225825 \tab 11.\tab RESIDENTIAL CHANGES
\par 
\par }{\fs28\insrsid11225825 As required by Mont. Code Ann. \'a7 40-4-217, if a parent\rquote s change in residence will significantly affect the other parent\rquote s contact with the child(ren), written notice shall be served personally or sent by certi
fied mail to the other parent not less than 30 days before the proposed change in residence and must include a proposed revised residential schedule.  Proof of service must be filed with the court that adopted the parenting plan.  Failure of the parent wh
o receives notice to respond to the written notice or to seek amendment of the residential schedule within the 30-day period constitutes acceptance of the proposed revised residential schedule.
\par 
\par }{\b\fs28\insrsid11225825 \tab 12.\tab REVIEW OF PARENTING PLAN (Optional)
\par 
\par }{\fs28\insrsid11225825 [ ]\tab The parents will review this parenting plan at the following times:
\par __________________________________________________________________
\par __________________________________________________________________.
\par 
\par }{\b\fs28\insrsid11225825 \tab 13.\tab DISPUTE RESOLUTION
\par 
\par }{\fs28\insrsid11225825 The following shall apply when disputes arise between the parents in carrying out or amending this parenting plan (Choose One):
\par }\pard \ql \fi-1440\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 \tab [ ]\tab 
No alternative dispute resolution process, except court action, shall apply unless ordered at the discretion of the Court.
\par \tab [ ]\tab No alternative dispute resolution process is appropriate.  The following limiting factors exist, as provided in Mont. Code Ann. \'a7 40-4-219(9) (Choose All That Apply):
\par \tab [ ]\tab This is a case of physical abuse or threat of physical abuse by one parent against the other parent or the child(ren).
\par \tab [ ]\tab 
A parent has been convicted of deliberate homicide, mitigated deliberate homicide, sexual assault, sexual intercourse without consent, deviate sexual conduct with an animal, incest, aggravated promotion of prostitution of a child, endangering the welfare
 of children, partner or family member assault, or sexual abuse of children.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 or\sect }\sectd 
\margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 [ ]\tab a.\tab 
Disputes between the parents shall be submitted to mediation, counseling, or arbitration by: __________________________________________.
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 b.\tab The cost of this process shal
l be allocated between the parents as follows (Choose One):
\par }\pard \ql \fi-1440\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 {\fs28\insrsid11225825 \tab [ ] \tab Based on each parent\rquote 
s proportional share of income as determined from the child support worksheet.
\par }\pard\plain \s19\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 \tab [ ]\tab As determined in the dispute resolution process.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 \tab 
[ ]     \tab Mother: _______ % , Father: ________%.
\par }\pard \ql \fi-720\li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 c.\tab 
A parent will begin the dispute resolution process by notifying the other parent by written request sent by certified mail.
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par d.\tab In the dispute resolution process:
\par }\pard \ql \li720\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin720\itap0 {\fs28\insrsid11225825 (i)\tab 
Preference shall be given to carrying out this parenting plan.
\par }\pard\plain \s17\ql \fi720\li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 (ii)\tab Unles
s an emergency exists, the parents shall use the designated process to resolve disputes relating to implementation of the plan, except those related to financial support.
\par }\pard\plain \ql \fi-720\li1440\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin1440\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {
\fs28\insrsid11225825 (iii)\tab A written record shall be prepared of any agreement or arbitration award reached in counseling or mediation, and a copy shall be provided to each parent.
\par (iv)\tab If the court finds that a parent has used or frustrated the dispute resolution process without good reason, the court may award attorney\rquote s fees and financial sanctions to the other parent. 
\par (v)\tab The parents have the right of review from the dispute resolution process to the district court.
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\b\fs28\insrsid11225825 \tab 14.\tab OTHER PROVISIONS:}{\fs28\insrsid11225825 
 __________________________________________________________________
\par __________________________________________________________________
\par __________________________________________________________________
\par __________________________________________________________________
\par __________________________________________________________________.
\par 
\par }\pard\plain \s20\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\b\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 WARNING: One parent\rquote s failure to comply with a provision of the parenting plan will not affect the other parent\rquote 
s obligation to comply with the parenting plan.  Violation of any provision of this order with actual knowledge of its terms is punishable by contempt of court and may be a criminal offense under Mont. Code Ann. \'a7\'a7
 45-5-631 or 45-7-309.  Violation of the Final Parenting Plan may subject a violator to arrest and a fine up to $500 or imprisonment in the county jail.
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
\sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
\par }\pard\plain \s19\ql \li0\ri0\widctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 
\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Declaration for Proposed Parenting Plan (Only complete the following section if this is a Proposed Parenting Plan.  Do not date and sign if this is the Final Parenting Plan.)
\par }\pard\plain \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 

\par DATED this _____ day of ____________________, 20___.
\par 
\par _____________________________________
\par [ ] Petitioner/[ ] Respondent Pro Se 
\par STATE OF MONTANA\tab \tab )
\par \tab \tab \tab \tab \tab : ss.
\par COUNTY OF ______________)
\par 
\par _______________________________, being first duly sworn on oath, says that he/she is the [ ] Petitioner/[ ] Respondent in the above-entitled proceeding; that he/she has read the foregoing Parenting Plan and knows the
 contents thereof; and that the matter, facts and things stated therein are true to the best of his/her knowledge and belief.
\par 
\par _____________________________________
\par [ ] Petitioner/[ ] Respondent Pro Se 
\par 
\par _____________________________________
\par Print Name
\par 
\par \tab SUBSCRIBED AND SWORN to before me this ___ day of __________, 20___.
\par \tab \tab \tab \tab \tab \tab ___________________________________
\par \tab \tab \tab \tab \tab \tab Name (printed): _____________________
\par \tab (Seal)\tab \tab \tab \tab \tab Notary Public for the State of Montana
\par \tab \tab \tab \tab \tab \tab Residing at _________________________
\par \tab \tab \tab \tab \tab \tab My Commission Expires_______________
\par 
\par Order by the Court (Leave the following section blank.  It will be completed by the Court if this document is adopted as the Final Parenting Plan.)
\par 
\par DATED this _____ day of ________________________, 20___.
\par 
\par 
\par \tab \tab \tab \tab \tab \tab _______________________________
\par \tab \tab \tab \tab \tab \tab DISTRICT COURT JUDGE\tab \sect }\sectd \margtsxn-1440\margbsxn-994\binfsxn256\binsxn256\psz1\linex0\footery432\endnhere\titlepg\sectlinegrid204\sectdefaultcl\sftnbj\saftnnar \pard\plain \ql \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\fs28\insrsid11225825 
\par }\pard \qc \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 \sect }\sectd 
\binfsxn256\binsxn256\sbknone\linex0\headery1440\footery1440\sectdefaultcl\sftnbj\saftnnar \pard\plain \qc \li0\ri0\nowidctlpar
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\fs28\insrsid11225825 EXHIBIT C
\par 
\par COPY OF CHILD SUPPORT AND MEDICAL SUPORT ORDER
\par 
\par }\pard \ql \li0\ri0\nowidctlpar\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\faauto\rin0\lin0\itap0 {\fs28\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid11225825 \tab Attached is a certified copy of the administrative or court order establishing child support and medical support for our child(ren)}{\f2\insrsid11225825 
\par }\pard \qc \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\f2\insrsid11225825 \page }{\b\insrsid11225825 MONTANA STATE CASE REGISTRY
\par AND VITAL STATISTICS REPORTING FORM
\par DEPARTMENT OF PUBLIC HEALTH AND HUMAN SERVICES
\par 
\par }\trowd \ts11\trgaph108\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt
\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\pard\plain \s4\qc \li0\ri0\keepn\widctlpar\intbl
\tx-2016\tx-1296\tx-576\tx0\tx720\tx1440\tx2160\tx2880\tx3600\tx4320\tx5040\tx5760\tx6480\tx7200\tx7920\tx8640\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0 \b\fs28\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 
For Use in Summary Dissolution of Marriage Only
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \s5\ql \li0\ri0\sl-340\slmult0\keepn\widctlpar\intbl\aspalpha\aspnum\faauto\outlinelevel4\adjustright\rin0\lin0 \b\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b0\insrsid11225825 
County ____________________ Judicial District No. _______ Cause No. ____________
\par }\pard\plain \ql \li0\ri0\sl-340\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Date Decree Signed _______________________________________________________
\par County that Issued Marriage License _________________________________________
\par City, County, State of Marriage ______________________________________________
\par Date of Marriage _________________________________________________________
\par }\pard\plain \s23\ql \li0\ri0\sl-240\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 \trowd \ts11\trgaph108\trleft-108\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth9576\clshdrawnil \cellx9468\row }\trowd \ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx270\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9198\clshdrawnil \cellx9468\pard\plain \s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 1\cell }\pard\plain \ql \li0\ri0\sl-380\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 Mother/Wife:     }{
\insrsid11225825 (Payee/payer status = N/A)            Maiden Name: ______________
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Name: _________________________ SSN: ___________ Telephone (___)________
\par             }{\fs22\insrsid11225825 Last              First        Middle/Suffix
\par }\pard \ql \li0\ri0\sl-120\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs22\insrsid11225825 
\par }\pard\plain \s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Mailing Address: ______________________________________________________
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825                              }{\fs22\insrsid11225825 
Street                                         City                                  State            Zip
\par }\pard \ql \li0\ri0\sl-380\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 {\insrsid11225825 Residential Address (if different from above): _______________________________
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Date of Birth: _____________ Place of Birth: ________________ Race: _________
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825                                                                            }{\fs22\insrsid11225825 State/Foreign Country

\par }\pard\plain \s24\ql \li0\ri0\sl-380\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Occupation: ___________________ Number of this marriage
 (1st, 2nd, etc.): _____
\par }\pard \s24\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 
\par }\pard \s24\ql \li0\ri0\sl-380\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 Date, City & State of previous marriage(s): _________________________________
\par }\pard \s24\ql \li0\ri0\sl-240\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 \cell }\pard\plain \ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 \trowd \ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx270\clvertalt\clbrdrt
\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9198\clshdrawnil \cellx9468\row }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\insrsid11225825 2\cell }\pard 
\ql \li0\ri0\sl-340\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 {\b\insrsid11225825 Father/Husband:     }{\insrsid11225825 (Payee/payer status = N/A)
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Name: _________________________ SSN: ___________ Telephone (___)________
\par             }{\fs22\insrsid11225825 Last              First        Middle/Suffix
\par }\pard \ql \li0\ri0\sl-120\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 {\fs22\insrsid11225825 
\par }\pard \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 {\insrsid11225825 Mailing Address: ______________________________________________________
\par                              }{\fs22\insrsid11225825 Street                                         City                                  State            Zip
\par }\pard \ql \li0\ri0\sl-340\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 {\insrsid11225825 Residential Address (if different from above): _______________________________
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Date of Birth: _____________ Place of Birth: ________________ Race: _________
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825                                                                            }{\fs22\insrsid11225825 State/Foreign Country

\par }\pard\plain \s24\ql \li0\ri0\sl-340\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Occupation: _______
____________ Number of this marriage (1st, 2nd, etc.): _____
\par }\pard \s24\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\insrsid11225825 
\par }\pard\plain \ql \li0\ri0\sl-340\slmult0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Date, City & State of previous marriage(s): _________________________________
\par }\pard\plain \s23\ql \li0\ri0\sl-240\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 \trowd \ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx270\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9198\clshdrawnil \cellx9468\row }\pard\plain 
\s24\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 3\cell }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 
\fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 This form was completed by:  }{\insrsid11225825 Name/Title: _________________________________
\par }\pard\plain \s23\ql \li0\ri0\sl-120\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 
\par }\pard\plain \ql \li0\ri0\nowidctlpar\intbl\faauto\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\insrsid11225825 Telephone: ___________ Signature: _______________________ Date: __________
\par }\pard\plain \s23\ql \li0\ri0\sl-240\slmult0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \caps\fs26\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\caps0\insrsid11225825 \cell }\pard\plain 
\ql \li0\ri0\widctlpar\intbl\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \fs24\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {\b\insrsid11225825 \trowd \lastrow \ts11\trgaph108\trleft-108\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trautofit1\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3 \clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 
\cltxlrtb\clftsWidth3\clwWidth378\clshdrawnil \cellx270\clvertalt\clbrdrt\brdrs\brdrw10 \clbrdrl\brdrs\brdrw10 \clbrdrb\brdrs\brdrw10 \clbrdrr\brdrs\brdrw10 \cltxlrtb\clftsWidth3\clwWidth9198\clshdrawnil \cellx9468\row }\pard 
\ql \li0\ri0\nowidctlpar\faauto\rin0\lin0\itap0 {\insrsid11225825 
\par }}