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FILF-D i
3'5
) l0 JUii28 Pil
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IN THE CIRCUIT COURT OF THE STATE OF OREGON
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FOR THE COUNTY oF ML'LTNOMAH
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In the Mafter of the Mariage ot
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KAINE ANDREW HORMAN, xooG-€sogq
cu."No.
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Petitioner, CERTIFICATE OF RESIDENCY
9 )
and )
10 )
TERRI LYNN MOULTON HORMAN, )
11 )
Respondent. )
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For purposesoi oRS 107.075and UTCR 8.010(1),I herebycertify that one or both
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of the parties to this proceedingcurendy reside in the county in which the Petitiotr lbr
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Dissolution of Marriage is beingfiled.
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Datedthis:28 dayof June,2010.
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GEARING,RACKNER & ENGEL LLP
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AI.JTERED
JUN?t ?010
BYMLD
INREGISTER
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G@c,Rjdfr AtNcE D
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, .IN,THE Ci[CTflT COURTOF THE STATEOF OREGON
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"r*,r"r'iFFtr-n"#u couNnv oF MULTNOI\4AH
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In the Matter of the Marriageof
7 caseNo.3.CO6-66Og4
I'AINE ANDREW HORMAN,
8 CERTIFICATERE: PENDING CHILD
Petitioner, SUPPORTPROCEEDINGSand/or
9 EXISTING CHILD SIjPPORT
and ORDERS/ruDGMENTS
Countyof Multnomah )
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I, Kaine Andrew Horman,herebycefiiry that:
18 2. There are no other child support orders/judgmenlsin this or any other state
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cmc, &idEn s ENcEr Ltt
Paee1- CERTIFICATEOI CHILD SUPPORTPROCEEDING
TELmss: (so3)2-er6
DATE
NOTICEOF DISMISSAL
DArE:
DrsMlssAL - 0EE2720ltl
SLR8.0,17 TRIALSETTINGS FORDISSOLUTION, ANDSEPARATION
ANNULI\,{ENT
February'1,2001)
(effective
(4) annulment,
Dissolution, andseparation casesshallnotexceedeight(B)monihs
at ex parteto
fromthe daieof filingto the dateof trial,exceptuponapplication
eithefthe Presiding Judgeor theChiefFamilyLawJudge
21-02 (7to1)
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ENTERED :,:'' t lL-':-r'
_
2 l ^ r:^
JUN2I2010
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IN R E G i S
II COURI OI IHE STATTOF ORECON
..* e., -', . "L
3 FORTIIE COUNTYOFMULTNOMAH
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Petitioneralleges:
1.
15. 2.
pending in any other court of this or any other state, except as follows: Petitioner is
20 3.
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& EN6L Tt,P
Page1 - PETITIONFORDISSOLUTIONOF MARRIAGE GamG, RlcMi
TELEPHONE603) 2 T16
I 4.
t Otherrclevartdataof thepaxtiesis asfollows:
PETITIONER
15 DateofBirth: FiledUnderUTCR2.130
t6 Age: FiledUnderUTCR2.130
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5.
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Ineconcilabledifferencesbetweenthe Pelitioner and the Respondenthave caLsedthe
,a
brealdownof themarriage.
irremediable
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Pase2 - PETITIONFORDISSOLUTIONOFMARRIAGE CErMc, Rrcifu & E}rca LtP
tu6e6@),22416
6.
2 There is one child born of this marriage: Kiara A-riel Horrnan, born November12,
5 7.
6 The namesof the personsthe child haslived with andthe addresswherethe child has
7 li\ed duringthepasrfiveyearsis:
other litigation concelningthe custodyof any child subjectto this proceeding,exceptin the
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Family AbusePreventionAct proceedingreferencedin Paragraph2 above.
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9.
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Petitionerhasno information of any custodyproceedingpending in a court of this
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or any other state cotrcemingany child subject to this proceeding,except for the Family
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AbusePreventionAct proceedingreferencedin Paragraph2 above.
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10.
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Petitioner does not know of any perso4 not a party to this proceeding,who has
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physical custody or claims to have cuslody or visitation dghts with respectto any child
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subjectto this proceeding.
TEFHoNE (s03)222Jr6
r{r 6m) 22 9113
1 11.
z Petitioneris awarethat he hasa codinuing duty to inform the coult of any information
3 that he may obtain of any custodyproceeding,in this or any other state,concemingany child
5 12.
8 best intercst.
9 13.
t5 t4.
20 15.
7 Theparties'realproperfy,personalpropery,debtandliabilitiesshouldbe dividedor
l'7.
5 Each pafy shouldbe responsiblefor his or her own attoney fees and costsincured
8 ORCP68,
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40'+lA
SUBSCRIBEDAND SWORNto beforeme this 9! dayof June,2010,by KAINE
ANDREW HORMAN.
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Public - Stateof
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oF MARzuAGE
FORDISSOLUTION
Pace5 - PETITION 6amc, R4c6rR a x c.. rrP