Shipman IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF MARION Case No. 14C32467 In the Matter of the Marriage of: Kristi Lin Klug, Petitioner and Harvey Ralph Shipman, III, Respondent SUMMONS - DOMESTIC RELATIONS SUIT TO: Harvey Ralph Shipman III, Respondent, Home & Work Address Unknown The petitioner has filed a Petition asking for: Dissolution of Marriage. If you do not file the appropriate legal paper with the court in the time required (see below), your spouse/partner may ask the court for a judgment against you that orders the relief requested. NOTICE TO RESPONDENT: READ THESE PAPERS CAREFULLY! You must appear in this case or the other side will win automatically. To appear, you must file with the Court a legal paper called a Response or Motion. Response forms may be available through the court located at: 100 High St NE, Salem OR 97301. This Response must be filed with the court clerk or administrator within thirty (30) days along with the required filing fee. It must be in proper form and you must show that the Petitioner's attorney (or the Petitioner if he/she does not have an attorney) was served with a copy of the Response or Motion. The location to file your response is at the court address indicated above. If you have questions, you should see an attorney immediately. If you need help finding an attorney, you may contact the Oregon State Bar's lawyer Referral Service online at www.oregonstatebar.org or by calling (503)684-3763 (in the Portland metropolitan area) or toll free elsewhere in Oregon at (800) 452-7636. If special accommodation under the Americans with Disabilities Act is needed, please contact your local court at the address above; telephone number: /s/ Kristi Lin Klug Petitioner APPENDIX F - Statutory Restraining Order NOTICE OF STATUTORY RESTRAINING ORDER PREVENTING THE DISSIPATION OF ASSETS IN DOMESTIC RELATIONS ACTIONS REVIEW THIS NOTICE CAREFULLY, BOTH PARTIES MUST OBEY EACH PROVISION OF THIS ORDER TO AVOID VIOLATING THE LAW. SEE INFORMATION ON YOUR RIGHT TO A HEARING BELOW. TO THE PETITIONER AND RESPONDENT: Under ORS 107.093 and UTCR 8.080, neither Petitioner nor Respondent may: Insurance Policies (1) Cancel, modify, terminate, or allow to lapse for nonpayment of premiums, any policy of health insurance, homeowner or renter insurance, or automobile insurance that one party maintains to provide coverage for the other party or a minor child of the parties, or any life insurance policy that names either of the parties or a minor child of the parties as a beneficiary. Insurance Beneficiaries (2) Change beneficiaries or covered parties under any policy of health insurance, homeowner or renter insurance, or automobile insurance that one party maintains to provide coverage for the other party or a minor child of the parties, or any life insurance policy. Property (3) Transfer, encumber, conceal, or dispose of property in which the other party has an interest, in manner, without written consent of the other party or an order of the court, except in the usual course of business or for necessities of life. (A) Paragraph (3) does not apply to payment by either party of: (i)Attorney fees in this action; (ii)Real estate and income taxes; (iii)Mental health therapy expenses for either party or a minor child of the parties; or (iv) Expenses necessary to provide for the safety and welfare of a party or a minor child of the parties. Expenses (4) Make extraordinary expenditures without providing written notice and an accounting of the extraordinary expenditures to the other party. This does not apply to payment of expenses necessary to provide for the safety and welfare of a party or a minor child of the parties. EFFECTIVE DATE: The above provisions are in effect Immediately upon service of the Petition and Summons on the respondent. They remain in effect until a final judgment is issued, until the petition is dismissed, or until further order of the court. RIGHT TO REQUEST A HEARING Either Petitioner or Respondent may request a hearing to modify or revoke one restraining order by filing with the court the Request for Hearing re: Statutory Restraining Order form specified in Form 8.080.2 in the UTCR Appendix of Forms. K- 750 9/20 9/27 10/4 10/11 hspaxlp #1239428
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