'.?

FILF-D i
3'5
) l0 JUii28 Pil

4
IN THE CIRCUIT COURT OF THE STATE OF OREGON
5
FOR THE COUNTY oF ML'LTNOMAH
6
In the Mafter of the Mariage ot
7
KAINE ANDREW HORMAN, xooG-€sogq
cu."No.
I
Petitioner, CERTIFICATE OF RESIDENCY
9 )
and )
10 )
TERRI LYNN MOULTON HORMAN, )
11 )
Respondent. )
12
For purposesoi oRS 107.075and UTCR 8.010(1),I herebycertify that one or both
13
of the parties to this proceedingcurendy reside in the county in which the Petitiotr lbr
t4
Dissolution of Marriage is beingfiled.
15
Datedthis:28 dayof June,2010.
16
GEARING,RACKNER & ENGEL LLP
t7
l8

L9 Laura E. Rackner,OSB #84328

of Attorneysfor Petitioner
20

2l
AI.JTERED

JUN?t ?010
BYMLD
INREGISTER
24
G@c,Rjdfr AtNcE D

Pase1 - CERTIFICATE OF RESIDENCY

TffiHoNE (s$24n6
1

2 .,. cli 1- I l
::' i' .*;' '

3 ,^ ,.ltL F::::

4
, .IN,THE Ci[CTflT COURTOF THE STATEOF OREGON
_,e.-:
'6.-.*-" ..
"r*,r"r'iFFtr-n"#u couNnv oF MULTNOI\4AH
6
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

TERzu L}'NN MOULTON HORMAN,

11
Respondent,
72
STATE OF ORXGON )

Countyof Multnomah )
14
I, Kaine Andrew Horman,herebycefiiry that:

1. Thereis no pendingchild suppofiproceedingin this or any other stateinvolving

16
theparties'child.
t7

18 2. There are no other child support orders/judgmenlsin this or any other state

19 involving the parties' child.

5ti?[RED
20 ^"+h
DATEDthisJd dayofJune.2010
21 JUttI s t#$
22 iiEC,$T;ili By triltr
,,4
-)qlh
qoay
AND SWORNtO
SUBSCRIBED l{a,te tl*na-
24
25

26
cmc, &idEn s ENcEr Ltt
Paee1- CERTIFICATEOI CHILD SUPPORTPROCEEDING

TELmss: (so3)2-er6
 DATE
NOTICEOF DISMISSAL

Thispetitionfiledwiththe Multnomah CountyCircuitCourtfof dissolutionof rnarriage,

annulment, or separation LocalRule
is subjectto Supplernentary 8 017 (see below)
You mustreferio relevantOfegonLawandRulesof the Courtor seean attorney
regarding'ormalappearances, responses, ard pleadings.
10OS.-56084
IS :
YO U RC A S EN U MB E R

DArE:
DrsMlssAL - 0EE2720ltl
SLR8.0,17 TRIALSETTINGS FORDISSOLUTION, ANDSEPARATION
ANNULI\,{ENT
February'1,2001)
(effective

(1) uponthefilingof anypetition

lmmediaiely for dissolution, or
annulrnent,
date180daysfromthe dateof filingwill be assigned
a dismjssal
sepafaiion,

(2J lf no appearanceis madeor a defaultorderhasnotbeenenteredby the 180'"

day,the casewill be dismissedby the ChiefFamilyLawJudgeor designee
Thisdismissalshallbe finaiunlessihe ChiefFamilyLawJudge,for goodcause
shown,ordersotherwise.(SeeNoteBelow)

(3) If priorto the 180daydismissal to the ChiefFamilyLaw

date,uponapplication
Judgeby moiionand in person
at ex parte,
goodcause is shown'the Chief
FamilyLawJudgemayset a newdismissal date. Onlyonesuchextension shall
be gfanted.

(4) annulment,
Dissolution, andseparation casesshallnotexceedeight(B)monihs
at ex parteto
fromthe daieof filingto the dateof trial,exceptuponapplication
eithefthe Presiding Judgeor theChiefFamilyLawJudge

(5) Modificationproceedings in the abovetypesof casesshallnoi exceedfrve(5)

monthsfromdateof filingto ihe dateof hearing, at ex
exceptuponapplication
parteto eitherthe Presiding Judgeor the ChiefFamilyLawJudge

NOTE: lf a defaultorderhas beenfiled by the 180'day, f,ut no decree

has beenfiled,the courtwill entera 28 day dismissalorder
dismissingthe casewithoutfurthernoticeunlessa decreeis
filed withinthe 28 daYPeriod.

21-02 (7to1)
I rl: rl il
ENTERED :,:'' t lL-':-r'
_
2 l ^ r:^
JUN2I2010
3
IN R E G i S
II COURI OI IHE STATTOF ORECON
..* e., -', . "L

3 FORTIIE COUNTYOFMULTNOMAH

6 In the Matter of the Marriageol )

7 KAINE ANDREW HORMAN,
8 Petitioner,
9 and
10 TERzuLYNN MOULTONHORMAN,
11
) caseNot'OO6-€S08+ 66084
)
) PETITIONFOR DISSOLUT]ON
) OF MARzuAGE
)
) DomesticRelationsCaseSubject
) to Fee UnderSection26 ofHB 3737
)
) Not Subjeclto Mandqtory
Respondent.) Arbitration

tz
Petitioneralleges:
1.

L4 Thepartiesweremaniedon April 15,2007,in Pdnceville,Kauai,Hawaii.

15. 2.

16 No other dornesticrelationssuit or petitionfor supportinvolving this marriageis

pending in any other court of this or any other state, except as follows: Petitioner is

submitting a Petition for a Family Abuse Prevention Act R€sftaining Order

18

19 with the filing of this Petition.

contemporaneously

20 3.

Petitionerhasbeena residentanddomiciledin theStateof Oregoncontinuously

for

22 the pastsix months.

24
& EN6L Tt,P
Page1 - PETITIONFORDISSOLUTIONOF MARRIAGE GamG, RlcMi

TELEPHONE603) 2 T16
I 4.
t Otherrclevartdataof thepaxtiesis asfollows:

PETITIONER

4 Name: KAINEANDREW HORMAN

5 Address: 15725NW ShelteredNook Rd.

Portland,Oregon97231
6
Dateof BLth: FiledUnderUTCR2.130
7
Age: FiledUnderUTCR2.130
8
soclalSecrultyNumber: Filed UnderUTCR 2. 130
o
OregonDriver'sLicenseNo: FiledUnderUTCR 2.130
10
PreviousNames: None
1l
RESPONDENT

Name: TERRI L\1.IN HORMAN

13
Address: 15725NW ShelteredNook Rd.
l4 Portlald,Oregon97231

15 DateofBirth: FiledUnderUTCR2.130

t6 Age: FiledUnderUTCR2.130

t7 Social SecurityNwnber: FiledUnderUTCR 2.130

18 OregonDriver'sLicenseNo: FiledUnderUTCR 2.130

19 PrcviousNarnes: Moulton, Tarver,Ecker

20
5.
2l
Ineconcilabledifferencesbetweenthe Pelitioner and the Respondenthave caLsedthe
,a
brealdownof themarriage.
irremediable

24
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,

3 2008. Petitionerhas one non-joint child. Respondenthasone non-joint child. Petitioneris

4 not now pregnant.

5 7.

6 The namesof the personsthe child haslived with andthe addresswherethe child has

7 li\ed duringthepasrfiveyearsis:

8 Name: Address: Date:

9 Bothparties 15725NW ShelteredNookRd. 1l/12/08to 06D6/10

Portland,Oregon97231
10
Father address
Undisclosed to present
06/26110
1l
8.
12
Petitioner has not padicipated,as a pady, witness,or in any other capacity, in any

other litigation concelningthe custodyof any child subjectto this proceeding,exceptin the
14
Family AbusePreventionAct proceedingreferencedin Paragraph2 above.
15
9.
l6
Petitionerhasno information of any custodyproceedingpending in a court of this
t7
or any other state cotrcemingany child subject to this proceeding,except for the Family
18
AbusePreventionAct proceedingreferencedin Paragraph2 above.
t9
10.
20
Petitioner does not know of any perso4 not a party to this proceeding,who has
2l
physical custody or claims to have cuslody or visitation dghts with respectto any child
22
subjectto this proceeding.

Page3 - PETITION FOR DISSOLUTION OF MARzuAGE caMc'n'd*arMerrP

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

subjectto this proceeding.

5 12.

6 Petitionershouldbe awardedsole custodyof the child Petitioneris a fit and proper

7 personto havesolecustodyofthe minorchildsubjectto a parentingplanbasedon the child's

8 best intercst.

9 13.

t0 Respondentshouldpay a reasonableamountof child support(cashchild suppofi and

11 cashmedical support)pursuart to OregonChild SupportGuidelinesor by mutual agreement

of the parties. Paymentsshould continueuntil the child reachesthe age of majority or is

13 emancipated.lf the child is a "child attendingschool"as dehnedin ORS 107.108,then

t4 supportshouldcontinueuntil the ma,\imumageof21.

t5 t4.

l6 Petitionermaintainshealthinsurancefor the child and will continueto do so provided

t7 it is availablethrough his employerat a reasonablecost. As a separateand fi[ther meansof

18 child support,eachparty shouldpay one-halfof all of the uninsured,unreimbursedmedical,

19 orthodontic,counselingandother healthexpensesfor the child.

dental,ophthaLmologic,

20 15.

2l As a sepaEte and further meansof child support, it is just and equitablethat

22 Respondentbe requiredto maintainlife insurancepoliciesinsuring her life, in a reasonable

sum with the minor child asinevocablebeneficiary,wilh the Petitionerastrustee,so long as

24 the Respondentis obligatedto pay child support.

Pase4 PETITION OFMARzuAGE
FORDISSOLUTION
rcwdE (sor2Jn6
1 16.

7 Theparties'realproperfy,personalpropery,debtandliabilitiesshouldbe dividedor

allocatedin a mannerthat is just andproperrmdelthe circumstances.

l'7.

5 Each pafy shouldbe responsiblefor his or her own attoney fees and costsincured

6 hereinif this proceedingis rmcontested.If this proceedingis contested,then Petitionershould

,7 attomeyfeesandcostsundertbe provisionsof ORS 107.105and
be awardedhis reasonable

8 ORCP68,

9 WHEREFORE,Petitionerpraysfor a GeneralJudgmentconformingto ihe allegations

10 hereinandfor otherequitablerelief asmay be appropriate.

11 DATED this& dayof June,2010.

t2 GEARING,RACKNER & ENGEL LLP

14 Laura E. Rackner,OSB #84328

f^r DFrifi^flpr
^tr^mcv
15 STATEOFOREGON )
) ss:
16 County of Multnomah )

t7 I, Kaine Aldrew Horman,Petitioner,underpenalty of perjury, swearthat to the best

of my information and belief all the facts set forth by me in this petition for dissolutionof
18 maniageareaue.

19

20
40'+lA
SUBSCRIBEDAND SWORNto beforeme this 9! dayof June,2010,by KAINE
ANDREW HORMAN.
J''
ffi
lifffi ^*vsll*553;tt3"
fr
dYsdruru{ru:u
,1
Public - Stateof
24
oF MARzuAGE
FORDISSOLUTION
Pace5 - PETITION 6amc, R4c6rR a x c.. rrP

ftLmNE 6(3) 2en6