Washington > Statewide > Domestic Relations > Parentage
Judgment And Order On Petition To Disestablish Paternity Based On Presumption And Granting Other Relief PS 17.0500 - Washington
| Judgment And Order On Petition To Disestablish Paternity Based On Presumption And Granting Other Relief Form. This is a Washington form and can be used in Parentage Domestic Relations Statewide . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
Superior Court of Washington County of In re the matter of: No. Judgment and Order on Petition to Disestablish Parentage Based on Presumption and Granting Other Relief (JODRDP) Clerk's Action Required, para. 3.7 Law Enforcement Notification 3.7 Petitioner, and Respondent, and Child(ren) over the age of 2, if applicable. I. Judgment/Order Summaries 1.1 Restraining Order Summary [ ] Does not apply. [ ] Restraining Order Summary is set forth below: . Name of person(s) . See Name of person(s) restrained: protected: Paragraph 3.7. Violation of a Restraining Order in Paragraph 3.7 below with actual knowledge of its terms is a criminal offense under Chapter 26.50 RCW and will subject the violator to arrest. RCW 26.26.590 1.2 Money Judgment Summary [ ] Does not apply. A. B. C. D. E. F. [] Judgment Summary is set forth below: Judgment creditor Judgment debtor Principal judgment amount Interest to date of judgment Attorney fees Costs $ $ $ $ Judgment/Ord (Pt Disestabl Par) (JODRDP) - Page 1 of 5 WPF PS 17.0500 Mandatory (07/2011) - RCW 26.26.116, 26.26.500 .630 American LegalNet, Inc. www.FormsWorkFlow.com G. H. I. J. K. L. Other recovery amount $ Principal judgment shall bear interest at __________ % per annum Attorney fees, costs and other recovery amounts shall bear interest at __________ % per annum Attorney for judgment creditor Attorney for judgment debtor Other: II. Basis This matter has come before the court on (name) ___________________________________'s Petition to Disestablish Parentage Based on Presumption. Findings of Fact and Conclusions of Law have been entered in this case. This action affects the parentage of: (name of child) ______________________________ (age on the date of this order) _____________. (name of child) ______________________________ (age on the date of this order) _____________. III. Order It is Ordered: 3.1 Petition to Disestablish Parentage Based on Presumption [] [] The Petition to Disestablish Parentage Based on Presumption is granted. The Petition to Disestablish Parentage Based on Presumption is denied. 3.2 Determination of Parentage [] [] The presumed parent is declared not to be the parent of the child. The presumed parent is determined to be the parent of the child. 3.3 Amendment of Birth Certificate [] [] Does not apply. The birth certificate of the child, (name of child) ______________________________ shall be amended by the Washington State Registrar of Vital Statistics by removing (name) ______________________________________ from the birth certificate as the child's parent. 3.4 Judgment [] [] Does not apply. (Name) ______________________________________ shall have judgment against (name) ____________________________________________ in the total amount of $_________________ as follows: [] [] [] [] $_______________ for genetic testing costs. $_______________ for guardian ad litem fees. $_______________ for attorney fees. $_______________ costs. Judgment/Ord (Pt Disestabl Par) (JODRDP) - Page 2 of 5 WPF PS 17.0500 Mandatory (07/2011) - RCW 26.26.116, 26.26.500 .630 American LegalNet, Inc. www.FormsWorkFlow.com [] [] [] $_______________ for other fees and expenses. Other: (Name) _______________________________ shall have judgment against (name) ______________________________ for ________________________________ in the amount of $_______________. 3.5 County Costs [] [] Does not apply. The Superior Court of __________________________ shall have judgment against (name) _____________________________ for costs of this action specified as follows: [] Other: 3.6 Guardian ad Litem [] [] [] Does not apply. Any guardian ad litem appointed by the court is discharged. Other: 3.7 Continuing Restraining Order [] [] Does not apply. A continuing restraining order is entered as follows: [] [] (Name) ______________________________ is restrained and enjoined from disturbing the peace of the other party. (Name) _______________________________ is restrained and enjoined from going onto the grounds of or entering the home, work place or school of the other party, or the day care or school of the following named children: _______________________________________________________________ (Name) _____________________________________ is restrained and enjoined from knowingly coming within or knowingly remaining within (distance) ______________________ of the home, work place or school of the other party, or the day care or school of these children: _______________________________________________________________. Other: ________________________________________________________. (Name) ________________________ is restrained and enjoined from molesting, assaulting, harassing or stalking (name) _______________________________. (The following firearm restrictions apply if this box is checked: Effective immediately and continuing as long as this continuing restraining order is in effect, the restrained person may not possess a firearm or ammunition. 18 U.S.C. § 922(g)(8). A violation of this federal firearms law carries a maximum possible penalty of 10 years in prison and a $250,000 fine. An exception exists for law [] [] Judgment/Ord (Pt Disestabl Par) (JODRDP) - Page 3 of 5 WPF PS 17.0500 Mandatory (07/2011) - RCW 26.26.116, 26.26.500 .630 American LegalNet, Inc. www.FormsWorkFlow.com enforcement officers and military personnel when carrying department/government-issue firearms. 18 U.S.C. § 925(a)(1).) [] Other: Violation of a Restraining Order in Paragraph 3.7 with actual knowledge of its terms is a criminal offense under Chapter 26.50 RCW and will subject the violator to arrest. RCW 26.26.130 [] Clerk's Action. The clerk of the court shall forward a copy of this order, on or before the next judicial day, to (name of the appropriate law enforcement agency) __________________________________ which shall enter this order into any computer-based criminal intelligence system available in this state used by law enforcement agencies to list outstanding warrants. (A law enforcement information sheet must be completed by the party or the party's attorney and provided with this order before this order will be entered into the law enforcement computer system.) The restrained party or attorney appeared in court or signed this order; service of this order is not required. The restrained party or attorney did not appear in court; service of this order is required. The protected party must arrange for service of this order on the restrained party. File the original Return of Servic
|
|||||||
