ࡱ>  $lbjbj-- 7nOO zzzzz8LKa$1111@345l^^^^^^^$-ce_zv7@3@3v7v7_zz11HaJJJv7z1z1^Jv7^JJT|U18=U^a0KaU~f&>:f$UfzU8 6Ll66J6,6 6 6 6__`> 6 6 6Kav7v7v7v7f 6 6 6 6 6 6 6 6 6 @: Plaintiffs Name: Mailing Address: Tel: Email: ******** Defendants Name: Mailing Address: Tel: Email: IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT City or town where court is located ) ) Plaintiff, ) ) and ) ) ) Defendant. ) ) Your Case No. UNCONTESTED COMPLAINT FOR DIVORCE WITH CHILDREN & PROPERTY We, ____________________________________________________________, state that (Print both spouses names here.) the following facts are true and request the following relief: 1. Residence Plaintiff is a resident of the State of . Defendant is a resident of the State of . 2. Facts of the Marriage Date of Marriage: __________ Place of Marriage: ______________________________ Date of separation: __________ Plaintiffs Date of Birth: __________ Defendants Date of Birth: __________ Basis for Decree of Divorce: An incompatibility of temperament between the parties makes it impossible to live together any longer as husband and wife. 4. Restoration of former name  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant wants their former name restored as: (Print full former name here.) Information about Child(ren) Under Age 18 5a. Please list all the minor child(ren) you have had or adopted together, including unborn child(ren) if one of you is pregnant. Full name of each child under age 18 Date of birth / est. birth FORMCHECKBOX  Additional minor child(ren) of this relationship are listed on an attachment. 5b. Has(have) the minor child(ren) lived continuously for the last six months in the State of Alaska?  FORMCHECKBOX  YES  FORMCHECKBOX  NO You MUST file a completed Child Custody Jurisdiction Affidavit,  HYPERLINK "https://public.courts.alaska.gov/web/forms/docs/dr-150.pdf" DR-150 with this Complaint ( HYPERLINK "https://public.courts.alaska.gov/web/forms/docs/dr-150.pdf" https://public.courts.alaska.gov/web/forms/docs/dr-150.pdf). 5c. Other Custody Orders  FORMCHECKBOX  No court has issued a custody order about these child(ren).  FORMCHECKBOX  The following custody orders have been issued about these child(ren) (include domestic violence protective orders and tribal court orders): Court Location (city and state)Case No.Date of OrderIn Effect? (Yes or No) 5d. Does paternity need to be disestablished on any child(ren) born or conceived during the marriage?  FORMCHECKBOX  NO  FORMCHECKBOX  YES (If the husband is not the biological or adopted father, this is the section to ask the court to remove the husband from the birth certificate) If YES, please list the child(ren), birthday(s) or expected birthday(s) and how you will disestablish. Please attach to this Complaint either a completed Three-Way Affidavit to Disestablish and Establish Paternity, SHC-151  HYPERLINK "http://www.courts.alaska.gov/shc/family/docs/shc-151.doc" \t "blank" Word |  HYPERLINK "http://www.courts.alaska.gov/shc/family/docs/shc-151n.pdf" \t "blank" PDF, or a DNA test. Childs NameDate of Birth Filing an Affidavit of Paternity, SHC-151 DNA Testing CompleteDNA Testing Planned Birth Certificate w/ Biological Fathers Name PARENTING PLAN AGREEMENT We agree to the following parenting plan that is in our child(ren)s best interests: 6. Parenting Goals We both love our child(ren) and want the best for them. We agree that we will: Maintain/develop a cooperative co-parenting relationship Provide a safe, stable and nurturing environment in both of our homes Encourage effective and open communication between us and with the child(ren) Encourage good relationships with extended family members Avoid exposing the child(ren) to parental disagreements and conflict Provide a good education and prepare them for adulthood Encourage healthy life skills and activities Model good citizenship and moral values 7. Communication 7a. Communication Between Parents We will communicate with each other to discuss the child(ren) by  FORMCHECKBOX  text messages,  FORMCHECKBOX  email or  FORMCHECKBOX  telephone  FORMCHECKBOX  other:  FORMTEXT      . 7b. Communication Between Parents and Children  FORMCHECKBOX  The child(ren) shall have frequent and open telephone and text communication with both parents.  FORMCHECKBOX  Communication between the children and Plaintiff/Defendant when not with that parent shall be follows:  FORMTEXT       7c. Events and Activities. We will make a good faith effort at keeping the other parent informed about events and activities in the children s lives such as school programs, scouts, concerts, award ceremonies, plays, sports events. We also recognize that it is our individual responsibility to make sure that organizations have our contact information and that we are receiving notifications from them. 7d. Children as Messengers. We agree to not use the child(ren) as messengers between the parents to give or get information, ask questions or request schedule changes. We will communicate about the children as set out in section 7a above. We will not question the child(ren) about the other parent. 7e. Parent Remarks and Behavior. We agree that our child(ren) have the right to be free of bad comments and behavior by one parent about the other. We agree that we will not badmouth, criticize, roll our eyes, be sarcastic or otherwise disrespectful to the other parent in our childrens presence. We will not let others do this either. The court wants to know what plan is in the child(ren)s best interests. The court must decide: (1) how the parents will make decisions about the child(ren), and (2) their living arrangements and schedule. Look at a calendar to figure out when the child(ren) will be with each parent. For links to many school calendars:  HYPERLINK "http://www.courts.alaska.gov/shc/family/docs/calendars.pdf" http://www.courts.alaska.gov/shc/family/docs/calendars.pdf. For a one-page annual calendar without school dates, go to  HYPERLINK "http://www.timeanddate.com/calendar/" \t "blank" www.timeanddate.com/calendar/. You can attach the annual calendar and/or Weekly Scheduling Chart, SHC-1132  HYPERLINK "http://www.courts.alaska.gov/shc/family/docs/shc-1132.doc" \t "_blank" Word |  HYPERLINK "http://www.courts.alaska.gov/shc/family/docs/shc-1132n.pdf" \t "_blank" PDF to this Agreement. 8. Decision Making 8a. Major Decisions  FORMCHECKBOX  We can communicate and make joint decisions in the child(ren)s best interests regarding the child(ren)s education, healthcare, religious training, and other major decisions.  FORMCHECKBOX  When  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  either parent is unavailable due to  FORMTEXT      , the other parent may make major decisions independently.  FORMCHECKBOX  When  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  either parent doesn t respond within  FORMTEXT       hours/days, the other parent may make major decisions independently.  FORMCHECKBOX  When we can t reach agreement after a good faith effort to discuss and communicate with each other, then  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant may make major decisions independently.  FORMCHECKBOX  It is difficult for us to make joint decisions regarding our child(ren), so  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant will make decisions regarding the child(ren)s education, healthcare, religious training, and other major decisions. The decision-making parent must inform the other parent about major decisions affecting the child(ren). Neither parent can move out of state with the child(ren) without written permission from the other parent or a court order. 8b. Day to Day Decisions: Each parent may make decisions regarding the day-to-day care of the child(ren) while they are with that parent. Either parent may make emergency decisions affecting the childrens health and safety and notify the other Plaintiffs soon as possible. 8c. Access to Information: Both parents must be listed on and have access to all educational and medical records. 9. Living Arrangements 9a. Regular Schedule (include days and times with each parent):  FORMTEXT       9b. Special days (holidays, birthdays and special occasions) We may agree to celebrate holidays and birthdays together or make other agreements regarding special days. If we cannot reach agreement, the following schedule will apply: Spring vacation: The child(ren) will be with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in even years and with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in odd years. Summer vacation:  FORMCHECKBOX  The regular schedule will apply, except that each parent may select up to __ weeks of uninterrupted time with the child(ren). Each parent will notify the other parent of the proposed dates by May 1. If both parents have selected the same period and cannot reach agreement,  FORMCHECKBOX  Plaintiffs  FORMCHECKBOX  Defendants proposed schedule will apply in even years and  FORMCHECKBOX  Plaintiffs  FORMCHECKBOX  Defendants in odd years.  FORMCHECKBOX  The regular schedule will not apply, and instead the schedule will be:  FORMTEXT       Halloween:  FORMCHECKBOX  Regular schedule applies.  FORMCHECKBOX  The child(ren) will be with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in odd years and with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in even years. Thanksgiving: The child(ren) will be with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in odd years and with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in even years. Thanksgiving is defined as starting on (date and time)  FORMTEXT       and ending on (date and time)  FORMTEXT      . Winter vacation: The regular schedule will apply until at least one child is in school. When the child(ren) are school age, the first half of break will be with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in even years and with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in odd years. Christmas: The child(ren) will spend Christmas Day with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in even years and  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant in odd years. The parent who is not with the child(ren) for Christmas Day shall have time with them on Christmas Eve from  FORMTEXT       to  FORMTEXT      . Christmas is defined as starting on (date and time)  FORMTEXT       and ending on (date and time)  FORMTEXT       Parent A s Birthday  FORMCHECKBOX  Regular schedule applies.  FORMCHECKBOX  With Parent A Parent Bs Birthday  FORMCHECKBOX  Regular schedule applies.  FORMCHECKBOX  With Parent B Mothers Day: With  FORMCHECKBOX  Parent A  FORMCHECKBOX  Parent B Fathers Day: With  FORMCHECKBOX  Parent A  FORMCHECKBOX  Parent B Child(ren)s Birthdays:  FORMCHECKBOX  We will celebrate the child(ren)s birthdays during our regularly scheduled parenting times.  FORMCHECKBOX  We will celebrate as follows: FORMTEXT       Other Special Days:  FORMTEXT       10. Exchanging the Child(ren) 10a.  FORMCHECKBOX  Parents Living in the Same Community Place for exchanges of the child(ren) between parents. Exchanges will take place at  FORMTEXT       Transportation for transfer between parents  FORMCHECKBOX  The parent starting their parenting time is responsible for transportation.  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  Both parents  FORMCHECKBOX  Third Party ( FORMTEXT      ) will be responsible for transporting the child(ren) for exchanges. Third party help with exchanges between parents  FORMCHECKBOX  We do not need help with the transfer.  FORMCHECKBOX  We agree to have  FORMTEXT     do exchanges or supervise exchanges. 10b.  FORMCHECKBOX  Parents Living in Different Communities Accompanying Parent  FORMCHECKBOX  The parent starting their parenting time is responsible for accompanying the child(ren) during travel.  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  Third Party ( FORMTEXT      ) will accompany the child(ren) during all travel, until age:  FORMTEXT      .  FORMCHECKBOX  The child(ren) is/are old enough to travel independently. Cost of exchanges  FORMCHECKBOX  The parent starting their parenting time is responsible for arranging and paying for plane tickets and transportation.  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant is responsible for arranging and paying for all plane tickets and transportation and the other parent will reimburse  FORMTEXT       % of the total cost.  FORMCHECKBOX  Other:  FORMTEXT       10c. Move by Parent  FORMCHECKBOX  Neither of us plans to move from  FORMTEXT       in the foreseeable future. We agree to give the other parent at least 120 days notice if possible of any plan to move. After receiving notice, we will review our parenting agreement to try to reach a modified parenting agreement that is in our child(ren)s best interest. If we cannot agree on a new schedule, we will continue the schedule listed in this parenting agreement for as long as both parents remain in the same community. If one parent moves away, the child(ren) will remain with the non-moving parent until the court makes a decision. 11. Out-of-State and/or International Travel  FORMCHECKBOX  The child(ren) may travel with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  both. The travel may be  FORMCHECKBOX  out of state  FORMCHECKBOX  internationally (includes travel to/thru Canada) as long as a copy of the roundtrip electronic ticket information (dates, times, airline, flight #s), and contact telephone number are provided at least  FORMCHECKBOX  30 days or  FORMCHECKBOX   FORMTEXT       days before the travel, unless the parents agree on a shortened timeline. The travel will be:  FORMCHECKBOX  without restrictions.  FORMCHECKBOX  with the following restrictions:  FORMTEXT        FORMCHECKBOX  We will cooperate to get passports and necessary travel authorizations. 12. Safety Concerns  FORMCHECKBOX  We do not have concerns about the safety of the child(ren) with either parent.  FORMCHECKBOX  We agree to the following to keep our child(ren) safe:  FORMTEXT       13. Permanent Fund Dividends  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant should timely apply for the child(ren) s Alaska Permanent Fund Dividend (PFD) each year while they are minors. The parent who claims the federal tax exemption for any child(ren) agrees to pay the taxes on the child(ren)s PFD. We agree that the child(ren)s PFD funds:  FORMCHECKBOX  may be spent for the child(ren)s health, education and welfare.  FORMCHECKBOX  should be saved in an interest-bearing account in both parents names and both parents should have access to all statements from the account.  FORMCHECKBOX  will be split between the parents as follows:  FORMTEXT       14. ANCSA Native Corporation Dividends  FORMCHECKBOX  Child(ren) do not receive ANCSA dividends.  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant is designated as the custodian of the child(ren) s ANCSA stock. Any dividends.  FORMCHECKBOX  may be spent for the child(ren)s health, education and welfare.  FORMCHECKBOX  should be saved in an interest-bearing account in both parents names and both parents should have access to all statements from the account.  FORMCHECKBOX  will be split between the parents as follows:  FORMTEXT        FORMCHECKBOX  will choose the  FORMCHECKBOX  100  FORMCHECKBOX  50 % college savings fund option on the PFD application. If we agree to 50%, the rest of the PFD will be used as checked above.  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant will pay any taxes owed on any dividends paid to the child(ren). 15. Federal Tax Credits  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant will claim the federal tax credits for the child(ren) every year.  FORMCHECKBOX  Every year, Plaintiff will claim  FORMTEXT      and Defendant will claim  FORMTEXT       the federal tax credits.  FORMCHECKBOX  The parents will claim the federal tax credits for the child(ren) in alternating years with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant claiming the child(ren) for even-numbered tax years such as 2018, and the other parent claiming them for odd-numbered tax years such as 2019. The parents also agree to provide each other with a signed IRS Form 8332, if needed, by February 1 so that it may be timely filed with the IRS. The parents can modify this agreement regarding the federal tax credits for the child(ren) without a court order if they agree in writing. As required by AS 25.24.232, we also agree that the parent who has the child(ren) for a period less than the other parent may not claim the credit(s) in any tax year if on December 31 of that year the parent was behind in support payments in an amount more than four times the monthly support obligation. 16. Child Support Plaintiffs gross annual income (all sources + PFD) is: $ FORMTEXT      . Defendant s gross annual income (all sources + PFD) is: $ FORMTEXT      .  FORMCHECKBOX  Neither parent  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant is receiving public benefits for the children. Check one below:  FORMCHECKBOX  Our schedule results in the child(ren) living with each parent at least 110 overnights/year so uses a shared physical custody child support calculation.  FORMCHECKBOX  Our schedule results in the child(ren) living with  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant for at least 256 overnights/year so needs a primary physical custody child support calculation. Check one below:  FORMCHECKBOX  There is not an existing CSSD child support order. We understand that the court is required to order child and medical support according to Civil Rule 90.3.  FORMCHECKBOX  There is an existing support order through CSSD that should remain in effect. 17. Medical Coverage 17a. Available Coverage  FORMCHECKBOX  The children are eligible for medical services through  FORMCHECKBOX  Indian Health Service  FORMCHECKBOX  Military  FORMCHECKBOX  Denali KidCare and these services are available in the area where the child(ren) live(s).  FORMCHECKBOX  Health insurance is available at a reasonable cost to  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  both parents, and agree that  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  both parents will purchase insurance and child support will be adjusted to reflect the additional cost of insuring the child(ren).  FORMCHECKBOX  Health insurance is not available to either parent at a reasonable cost, but must be purchased if it becomes available at a reasonable cost. 17b. Uncovered Medical Expenses  FORMCHECKBOX  The parents will each pay one-half of the first $5,000 in health care expenses not covered by insurance.  FORMCHECKBOX  Plaintiff will pay  FORMTEXT      % and Defendant will pay  FORMTEXT      % of the first $5,000 in health care expenses not covered by insurance. 18. Changing or Modifying the Agreement We understand that we can change this agreement to adjust the childrens schedule when we agree. However, when we do not agree to change something, this agreement is in effect as written. PROPERTY AND DEBT AGREEMENT We agree to the following division of our marital property and debt that is fair and equitable: 19. Personal Property  FORMCHECKBOX  We have divided all personal property (household goods. furniture, personal items, tools, guns, jewelry, etc.) so no further division by the court is needed.  FORMCHECKBOX  We agree to divide our personal property as follows: Item Description Fair Market Value in $ (Craigslist value)Awarded to Plaintiff or Defendant FORMCHECKBOX  Additional personal property is listed on an attached document. Additional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 20. Bank or Credit Union Accounts  FORMCHECKBOX  We have divided all bank accounts so no further division by the court is needed.  FORMCHECKBOX  We agree to divide our bank accounts as follows: Bank Account Description (checking, savings, and include accounts last 4 #s)Whose name is on the bank account? (one spouse or both)$ Amount in the accountAwarded to Plaintiff or DefendantAdditional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 21. Vehicles (cars, trucks, RVs, snow machines, 4-wheelers)  FORMCHECKBOX  We have divided all vehicles so no further division by the court is needed.  FORMCHECKBOX  We agree to divide our vehicles as follows: Vehicle make, model, yearFair market value (Kelley Blue Book, other)Loan balance? Or was it paid off? If loan, do you need to refinance loan into 1 name?Whose name is on the title? (1 name or both)Awarded to Plaintiff, Defendant, or to be sold? FORMCHECKBOX  We agree to the following arrangement about the vehicles: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 22. Real Estate: House or Land  FORMCHECKBOX  We do not own a home or land.  FORMCHECKBOX  We own  FORMCHECKBOX  a home  FORMCHECKBOX  land located at: ________________________________________________________________________________________________________________________________________________  FORMCHECKBOX  We bought it with marital funds.  FORMCHECKBOX  One spouse owned the house or land before we married, but we agree that it is fair to treat part of it as marital because the other spouse helped to pay the mortgage and/or improved and maintained the property. Home / Land address Fair market $ value (based on appraisal, tax assessment, brokers opinion, other)Amount of mortgage? Or was it paid off?Whose name is on the title? (1 name or both)? Does mortgage need to be refinanced into 1 name?We agree to the following arrangement about the marital home or land:  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant will keep the house and be responsible for paying the mortgage.  FORMCHECKBOX  The property needs to be refinanced into  FORMCHECKBOX  Plaintiffs  FORMCHECKBOX  Defendants name by ________ date. If it is not refinanced by that date, then the following will happen: ________________________________________________________________________________________________________________________________________________  FORMCHECKBOX  The property will be will be sold and any proceeds will be divided  FORMCHECKBOX  evenly  FORMCHECKBOX  as follows (state the $ amount or % to each spouse) ____________. We agree to cooperate to put the house on the market, including arranging for and paying for any necessary repairs.  FORMCHECKBOX  Other arrangement: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 23. Retirement Accounts  FORMCHECKBOX  During the marriage, neither of us contributed to or earned any retirement accounts.  FORMCHECKBOX  During the marriage  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant contributed to or earned the following retirement accounts: PlaintiffAccount Description (accounts last 4 #s)Value?Date started contributing?Vested?Receiving payments now?401(k) / 403(b) account(s)Military retirementPension PERS, TRS, FERS, otherSBSIRA account(s)Other retirement fundsDefendantAccount Description (accounts last 4 #s)Value?Date started contributing?Vested?Receiving payments now?401(k) / 403(b) account(s)Military retirementPension PERS, TRS, FERS, otherSBSIRA account(s)Other retirement funds We agree to the following arrangements about the retirement accounts:  FORMCHECKBOX  We will each keep our own retirement account(s) and so there is no need to divide any accounts (in the boxes above, write the amount each spouse added to retirement during the marriage)  FORMCHECKBOX  50%  FORMCHECKBOX  ___%  FORMCHECKBOX  $________________of the marital portion of  FORMCHECKBOX  Plaintiffs  FORMCHECKBOX  Defendants ________________ account should go to  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant. We agree to cooperate to find someone to prepare a Qualified Domestic Relations Order (QDRO) that we will file with the court by __________ date and understand the divorce will not finalize until the judge signs the QDRO and divorce decree. If it is a military pension where the marriage overlaps at least 10 years with the military service, we agree to file with DFAS, the Application for Former Spouse Payments from Retired Pay, DD-243, and with the final decree.  FORMCHECKBOX  the spouse with the retirement plan will sign up for the  FORMCHECKBOX  50%  FORMCHECKBOX  ___% survivor benefit plan (SBP) so that the ex-spouse will continue to get payments if the plan holder dies first. The premium will be paid by  FORMCHECKBOX  shared equally  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant  FORMCHECKBOX  other payment arrangement: ________________________________________________________________________________________________________________________________________________  FORMCHECKBOX  Instead of dividing the retirement account(s), the  FORMCHECKBOX  Plaintiff  FORMCHECKBOX  Defendant will pay the other spouse $______________. The payment will be in a  FORMCHECKBOX  lump sum or  FORMCHECKBOX  by installments of $________ monthly starting on the 1st of __________________ until the balance is paid off.  FORMCHECKBOX  other arrangement: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 24. 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lap<yt3T~;RSTUVW$Ifgd2l WXkdȀ$$Iflֈ"'\  t044 lap<yt3T~XYmnNOsڐ? xgd< gd< v^v`gd< xgdj* xgdVe xgd2 ^gd2 gdVeb'8JWlno}~ۊ܊ǹ؂q`!j!hBPJU^JaJ!jhBPJU^JaJ!j5hBPJU^JaJhaPMhaPM6PJ^JaJhaPMhN6PJ^JaJhNPJ^JaJjhBPJU^JaJ!jhBPJU^JaJhYhVePJ^JaJ!jhYhVePJU^JaJhVePJ^JaJ# ?@NOPQ\]klmnmЌ)123ϸϸϸ{n{`S{Sh%hh*PJ^JaJhcDhVe5PJ^JaJhahVe5>*PJ^JaJhaPJ^JaJhj*5PJ^JaJhj*ha5PJ^JaJ FORMCHECKBOX  We agree to divide the following property: Item Description Fair Market Value in $ (Craigslist value)Awarded to Plaintiff or DefendantAdditional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 25. Credit Cards  FORMCHECKBOX  We have no credit card debt.  FORMCHECKBOX  We will each be responsible for the credit card debt in our own names.  FORMCHECKBOX  We agree to cancel the following credit cards that are in both of our names: ______________________________________________________________________ ______________________________________________________________________  FORMCHECKBOX  One or both of us used credit cards during the marriage and agree to pay off the debt as follows: Credit Card Account Description (include accounts last 4 #s)Whose name is credit card in? (one spouse or both names)$ Amount owedWho will be responsible to pay? Plaintiff or Defendant, both split FORMCHECKBOX  A list of additional credit card debt is attached. We understand that if both of our names are on the credit card account, the credit card company may sue either one of us to collect the unpaid amount even if we agree that one spouse will pay the debt. Additional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 26. Medical Bills  FORMCHECKBOX  We have no medical bills.  FORMCHECKBOX  We will each be responsible for the medical bills in our own names.  FORMCHECKBOX  One or both of us had medical bills during the marriage and agree to pay off the debt as follows: Medical Bill Account Description (include accounts last 4 #s)Whose name is medical bill in? $ Amount owedWho will be responsible to pay? Plaintiff or Defendant, both splitAdditional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 27. Other Bills or Debts (utility bills, cell phone bills, student loans, etc.)  FORMCHECKBOX  We have no other bills or debts.  FORMCHECKBOX  We will each be responsible for the bills or debts in our own names.  FORMCHECKBOX  We have the following bills or debts from during the marriage and agree to pay off the debt as follows: Bill or Debt Account Description (include accounts last 4 #s)Whose name is bill or debt in? (one spouse or both names)$ Amount owedWho will be responsible to pay? Plaintiff or Defendant, both splitAdditional Information: _________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 28. Other Agreements or Information: ______________________________________________________________________________________________________________________________________________________ REQUESTED RELIEF WE REQUEST:  FORMCHECKBOX  1. That the marriage be dissolved and that we be awarded a decree of divorce;  FORMCHECKBOX  2. That the  FORMCHECKBOX  Plaintiffs  FORMCHECKBOX  Defendants former name of be restored; (Print full former name here)  FORMCHECKBOX  3. That a Final Order be entered granting the parenting plan set forth in this Uncontested Complaint;  FORMCHECKBOX  4. That Child Support be calculated, ordered and collected as set forth in section 16 of this Uncontested Complaint;  FORMCHECKBOX  5. That child support be ordered from  FORMCHECKBOX  the date of separation  FORMCHECKBOX  the date of the Final Decree  FORMCHECKBOX  other:  FORMTEXT   ;  FORMCHECKBOX  6. That paternity be disestablished for the child(ren) born during the marriage as set forth in section 5d. of this Uncontested Complaint;  FORMCHECKBOX  7. That the arrangement for the child(ren)s Permanent Fund Dividend application be ordered as set forth in section 13 of this Uncontested Complaint; and ANCSA dividends if applicable as set forth in section 14 of this Uncontested Complaint;  FORMCHECKBOX  8. That the arrangement for claiming the federal tax credit for the child(ren) be ordered as set forth in section 15 of this Uncontested Complaint;  FORMCHECKBOX  9. That the marital property and debts be divided as set forth in sections 19-28 of this Uncontested Complaint;  FORMCHECKBOX  10. Other: 11. For such other and further relief as the Court deems fit and proper. We have attached the following documents:  FORMCHECKBOX  Child Custody Jurisdiction Affidavit,  HYPERLINK "http://www.courtrecords.alaska.gov/webdocs/forms/dr-150.pdf" \t "_blank" DR-150 Required  FORMCHECKBOX  Child Support Guidelines Affidavit,  HYPERLINK "http://www.courtrecords.alaska.gov/webdocs/forms/dr-305.pdf" DR-305 Required  FORMCHECKBOX  Shared Custody Support Calculation,  HYPERLINK "http://www.courtrecords.alaska.gov/webdocs/forms/dr-306.pdf" DR-306 Required if you have shared custody  FORMCHECKBOX  Property and Debt Worksheet, SHC-1000  HYPERLINK "http://courts.alaska.gov/shc/family/docs/shc-1000.doc" \t "_blank" Word |  HYPERLINK "http://courts.alaska.gov/shc/family/docs/shc-1000n.pdf" \t "_blank" PDF  FORMCHECKBOX  Other __________________________ BOTH spouses must sign in front of a notary. I swear or affirm that the above is true to the best of my knowledge. Plaintiffs Signature (In blue ink if possible) Subscribed and sworn to or affirmed before me at , Alaska on ________ Name of City, Town or Village Date Notary Public or other person authorized to administer oaths. My commission expires on ******** I swear or affirm that the above is true to the best of my knowledge. Date Defendants Signature (In blue ink if possible) Subscribed and sworn to or affirmed before me at , Alaska on ________ Name of City, Town or Village Date Notary Public or other person authorized to administer oaths. My commission expires on     You must use black ink to fill out this form. 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