DIVORCE
PACKET
Mailing
Address:
P.O. Box
368
Anadarko, Oklahoma
73005
Phyiscal
Location:
Highway
281
North
&
Parker McKenzie
Drive
Anadarko, Oklahoma
(located
inside the Anadarko
Agency)
The forms in this
packet
are to be used
as a template, if
you
are
seeking a divorce. Please read
the instructisns carefully
before
completing the
forms.
The Court Clerks
CANNOT accept
petitions
that does not conform to the instructions
included in this
packet.
Should
you
need assisiance
in
preparing
the
petition, you
must
consult
with an attorney
at
your
own
expense. This court does not
have
legal
aid.
The Court Clerks
are PROHIBITED by Ethical
Code
and
Courl
Rules to
provide
legal
advice, conduct legal re-
search
or help
parties
prepareltype
court
documents,
Different
situations
may
require
special
procedures
and the Courl Clerks
CANNOT
advise
you
on how to
proceed
or what forms
may be
necessary
in specific
situations.
Phone:
Fax:
Email:
405 1247
-8527
or 405 1247
-85A8
405t247-7240
stormy. ben
nett@bia.
gov
Instructjons for Filing a
Petition for
Dissolution of Marriage
Petiiion for Dissolution
of Marriage
Form
"Sample"
Dissolution of Marriage
Petitioo
Form
'Sample" Entry
of Appearance &
Waiver
E3
,t*. u, on Facebook www,facebook.com/ciospr
Instructions
for Filing a
Petition
for
Dissolution
of
Marriage
IMPORTANT INFORMATION
-
PLEASE
READ!
These
standard
instructlons
are informational
purposes
only
and do not
constitute
legal advice
about
your
case. lf
you
do not understand
this information,
please
contact
an attorney.
STEP
1: Complete
forms.
n Petition
for
Dissolution of
Marriage
!
Entry of
Appearance
and Waiver
! Summons
NOTE: Forms
must
be typed
double-spaced
and
on letier size
paper.
The forms
provided
in this
packet
are
guides
to be used
in
preparing
your
documents
for filing
divorce.
The forms
must be
re-typed. Forms must
include all
the required
information
(addresses, telephone
numbers, email addresses,
etc.) lt is YOUR
responsibility
to
provide
the
required information
on the forms.
STEP
2: Obtain
copies of required
documents.
!
Tribal
Enrollment
Verification
fl-ribal
lD, Certificate
Degree of
Indian Blood, or
Letter
from Tribe)
for Plaintiff and/or Defendant
tr Birth
Certificates
(if
minor child/children are
listed in the
petition)
NOTE:
Obtaining these
documents is YOUR responsibility.
STEP
3: Obtain
a Money Order
or Cashier's Check for
filing.
tr
$85.00
filing fee
NOTE:
Money Order or
Cashier's Check made
payable
to
"Bureau
of Indian
Affairs".
No
personal
checks are accepted.
lnsure that
you
receive
a receipt for the
filing fee
from the
Coutt Clerk
at the time of filing.
STEP
4: Submit
forms, documents and
filing fee for filing
to the Court
Clerk.
tr Petition
for Dissolution
of Marriage
! Entry
of Appearance
and Waiver
(must
be filed
by the Defendant
at least one
(1)
day
after
filing the Dissolution of Marriage)
I Summons
tr
Tribal Enrollment
Verification
(Tribal
lD, Certificate
Degree of Indian Blood, or
Letter
from
Tribe) for Petitioner
and/or Defendant
I Birth
Certificates
(if
minor child/children are listed
in the
petition)
I Money
Order or
Cashier's Check
($85.00 filing fee made
payable
to
"Bureau
of
Indian Affairs")
NOTE:
lf all forms, documents, and
filing fees are not submitted
at the time of filing, it
will be
returned back
to
you,
until
you
obtain ALL
required forms, documents
and filing
fees
for filing.
Petition
for Dissolution
of Marriage must be signed in
front of the Court Clerk
or a notary
oublic.
COU RT OF
INDIAII OF FENS ES FOR THE SOUTH
E RN P LAINS
REGION
INSTRUCTIONS FOR FILING A PETITION FOR DISSOLUTION OF MARRIAGE
DIVORCE
FLOW
CII^AR.T:
tr)ivorce
Process
eon ntssor,unolv
oF MARRIAGE"
- The
plaintiffprepares and
files thepetnot
u.ith
the coult
This is
the document filed
by the
plaintiffto
start
the divorce
actioL
If a Efltry of Appearance
and Waiver is NOT
filed
with the
Petilion for
Dissolulioo of Marriage
Y
"SUMMONSI
-
The
Court Clerk
will
prepare
.vflmorr
to
advising
him/her
that that have
30 days to answer
to the
V
"SERVICE
OF
PROCESS"
-
Serve
defendant with
copy of the
ition
and summons
sent certified
maiL.
V
"ANSWER"
-
Defendant must
respond
to the
petition
withil 30
days.
The answer
states wheth€r
or not
the defendant agrees
with
the
petition.
Ifthe defendant
doesn't fi.le
ar: answer,
the Court
assumes
that the
defendant agrees
to the
terms in the
petition.
V
"NOTICE
OF
FF.ARING"
- Plaintiff and
defendaat will
receive
a
notice
of
hearing
advising
the
parties of the scheduled divorce
date
and time.
V
"DMRCE
EEARING"
-
The
Judge
will review
the case file and
ask
a few
basic
factual
questions to the
plainti{f
and defendant.
The
Judqe
will
nlle on
nlatters ofthe
case includiog,
division of
,
debts
and, if appticable,
will
act
in
the best interest of
the
child(red
in determining
child
custody, child support
and
visitation'
"DMRCE
DECR.EE"
-
The
plaintiff and
defendant wili
receive
a certlfted
clivorce
tlecree
in the maiT
2 weeks after
the lrcaring.
divorce
decree is an
official
document
ofthe
decision ofthe
Judge.
If an
Etrt
y
of Appearancs
and Waiver
ls
filed with
the Petition for Dissolution
of
Marriage,
Y
[N THE
COI]RT OF
INDIAN OFFENSES
FOR THE
SOUT}TFRN
PLAI]\S
REGION
ANADAITKO" OKLAIIOMA
Tribal Member
or
Non-[ndian,
Plaintiff,
Case No. JtrD-
vs.
Tribal Member
or Non-Indian,
Defendant
PETITION
FOR DISSOLUTION
OF MARRIAGE
COMES
NOW,
Plairrffi
herein,
pro
se an<1 files
this Petition
for
Dissolution
of Marriage
agaimt
Defendant herein.
in the Court
of Indian
Offenses
for
the
Southem
Plains Region, the Plaintiff
alleges
and states tle following:
**{trse
ona' of thd fbllowhs
statene.rts
listed**
1. That
the Court of
Indian
Offenses.
for the Southern
Plains Region
ha.q
subject
matter
jurisdiotion
to hear and deoide
this matter fu
accordance to 25
CFR 11.605, becauso the
parlies
have lived
separate and apart
for at least 180 days
prior
to the filing
this
petition
and the
plaintiffldefendant crurently resicles within
the Indian country
under the
jurisdiction
of
the
Court and has
resided
there
for at least
90 days and
that said residence
will be maintained
until
the
final
hearing in this
matter;
OR
That
the Court of
Indian Offenses for the Southem
Plains Region has
subject matter
jurisdiction
to
hear and decide this matter accordance
to 25 CFR 11.605, because
there
is
serious
marital discord that
exist and there is
no roasonable
prospect
of roconciliation
and
the
plaintiffldefendant
currently resides within
the Indian
counhy under
the
jurisdiction
of ihis
Coud
a:rd has rcsided there for at least
90 days
and that said residence will
be
maintained
until
ihe
fina1
hearilg in this matter;
Z.
ftrrI the
Courl of Indian Offenses
for the Southem
Plains Region has
porsonal
jurisdiction
to hear and decide this
matter accolding
to 25 CFR
1 1.1 16;
3. That
the Plaintiff
is an emolled member
of the
Tribe of Oklahoma.
A copy ofthe
Plaintiff
s Tribal
eruollment card/Certificate
Degree
of Indian Blood is
submitted along
with
tho
petition
to the Court; OR
That tbe Plajntiffis
ron-Indian;
4.
'that
ihe
Defendant
is an enrolled
membel of
the
-
Tribe
of Oldahoma.
A copy of
the
Defendant's
Tribal enrollment
card/Certificate
Degree of Indian
Blood
is submitted
along
with the
petition
to the Court;
OR
That
the
Defendant
is non-Indiani
5.
That
fte P
laintiff s
address
is
(list
tu1l address
-
including city, $tate
& zip) and
has
lived at this address for
_
;(5TAT$
LENGTII of'
TDIS rN IIIONTIIS
oR YEARS A1'
THI$
ADD:RESS);
That the Defendant's
address is
and has lived
at this
address
for
AT THIS
ADDRE$S};
(list
fuIl
address
-
including
city, state & zip)
_;6,r.i\T1l
LENGTH Otr TIME
ll{ MONTFS OR
YEARS
7. That the
Plaintiff and Defendant were
legally/coomon
1aw married
al
{CiVState)
on
,
(Date);
That the Plaintiff
is
-
years
old
and hiVher occupation
is
-;
and
the
Defenda:rt
is
_
year
o1d and his/her
occupation is
;
That
of the
mmriage
no children
have
been bom;
OR
That
of the marriage
_
chiid(ren) have been
born and a copy
of each minor
child's
birth
certificate is submitted
with the
petition to
the
Cout. Chnd(ren)
bom of the
marriage
aTe'.
10. That the PlaintifflDefendaat
is not
pregnant;
OR
That
the
PlaintifffDefendant
is
premant
aad the
birth of said
child is expected
on or about
.
flist
date),
and that the father
of said
cbild is
11. That the Plaintiff
does not need a restraining order;
O,B
That the Plairrtiff
needs a restraining order because
the Plainliff fears
the Defendant may
attempt
to harm, harass and/or molest
the
Plaintiff;
12.
That the
parties
have
not accumulated
ariy
property that needs to be
divided by
the
Court;
OK
That
the
parties have acquired certain
property either
by real estate
andlor
personal
that
needs to be
divided by
the Court in that the
Plaintiff sha11
rsceive the following:
(list
items);
and that
the Defendant shall receive
the following:
(list
items);
13.
That the
parties
have not acquired
any debts that need
to be
addressed by
the Court;
OR
That the
parties
have acquired debts that
need
to be
divided by the Court
in
that
the
Plaintiff shall be
responsible for the following
detts:
(list
debts
&
inolude
account #'s);
and the Defendant
shall be responsible for
the
following
debts:
(list
debts
& ilclude
accouni
#'s);
(tr
1O; 11'& u.
P{}ES
Nor
AIPI'Y
WAvE
rT'OUT)
14. That
the
PlaintifflDefendant
is a fit and
proper
person
to have
custody of the
minor
child(ren)
of the
parties;
15.
That
the PiaintiffDefendant
should
.have
visitation
with the
minor c1ii1d(ren)
at
reasonable
times and
places;
OR
That
the PiaintifflDefendant
should
have visitation
with
the minor
child(ren) according
to
the Courl's
standard visitation
schedule
and a copy
ofthe stajtdard
visitation
schedule is
submitted
with the
petition
to the Coult;
0qoTE:
Thc
storahrd vi(ltttiotr
sthedule is
lieltrd{d i*
this
Fscket
Xt does
not irqve to be
retyped,
iust
6.rbmit
it
with
vottr Felitiorr
rYhelr
you
flte) OR
That
the
Plaintiff/Defendant
should
have
visitation
with
the minor
child(ren)
according
to
tho following
scheduie:
(1-bqgaomlqgudqd-scheduld;
16.
That the PlaintifflDefendant
shouid
be ordered
pay
child
support
according
to the child
support
guidelines through the office
of Tribal
cbi_1d support
Enforcement
and that
both
Plainliff
and
Defendant will
submit
their income
records
to the
Tribal
child Support
Enforcernent;
0R
That
no chiid
support should
be ordered
because
the children
of the
marriage
have
reached
the
age
of
majority;
l7.That
the PlaintifflDefendant
should
not be
required
to
pay
any spousal
support
to the
Plaintiff/Defendant;
OR
That
the PlaintifF/Defendant
should
be required
to
pay
spousal
support
to the
PlaintifyDefendant
in
the amount of
$_
per
month
until
plaintiffldefendant remarries
or until fi:rther
order of the
Court.
18.
That
the Plaintiff,Defendant
should
be restored
to her
former name
of
(list
fotmer name);
OR
That
the
plai:rtiffldefendant
should
not be restored
to her
former
name;
19.
That
no other
divorce action
has
been filed
by either
the Plaintiff
or Defendant
in any
other
state or
triba.i
court as ofthis
date; OR
That another
divorce
action has been
filed in
County,
,
Oldahoma"
and
tlat said
case number is
WEEREFORE,
the
Plaintiff
prays
that the court
grant and award
the Plaintiff
a decree
of
divorce
from
the Defendant
as
requested
in
this
petition and
a heming
be set as soon
as the
Court
deems necessary.
NAME. Plaintiff
FULL ADDRESS
(include
city,
state & zip)
TELEPHONENO.
EMAIL
ADDRESS
(If
available)
VERIFICATION
I,
_==--,
being
duly swom
to tell the truth
and behg
of la*drl
age above
18
years
of
ug",
h"t*by
statei thut
I huv"
prq:ared and read
this
petition
and
verifii
that all
of the faotuai
ailegaticns
contaioed
in
this
petition are in fact
true arrd
cOrroot to the
best
of my knowledge
and
belief,
UNDER
FENAI-T'Y
OF PERJURY.
NAME,
Plaintiff
SI]BSCRIEED,{ND
SWORN
TO
BEF'ORE
ME
THIS
DAYOF
20
Court
Clerk
/Deputy
STAI{DA.RD VISITATION
SCIIEDULE
?LAINIIIF:
DEFENDANT:
CASENO.:
-A
The non-custodial
parent
shal.l have
visitation
with
the
minor
child(ren)
of
the
parties
as
follow:
RNGULAR
\TSITATION
Every other weekend
from
6:00
p.m.
Friday to 6:00
pm.
Su:rday.
HOLIDAY
\'ISITATION
In
even number
years (2010,
etc.) the non-custodial
parent
shall
have visitation
according to ihe
following
schedule:
EASTER:
6
p.m.
Friday
preceding Easter
until
Easter Surday
at
l0
p.m
INDEPENDENCE
DAY: Evenirg
preceding.July
4
rmtil 10
p.m.
on July
4.
TFIANKSGIVING: Wednesday
preceding Thanlsfiving
until
10 p.m.
Sunday.
CHILD'S
BIRTIIDAY:
8 a.m. on day ofbirthday
until 6p.m.
on day of
birthday
In odd numbered
years (2011, etc.) the
non-custodial
parent shall have
visilation according
to the
lollowi,rg
schedule:
MEMORIAL
DAY: 6
p.m,
Friday
preceding Memonal
Day
until
10
p.m. Monday
LABOR
DAY: 6
p.m.
Frid.ay
preceding
Labor Day
until 10
p.m.
Monday
CHRISTMAS:
6
p.m.
Christmas
Day until 6
p.m.
December
26
The
holiday visitation
schedule
set
out
above
is
to
be observed whether
or not ii coincides
with the
regular every
other weekend
visitation schedule and
is i:r addition
thereto.
However, it is
intended that the
holidays altemate
between
custodial and non-custodial
parents. Therefore,
on those occasions
when non-
cusLodial
shall not occur.
SPECIAL
VISITATION
Wilh
respect to
Father's
Day
and
Mother's Day,
if the fafter
is the non-custodial
parenl, a::d if Father's
Day
falls on
a weekend aot regularly
scheduled
for-
parental
visitation,
he shall
have visitation
on Father's
Day
from 12 noon
until 10
p.m.
lf Mother's
Day falls within
the weekend
of
father's
visitation,
he
shall
retum
the
child(ren) to the moiher
by
12 noon on Mother's
Day. If
the mother is the
no4-custodial
parent,
the
reverse
shall
apply.
SUMMERYISITATIOI.'{
fhe non-custodial
parent
shall have summer
visitation
for two
2-week
periods
Ilom
8:00 a,m.
June
15
1nii1
6:00
p.m.
June 30 and from 8:00
a.m,
July 15 u:rtil 6:00
p.m.
July
30th. The allernatiirg
weeketrd
visits shall
remain in
eft'ect.
Thls visitation
is for
the
pnpose
of
providing
assured
minimum
amounts of visitation between
non-
custodial
parent
and
child(ren).
Visitation should exceed
the number
of occasions set
out
herein-
In
addition.
liberal telephone
communications between
non-cuslodial
parclt and child(ren)
are encoutaged.
PHIL LU,IAN,
Magisirate
IN THE
COURT
OF INDIAN OFFENSES
FOR
THE SOUTHERN
PLAINS
REGION
ANADARKO,
OKLAHOMA
NAME OF
PETITIONER,
)
Petitioner. )
)
Case
No. JFD---
)
NAME OF
RESPONDENT,
)
Respondent.)
quMMoNs
NOTICE
TO RESPONDENT:
Respondent
Name
Respondent
Mailing
Address
Respondent
CitY/$tate/ZiP
Code
YOU
ARE
HEREBY SUMMONED
and directed
to file
a written
Answer to the
attached
Petition
for Dissolution
of Maniage
with
the Court
Clerk of this
Court, within
thirty
(30)
days
of the
date
you
were served
with
this summons,
which
is
herewith
serveo
upon
you.
A
copy of
your
written Answer
to the
Petition
for Dissolution
of Marriage
must
also
be served
upon Petitioner
or his/her
attorney within
thirty
(30)
days
of the date
ycu
were
seryed
with this
summons and
proof
of such service
with
your
written Answer
.
must be
filed in
this Court.
lf
you
do
not serve
and file a written
Answer
to this
Petition for
Dissolution of
Marriage
within
the
time stated,
judgment
by default
can
be rendered
against
you
for the
relief
demanded
by the Petitioner.
(sEAL)
Petitioner
or
Petitioner's
Attorney:
Petitioner
Name
Petitioner
Mailing
Address
Petitioner
CitylState/ZiP
Code
Phone: Petitioner
Phone
Number
Email:
Petitioner
EmaiI Address
Court Clerk/Deputy
Court
of
lndian
Offenses
P.O.
Box
368
Anadarko,
Oklahoma 73005
Phone:
405/247-8508
Fax:
4051247-7240
Email:
THE ABOVE
NAMED
PETITIONER
HAS FILED
A PETITION
FOR
DISSOLUTION
OF MARRIAGE
AGAINST
YOU. A
COPY
OF THE PETITION
FOR DISSOLUTION
OF MARRTAGE
IS
SERVEB
ON
YOU
WITH THIS SUMMONS,
T}IIS
SUMMONS IS AN
OFFICAL
DOCUMENT
FROM
THE
COURT
T}IAT
AFFECTS
YOUR
RIGHTS,
READ
THIS SUMMOHS
CAREFULLY.
IF
YOU DO
NOT
UNDERSTAND
IT,
CONTACT.AN
ATTORNEY
FOR
LEGAL ADVICE,
l,
the undersigned
Court
Clerk, hereby certifu
thai
I mailed
via United
States
Postal
Service
(Certified,
Restricted
Delivery, and Retum
Receipt)
a true
and correct
copy
of this
Summons
and copy
of the Petition
for Dissolution
af Marriage
to the
Respondent:
Certified
Mail ^
Restricted
Deliverv
Article
No.
Resoondent
Name
Respondent
Address
Respondent
CMStateZip
Code
(SEAL)
Court ClerkiDeputy
Court
Clerk
IN THT
COURT OF INDIAN OF'FENSES T'OR TTTF',
SOUTHERN
PLAINS R,EGION
ANADARKO,
OKLAHOM,d
)
Plaintiff,
)
)
Case No. JFD-
VS.
)
)
)
Defendant.
)
ENTRY
OF A}PEARANCE AND WAI!'ER
COMES NOW,
the Defendant
herein, the undersigned,
and acknowledges receipt
of
a
copy of the
petition
filed,
and states that he/she has
read
and understands the
sa:rie, hereby
waives the issuance, service,
and return
ofprocess upon him/her
in this action, enters a volimtary
appearance
in this cause and submits to
the
jurisdiction
of
the
Court of
Indian Offenses for the
Southem Plains Region,
waiving all time and right to
pLead and
answer, or appem
in this action,
and
consents
that the
sarne
may
be set down for
trial
and
heard by the Court at any
time hereafter
without notice
to. and in the absence of this Defendant.
r\-l^, rr.l
^
,i^,,
^J'
r,ril,lsu
LrriD uaf ur
2A
Sigrature
Please
print
your
name & address:
Telephone:
Email:
SHOULD
YOU AGREE
TO SIGN TI]IS WAIVF,& PLESSE SIGN IN
FRONT OF A NOTARY PUBLIC
OR COURT CLERK AND
RETURN TO THIS
OFFICE EITHER BV MAIL OR TN PERSON.
Shte
ofokldioh4
)
Belbre rne,
the undersigned Notary Public,
came
me known to
be rhe
identical
person
ryho
execoted ths above and foregoing Enby
of
Appeolanse
and Waivet and
personally
acknowlcdged
fo me that he/she
has rcad, understood, and signed
the
same,
and that he/she exeouted
tho same as
his/her Aee 8nd
voluntary
act and deed
for the uses and
purposcs therein set
forth. IN WITNESS
THEREOF I have hereunto affixed rny
sie[atu1e and omcial
seal the
date heretofbrc stated-
(SEAL)
My Commission
Expiresl
NOTARY
PUALIC
County of
SIIBSCRIBED
AI\ID
SWORN TO BEFORE
ME TIIIS
DAY OF
this
_-day
of
.
20
-
to
2B-.
COIIRT
CLERWDEPUTY
IN THE
COTJRT
OF INDIAN
OX'F'ENSES FOR
THF"
SOUTHERN
PLAINS
REGION
ANADARKO. OKLAIIOMA
JANE
Q.
DOE,
Native
Tribal Member,
Plaintiff,
vs.
Case No. JFD-
JOrrNP. DOE,
)
Native Tribal Member,
)
Defendanl
)
PETITION FOR
DTSSOLUTION OF
MARRIAGE
COMES
NOW, Jane
Q.
Doe, Plaintiff
herein,
pro
se, and files
this
Petition
for
Dissolution
of Marriage against John P. Doe, Defendmt herein,
in the Court of Indian
Offerses
for the Southern Plains
Region, the Plaintiff alleges and stdes the
foilowing:
1.
That the
Court
of Indian Offenses for the Southem
Plains Region
has subject matter
jurisdiction
to hear
and decide this
matter
accordance
to 25 CFR 11.605, because
there is
serious marital discord
that
exist and there
is
no
rcasonable
prospect
ofreconeiliation
and
the Plaintiff
currently resides within the
Indian country
under
the
jurisdiotion
of the Court
and has residerl there for at
least
90
days
and that
saial residence will
be
maiatained
until
the
final
hearing
in this
matter;
2.
That the
Court
of
Indian
Offenses
for the Southsrn
Plains
Region
has
personal
jurisdiction
io heal and
deoide
this
matter according to
25 CFR 1 1 .1 16;
3. That
the
Plaintiffis
an
emolled
mornber
of th€ Native Tribe
of Okiahoma. A
copy of the
PlaintifPs
Tribal
enrollment card is submitted with
the
petition
to
the
Cout;
4,
That the Defendant
is an enrolled
member of the
Native Tribe of Oklahoma.
A
copy
of
the Defendant's
Certificate
Degree
of Indian
Blood is submitted
with the
petition
to the
Court:
5.
7.
That
the Plaintiffs address is 1234
Native Drive. Anadarko. Oklahoma 73005
and
has
lived at Lhis address for 22
yeals;
That the
Defendant's
address
is P.O. Box 0000
(100
Bucks Road),
Anadarko,
Okiahoma
73005
and
has
lived at this
address for 4 months;
That the Plaintiff
and Def€ndatrt were legally mqrried at Anadarko,
Oklahoma
on
April 1,
1994;
8.
That the Plaintiff is 41
years
old
and
her
occupation
is Real Estate
Agent; and
the
Defendant is 40
year
o1d and his occupation is
Facilities
Manager;
9. That of the
marriage
2
children have
been bom
and
s
c6py
of each minor child's birth
certificate is submitted with the
petition
to the CourL Children bom
ofthe
marriage ate:
Janey K. Dog DOB: 08/01/2000
1234 Native
Drive,
Anadafto, Oklahoma 73005
JohmyP. Doe,
DOB: 1013711999
.
1234
Native Drivq Anaduko, Oklahoma
73005
10. That the Plaintiffis not
pegnant;
I
I . That
the
Plaintiff
does not
oeod
a
restraining
order;
12. That
the
parties
have
acquired certain
property
either by
real
estate and/or
personal
that
oeeds
to be divided by the Court in that the
Plaintiff sha11
receive the followirg:
2000
Chevy Impala
VIN
#123459789101112131415,
household turnishjrrgs and
persoaal
belongings;
md
that the Defendant sha1l reoeive
the foilowing:
1987
Ford F-150 VIN
999888777
444555666 and a1l
ptxsonal
belongings;
13.
That the
parties
have acquired debts that need to be divided by the Court in
that tbe
Plaintitr
slmll be responsible for the following
debts: Blue Feather Loan Account
#l212l2ba1anca $1100.00,
NDN Bank Loan Account #232323
balance
$333.00
and
Sun
Jewelry Accouat #33443344
balance
$99.00;
and the Defendant shall be responsible
for
the following
debts: River Fal1s
Hospital Account #4949 Balance
$5600.00;
14. That the Plairrtiff is a fit and
proper person
to have custody
of
the minor children of the
pames;
15. That the Defendant should have
visitation with
the minor children according to the
Court's standard visitation scheduled
and a
copy
of
the
standard visitation
is submitted
with
the
petition
to the
Court;
16. That
the Defendant shouid
be ordered
pay
child support according to the child suppori
guidelines
tfuough the
offrce of Tnbal Child Support Enforcement and
that
both Plairtiff
and
Defendant
wiil
submit
their iircome records to fhe Tribal Child Support Edorcement.
17.
That the Defendant should not be required-to
pay
aay
spousai
support
to the Plaintiff;
18. That the
Plaintiff
should be restored to
her
former naure of
Jane
Q.
Smitlq
19.
That no other divorce
action
has
been
filed by
either the
Plaintiff
or Defendant in any
other
state or
tribal court
as ofthis
date:
WHEREFORE,
fhe Plaintiff
prays
that the
Court
gra:rt
and
award the
Piaintiff
a decree of
divorce from
the
Defendant as requested
in
this
petition
and a hearing be s€t as soon as the Court
deems necessary.
JANE
Q.
DOE, Plaintitr
1234 Native
Drive
Anadmkor
Oklatroma 73005
40s/247-0000
VERIFICATION
l, Jane
Q.
Doe, being
duly swom to tell the truth and being of
lawful age above 18
years
of age,
hereby states
that I have
prepared
and read
this
petition
and
verify that all of
the factual
allegations
contained in this petition are
in
fact
true end correct
to
the best
of my lcrowledge and
belief, UNDER PENALTY
OF PERJURY
JANE
Q.
DOE, Plaintiff
SUBSCRIBED AND
SWORN TO BEFORT ME THIS
DAY OF
Court Clerk/Deputy
IN
THE COURT
OF INDIAN OFFENSES FOR THE SOUTHERN PLAINS REGION
.
ANADARKO,OKLAHOMA
JANE
Q.
DOE,
vs.
)
Petitioner,
)
)
Gase
No.
JFD-_-
)
JOHN
P. DOE,
)
Respondent.)
SUMMONS
NOTTCE
TO RESPONDENT:
John P. Doe
P.O. Box 0000
Anadarko,
Ol(
73005
YOU
ARE HEREBY SUMMONED and directed to
file
a
wdtten Answer to the
'
attached
Petition for Dissolution
of Haniqe
with
the Court
Clerk of this
Court, within
thirty
(30)
days
of the date
you
were served with
this
Summons,
which is herewith
served
upon
you.
A copy
of
your
written
Answer to the Petition
for Dissolution of Marriage must
also be served
upon
Petitioner or
his/her
attomey within
thirty
(30)
days of ihe date
you
were served
with this Summons and
proof
of such
service with
your
written Answer
must
be filed in this
Court.
lf
you
do not serve
and file
a
written Answer
to this Petition for Dissolution of
Marriage within
the time
stated,
judgment
by default
can
be
rendered against
you
for the
rblief
demanded
by the Petitioner.
(sEAL)
Court
Clerk/Deputy
Court
of
Indian
Offenses
P.O,
Box 368
Anadarko,
Oklahoma 73005
Phone: 405/247-8508
Fax:
4O51247-724Q
Email:
Petitioner
or Petitioner's Attorney:
John
P. Doe
P.O.
Box 0000
Anadarko,
OK 73005
Phone:
405/247"0000
Email:
THE ABOVE
NAMED
PETITIONER HAS FILED A PETITION
FOR DISSOLUTION
OF MARRIAGE
AGAINST YOU. A
COPY OF THE PETITION FOR DISSOLUTION
OF MARRIAGE
IS SERVED ON
YOU WITH THIS SUMMONS.
THIS SUMMONS IS AN
OFFICAL DOCUMENT FROM
THE GOURT
THAT AFFECTS
YOUR RIGHTS" READ THIS. SUMMONS
CAREFULLY.
IF YOU DO
NOT
UNDERSTAND IT, CONTACT AN ATTORNEY
FOR
LEGAL
ADVICE.
CERTIFICATION
OF MAILING
l, the undersigned
Court Clerk, hereby certify that
I mailed via United
States
, Postal SeMce
(Certified,
Restricted Delivery, and Return
Receipt) a true
and correct
copy
of this Summons
and copy of the Petition
for Dissoftrtion af
Marriage
to
lhe
Resoondent
Certified Mail
*
Restricted
Deliverv
Article
No.
John
P. Doe
P.O. Box
0000
Anadarko,
OK 73005
(SEAL)
Court
Cle
rklDeputy Court
Clerk
IN
THE
COURT
OF
INDIAN
OFX'ENSES
FOR TITN SOUTHERN PLAINS R.EGION
ANADARKO, OKLAIIOMA
JA}{E ANN DOE,
VS.
BILL JACKDOE,
Plaintiff,
Defendant.
ENTRY OF APPEARANCE
AND
WAIVER
COMES NOW, the Defendant herein,
the undersigned,
and
acknowledges receipt
of
a
copy of the
petition
filed, and
states
that
hd/she has read and
und€dands the same, hereby
waives
tLe issuance, service,
and rehrrn ofprocess
upon
himlher in
this action,
enters
a voluntary
appearance in this cause and
submits to the
jurisdiction
of the Court
of Indiau Offenses for the
Southern Plains Regioq waiving
all
time
and right
to plead
and answer,
or appea
in this action,
and
consents
that the same may be set down for trial
a:rd heard
by the
Court at any time hereafter
without
notice
to, and in
the
absence of
this
Defendant
Dated this
_
day of
Signature
Please
print your
name
& address:
Telqrhone:
Emau:
SHOI'LD YOU
AGRDE TO
SICN TTTIS WTJVE&
PLEASE STCN N FRONT
OF A NOTARY PUBLIC
OR
COURT CLERI( AND
R.ETUNN TO TEIS OFTTCE
EITHER EY
MA-IL ORIFI PERSON.
State
of OklEboma;
Cou[ty of
Beforc lng th€
urd€rsigned
Notary
Public,
crTle
Case No,
JFI)-
20
this day of
,
20_, to
me known to be the ileotital
pemon
who executcd
tle above aM foregoing Enhy of Appeatqnce
qnd
Waiver, and
perso4ally
ackrowledged
to ne
that
he./she
has read, understood,
and sigled the sa$e, and that
he/she executcd
the s01ne as his/her ftee aIrd
voluntary act and
deed for
the uscs and
pru?oses
therein sot forth. lN WTNESS TTIEREOF I have hereunto affixed rny
sienature alrd of6cial seal the
dat€ heretofore
stated.
(sEAr,)
My Commission Expire,s:
NOTARY PUBLIC
DAYOF
SUBSCRIBED AND SWORN TO BEFORE ME T]IIS
COIIRT CI,ERICIDEPUTY
20