Thomas l Van Dam vs. Sara l Van Dam Case Number 07-3-02242-1

July 06 2007 8:30 AM

KEVIN STOCK COUNTY CLERK

E-FILEDIN COUNTY CLERK'S OFFICE

PIERCE COUNTY, WASHINGTON

IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON IN AND FOR PIERCE COUNTY

No. 07-3-02242-1

ORDER ASSIGNING CASE TO DEPARTMENT

In accordance with PCLR 40(b), this case is hereby assigned to Department 22, Judge JOHN R. HICKMAN.

Notice to Petitioner:Once the case has been filed, the petitioner shall serve a copy of this Order Assigning Case to Department on the respondent with the summons and petition. Provided, however, that in those cases where service is by publication the petitioner shall serve a copy of this Order Assigning Case to Department within five (5) court days of service of the respondent's first response/appearance. If the case has not been filed, but an initial pleading is served, a copy of this Order Assigning Case to Department shall be served within five (5) court days of filing. PCLR 1(b).

Trial Date:A trial date may be obtained pursuant to PCLR 40(d) by filing a 'Note of Issue' for assignment of a trial date by noon at least six (6) court days prior to the date fixed for assignment of the trial date. PCLR 40(d)

If a trial date is not obtained pursuant to PCLR 40(d), failure to appear on this date will result in dismissal of the case by the Court. PCLR 40(d)

Assignment to Set Trial Date Friday, November 09, 2007 9:00 AMAt that time the Court will provide you with a Case Schedule which shall include the trial date. Failure to appear on this date will result in dismissal of the case by the Court. PCLR 40(d).Certificate of Completion of Mandatory Parenting Seminar due from both parties by 09/07/2007. See PCLSPR 94.05(c) & (4)0)

Uncontested Dissolutions/Settlements:If this case is agreed upon by both petitioner and respondent, you are not required to wait for the trial date in order to settle your case. If you settle your case and the appropriate time requirements have been met, you may file a Note for Commissioner's Calendar' to appear before a Court Commissioner for entry of final papers.

DATED: July 6, 2007Judge JOHN R. HICKMAN Department 22

astsup-0003.pdf

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PIERCE COUNTY SUPERIOR COURT/CASE INFORMATION COVER SHEET

07-3-02242-1 27802807 ClCS 07-08-07

Please check one category that best describes this case for indexing purposes.Presumed tracks are listed next to the cause codes. (Non PCLR indicates no Track Assignment Request is required.)

I f you cannot determine the appropriate category, please describe the cause o f action below, This will create a "Miscellaneous" cruise which is not subject to PCLR I. and does not require a Track Assignment Request Form,

Case Number: 3 0 22 4 T 1Case Title: Van DamAttorney Name: Clint P. Johnson Street Address: 5920 100th Street S.W., Suite 25 City: Lakewood State: WA Zip: 98499Bar U 14794 Phone # (253) 581-0660________

APPEAL/REVIEW____Administrative Law Review (ALR 2) Non PCLR____Civil, Non-Traffic (LCA 2)Non PCLR____Civil, Traffic (LCI 2) Non PCLRCONTRA CT/COMMERCIAL____Breach of Contract (COM 2) EXPEDITED____Commercial Contract (COM 2) EXPEDITED____Commercial Non-Contract (COL 2) EXPEDITED____Third Party Collection (COL 2) EXPEDITEDDOMESTIC RELATIONS____Annulment/fnvalidity (INV 3) DISSOLUTION____Child Custody (CUS 3) DISSOLUTION_x_Dissolution with children (DIC 3) DISSOLUTION____Dissolution without children (DIN 3) DISSOLUTION____Foreign Judgment (FJU 3) Non PCLR____Legal Separation (SEP 3) DISSOLUTION____Mandatory Wage Assignment (MWA 3)Non PCLR____Meretricious Relationship (MER 2) Non PCLR____Modification (MOD 3) Non PCLR____Out-of-State Custody (OSC 3) DISSOLUTION____Reciprocal, Respondent in county (RIC 3) Non PCLR____Reciprocal, Respondent out of county (ROC 3) Non PCLR____Residential Schedulc/Parenting Plan (PPS 3) Non PCLRJUDGMENT____Abstract Only (ABJ 2) Non PCLR____Foreign Judgment (FJU 2) Non PCLR____Judgment, Another County (ABJ 2) Non PCLR____Judgment. Another State (FJU 2) Non PCLR____Tax Warrant (TAX 2) Non PCLR____Transcript of Judgment (TRJ 2) Non PCLROTHER COMPLAINT OR PETITION____Compel/Confirm Private Binding Arbitration (MSC 2) Non PCLR____Change of Name (CHN 2) Non PCLR____Deposit of Surplus Funds (MSC 2) Non PCLR____Emancipation of a Minor (EOM 2) Non PCLR____Injunction (INJ 2) Non PCLR____Interpleader (MSC 2) Non PCLR

Malicious Harassment (MHA 2) Non PCLRMinor ScUlcmcnl/No Guardianship (MST 2) Non PCLRPetition for Civil Commit/Sexual Predator (PCC 2) Non PCLR

____Seizure of Property from the Comm of Crime (SPC 2) Non PCLR____Seizure of Property Resulting from Crime (SPR 2) Non PCLR____Subpoenas (MSC 2) Non PCLR

ADOPTION ! PATERNITY____Adoption (ADP 5) Non PCLR____Confidential Intermediary (MSC 5) Non PCLR

Initial Pre-Placement Report (PPR 5) Non PCLR____Modification (MOD 5) Non PCLR____Paternity (PAT 5) Non PCLR____Patcmity/URESA/UIFSA (PUR 5) Non PCLR____Relinquishment (REL 5) Non PCLR____Termination of Parent-Child Relation (TER 5) Non PCLR____Rescission of Paternity Affidavit (MSC 5)Non PCLRPROBATE / GUARDIANSHIP____Absentee (ABS 4) Non PCLR____Disclaimer (DIS 4) Non PCLR

Estate (EST 4) Non PCLR____Foreign Will (FNW 4) Non PCLR____Guardianship (GDN 4) Non PCLR____Guard ianship/Estatc (G/E 4) Non PCLR____Limited Guardianship (LGD 4 )Non PCLR____Minor Settlement/With Guardianship (MST 4) Non PCLR____Non-Probate Notice to Creditors (NNC 4) Non PCLR____Will Only (WLL 4)PROPERTY RIGHTS____Condemnation (CON 2) STANDARD____Foreclosure (FOR 2) STANDARD

Property Fairness (PFA 2) STANDARD____Quite Title (QTI 2) STANDARD____Unlawful Detaincr/Eviction (UND 2)Non PCLRTORT / MEDICAL MALPRACTICE____Hospital (MED 2) COMPLEX____Medical Doctor (MED 2) COMPLEX

Other Health Care Professional (MED 2) COMPLEX TORT / MOTOR VEHICLE____Death (TMV 2) STANDARD____Non-Death Injuries (TMV 2)STANDARD

Property Damage Only (TMV 2 )STANDARD TORT / NON MOTOR VEHICLE____Asbestos (PIN 2) STANDARD____Other Malpractice (MAL 2) COMPLEX____Personal Injury (PIN 2) STANDARD

Products Liability (TTO 2) COMPLEX____Property Damage (PRP 2) STANDARD____Wrongful Death (WDE 2 )STANDARDWRIT____Habeas Corpus (WHC 2) Non PCLR____Mandamus (WRM 2) Non PCLR____Review (5WRV 2) Non PCLR

MISCELLANEOUS

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-02242-1 27002810 SIM 07-08-07

IN COUNTY CLERKS OFFlfci

'JU L 0 6 2007 pmFIERCE COUNTY, WASHIN t e v in s t o c k , County. BY/___ ______ 0!

IP 1pff

IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON

IN AND FOR THE COUNTY OF PIERCE

In re the Marriage of:

THOMAS L. VAN DAM,

Petitioner,

vs.

SARA L. VAN DAM,

Respondent.

07 3 02242 1NO.

SUMMONS (SM)

TO THE RESPONDENT: SARA L. VAN DAM

1. The Petitioner has started an action in the above court requesting:

that your marriage be dissolved.

Additional requests, if any are stated in the petition, a copy of which is attached to this summons.

2. You must respond to this summons and petition by serving a copy of your written response on the person signing this summons and by filing the original with the clerk of the court. If you do not serve your written response within 20 days (60 days if you are served outside of the State of Washington) after the date this summons was served on you, exclusive of the date of service, the court may enter a default judgment against you, and the court may, without further notice to you, enter a decree and approve or provide for the relief requested in the petition. In the case of a dissolution of marriage, the court will not enter a decree until at least 90 days from filing and service. If you serve a notice of appearance on the undersigned person, you are entitled to notice

SUMMONS (SM) -1WPF DR 01.0200 (6/2006); CR 4.1S:\CASES9W anDam'.summons. w pd

FAUBION, JOHNSON & REEDER, P.S.Attorneys at Law

5920 100th Street S.W., Suite 25 Lakewood, WA 98499

{253) 581-0660

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before an order of default or a decree may be entered.

3. Your written answer to the summons and petition must be on form WPF DR 01.0300, Response to Petition (Domestic Relations). This form may be obtained by contacting the clerk of the court at the address below, by contacting the Administrative Office of the Courts at (360) 705-5328, or from the Internet at the Washington State Supreme Court Homepage:

http://www.courts.wa.gov/forms

4. If this action has not been filed with the court, you may demand that the Petitioner file this action with the court. If you do so, the demand must be in writing and must be served upon the person signing this summons. Within 14 days after you serve the demand, the Petitioner must file this action with the court, or the service of this summons and petition will be void.

5. If.you wish to seek the advice of an attorney in this matter, you should do so promptly so that your written response, if any, may be served on time.

6. One method of serving a copy of your response on the Petitioner is to send it by certified mail with return receipt requested.

This summons is issued pursuant to Superior Court Civil Rule 4.1 of the State of Washington.

DATED this 3

FILE RESPONSE WITH:

Clerk of the Court Pierce County Superior Court County-City Building 930 Tacoma Avenue South Tacoma, WA 98402

Moving Party's Lawyer:

CLINT P. JOHNSON FAUBION, JOHNSON & REEDER, P.S. 5920 100th Street S.W., Suite 25 Lakewood, Washington 98499 (253) 581-0660

SUMMONS (SM) - 2WPF DR 01.0200 (6/2006); CR 4.1S: 'C AS ES 9 Wan Dam-summons. wpd



(253)581-0660

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242-1 27002811 PTDSS 07-06-07

IN COUNT? CLERK'S OFI

(M. 1JU L 0 6 2007>|BKCE COUNTY, WASHINOIr

I vin stock, county^ij




THOMAS L. VAN DAM,07 3 02242 1

Petitioner,

vs.

PETITION FOR DISSOLUTION OF MARRIAGE (PTDSS)

SARA L. VAN DAM,

Respondent.

I. BASIS

1.1 IDENTIFICATION OF PETITIONER.

Name (first/last): Thomas L. Van DamDate of Birth: 10/21/1969Last known residence: Pierce County, Washington

1.2 IDENTIFICATION OF RESPONDENT.

Name (first/last): Sara L. Van DamDate of Birth: 09/22/1975Last known residence: Pierce County, Washington

1.3 CHILDREN OF THE MARRIAGE DEPENDENT UPON EITHER OR BOTH SPpUSES.

The Husband and Wife are both the parents of the following dependent children:

PETITION FOR DISSOLUTION OF FAUBION, JOHNSON & REEDER, P.S.MARRIAGE (PTDSS) - 1 592010m " ^ " suite 25WPF DR 0 1.0100 (6/2006); RCW 26.09.020 Lakewood. WA 98499STCASES9\VanDani)Psit[ion wpd (253) 581 -0660

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Name Age

4Silas R. VanDam

The Husband is and the Wife is not the parent of the following dependent children:

Name Age

None

The Wife is and the Husband is not the parent of the following dependent children:

Name Age

None

1.4 ALLEGATION REGARDING MARRIAGE.

This marriage is irretrievably broken.

1.5 DATE AND PLACE OF MARRIAGE.

The parties were married on March 20, 1999, at Newport, Oregon.

1.6 SEPARATION.

Husband and wife separated in April, 2006.

1.7 JURISDICTION.

This court has jurisdiction over the marriage.

This court has jurisdiction over the respondent because:

the respondent is presently residing in Washington.

the petitioner and respondent lived in Washington during their marriage , and the petitioner continues to reside, or be a member of the armed

forces stationed, in this state.

1.8 PROPERTY.

There is community or separate property owned by the parties. The court should make a fair and equitable division of all the property.

PETITION FOR DISSOLUTION OF MARRIAGE (PTDSS)-2WPF DR 01.0100 (6/2006); RCW 26,09.020S:\CASES5HVfttiDam Petition wpd

FAUBION, JOHNSON & REEDER, P.S.Attorneys a t Law

5920 100th Street S.W.. Suite 25 Lakewood, WA 98499

(253) 581-0650

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The petitioners recommendation for the division of property is set forth below.

The petitioner should be awarded the parties interest in the following property:

1. 2005 Ford Focus, subject to the obligation owing thereon;2. Any and all household goods, furniture and furnishings presently

in his possession;3. Any and all clothing, jewelry and personal effects in his

possession;4. Any and all accounts at banks or other financial institutions held

in his name;5. Any and all retirement, pension or other employment benefits

earned during his employment; including his 401k with his employer and his Social Security benefits;

6. Any and all life insurance insuring his life.

The respondent should be awarded the parties interest in the following property:

1. 1997 Toyota 4 Runner.2. Any and all household goods and furnishings presently in her

possession;3. Any and all clothing, jewelry and personal effects in her


in her name;5. Any and ah retirement, pension or other employment benefits

earned during her employment; and her Social Security benefits6. Any and all life insurance insuring her life.

1.9 DEBTS AND LIABILITIES.

The parties have debts and liabilities. The court should make a fair and equitable division of all debts and liabilities.

The petitioners recommendation for the division of debts and liabilities is set forth below.

The petitioner should be ordered to pay the following debts and liabilities to the following creditors:

1. Any and all expenses associated with the vehicle in his possession to include insurance, tabs and repairs; and2. Any and all expenses associated with his residence;3. Obligation owing to Alaska Federal Credit Union for 2005 Ford Focus;

j 4. Sallie Mae for student loans5. Wells Fargo, credit card

PETITION FOR DISSOLUTION OF FAUBION, JOHNSON & REEDER, P.S.X ^ D T H A P C , ATTORNEYS AT LAWMARRIAGE (PTDSS) - 3 5920 iooth street s .w ., suite25WPF DR 0 1.0 i 00 (6/2006); RCW 26.09.020 Lakew ood , WA 98499S^ CAS ES9W anDam Petition,wpd (253)591 '0560

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The respondent should be ordered to pay the following debts and liabilities to the following creditors:

1. Any and all expenses associated with the vehicle in her possession to include insurance, tabs and repairs; and2. Any and all expenses associated with her residence;3. Chase for credit card4. Unicom Financial for loan

Each party should pay their debts incurred since separation.

1.10 SPOUSAL MAINTENANCE.

Spousal maintenance should not be ordered.

1.11 CONTINUING RESTRAINING ORDER.

Does not apply.

1.12 PROTECTION ORDER.

Does not apply.

1.13 PREGNANCY.

The wife is not pregnant.

1.14 JURISDICTION OVER THE CHILDREN.

This court has jurisdiction over the child for the reasons set forth below.

This state is the home state of the child because

The child lived in Washington with a parent or a person acting as a parent for at least six consecutive months immediately preceding the commencement of this proceeding.

1.15 CHILD SUPPORT AND PARENTING PLAN FOR DEPENDENT CHILDREN.

Support for the dependent child listed below should be set pursuant to the Washington State Child Support Schedule.

Name of Mothers Fathersof Child Name Name

Silas R, Van Dam Sara L. Van Dam Thomas Van Dam

The petitioners proposed parenting plan for the children listed above:

PETITION FOR DISSOLUTION OF FAUBION, JOHNSON & REEDER, P.S., . . ^ A ttorneys at Law MARRIAGE (PTDSS) - 4 5920 100th Street S.W., Suite 25WPF DR 01.0100 (6/2006); RCW 26.09.020 Lakewood. WA98499S:\CAS ES9\VanDana\Pciiiion,wpd (253) 581-0660

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is attached and is incorporated by reference as part of this Petition.

(The following information is required only for those children who are included in the petitioners proposed parenting plan.)

During the last five years, the child has lived:

in no place other than the state of Washington and with no person other than the petitioner or the respondent.

Claims to custody or visitation;

f The petitioner does not know of any person other than therespondent who has physical custody of, or claims to have custody or visitation rights to, the child.

Involvement in any other proceeding concerning the child;

The petitioner has not been involved in any other proceeding regarding the child.

Other legal proceedings concerning the child.

The petitioner does not know of any other legal proceedings concerning the child.

1.16 OTHER:

II. RELIEF REQUESTED

The petitioner REQUESTS the Court to enter a decree of dissolution and to grant the relief below.

Approve the petitioners proposed parenting plan for the dependent children listed in paragraph 1.15.

Determine support for the dependent children listed in paragraph 1.15 pursuant to the Washington State Support Schedule.

Divide the property and liabilities.

Order payment of day care expenses for the children listed in paragraph 1.15.

Award the tax exemptions for the dependent children listed in paragraph 1.15 as follows:

PETITION FOR DISSOLUTION OFMARRIAGE (PTDSS)-5WPF DR 01.0100 (6/2006); RCW 26.09.020S:\CASES9\VanDam\ Petition.wpd



(253)581-0660

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DATED this 3 day of /2007.REEDER, P.S.

Of Attorneys forSffWSBA# 14794 ioner

I declare under penalty of perjury under the laws of the State of Washington that the foregoing is true and correct.

Signed at ' L , UJ]f\ (City and State)

, on &

PETITION FOR DISSOLUTION OF MARRIAGE (PTDSS)-6WPF DR 01.0100 (6/2006); RCW 26.09.020S:\CASEiS9WanDam'Petition.wpd



{253) 581-0660

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yf 'cxerk'S off

42-1 27802813 ACSR 07-06-07

f k c e county

2007 iWASHING'




THOMAS L. VAN DAM,

Petitioner,

vs.

07 3 02242 1NO.

ACCEPTANCE OF SERVICE (ACSR)

SARA L. VAN DAM,

Respondent.

1. ACCEPTANCE OF SERVICE.

SARA L. VAN DAM accepts service of:

the summons and petition in this action Temporary parenting plan, a proposed order of child support proposed Child Support Worksheets

2. CONSENT TO PERSONAL JURISDICTION.

SARA L. VAN DAM consents to personal jurisdiction.

3. OTHER:

None.

ACCEPTANCE OF SERVICE (ACSR) -1WPF DRPSCU 01.0310 (7/2003)S ;\C A S E S 9Wsn Dam\accepl. wpd



(253)581-0660

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327? 7/& /2B 9

DATED this ^ 3 _ day of

Notice to party: You may list an address that is not your residential address where you agree to accept legal documents.

[Address]

m m

ACCEPTANCE OF SERVICE (ACSR) - 2WPF DRPSCU 01.0310 (7/2003)S ;\C ASES 9\V in Dam\accept, wpd

FAUBION, JOHNSON & REEDER, P.S.Attorneys at law


(253)581-0660

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07-3-02242-1 28242084 LTR22 09-13-07 S U P E R I O R C O U R T

O F T H E

S T A T E O F W A S H I N G T O N

F O R P I E R C E C O U N T Y

(253) 798-3654 334 County-City BuildingFAX (253) 798-7214 930 Tacoma Avenue South

Tacoma, Washington 98402-2102

DATED: September 13, 2007

Re: Cause No. 07-3-02242-1 Docket code: CRRSPTHOMAS L VAN DAM vs.SARA L VAN DAM

Dear Counsel or Pro Se Litigant:

Court records indicate that the attorneys and/or parties listed below have failed to comply with the Case Schedule in regard to the following items:

Petitioner's Certificate of Parenting Class - Not Filed Deadline: 09/07/07Respondent's Certificate of Parenting Class - Not Filed Deadline: 09/07/07

Pursuant to Pierce County Local Rule 1 and also pursuant to the Case Scheduling Order given to you at the time of filing this case, you are out of compliance. Please take the actions necessary to immediately comply with the Case Schedule. Please file and deliver a courtesy copy of the document to the Judge.

If the court finds that an attorney or party has failed to comply with the Case Schedule and has no reasonable excuse, the court may order the attorney or party to pay monetary sanctions to the court, or terms to any other party who has incurred expense as a result of the failure to comply, or both; in addition, the court may impose such other sanctions as justice requires. See PCLR 1 (k).

Copies mailed to:Clint P. Johnson Van Dam, Sara L

Sincerely,

Department 22

Judicial assistant to: Judge John R. Hickman

Superior Court Clerk for Filing (Court File Copy)

\Jx civil. pbM_noncomp!iance_}etter_rBport

IN THE SUPERIOR COURT, PIERCE COUNTY, WASHINGTONTHOMAS L VAN DAM Cause Number: 07-3-02242-1

Petitioner(s) MEMORANDUM OF JOURNAL ENTRY

vs. Page 1 of 2SARA L VAN DAM

Respondent(s)

Judge/Commissioner: DAVID H. JOHNSON Court Reporter: Smart Court

Judicial Assistant/Clerk: Jennifer Segobia

VAN DAM, THOMAS L CLINT P. JOHNSON Attorney for Plaintiff/Petitioner

VAN DAM, SARA L

VAN DAM, SILAS R

Proceeding Set: Exparte ActionProceeding Outcome: Uncontested Resolution Outcome Date: 10/30/2007 9:38

Resolution:

Clerks Scomis Code:MTHRGProceeding Outcome code:RESHRG Resolution Outcome code:

Amended Resolution code:

Report run date/time: 10/30/07 9:44 AM Ixcalcivil.pbl. d_civilJoumal_report_cover

7 7 3 3 1 8 / 3 1 / 2 0 0 7 8 6 8 5 4

IN THE SUPERIOR COURT, PIERCE COUNTY, WASHINGTON

THOMAS L VAN DAM Cause Number: 07-3-02242-1MEMORANDUM OF JOURNAL ENTRY

vs.Page: 2 of 2

SARA L VAN DAM Judge/Commissioner:DAVID H. JOHNSON

_____________________________________ MINUTES OF PROCEEDING_____________________Judicial Assistant/Clerk: Jennifer Segobia Court ReportenSmart CourtStart Date/Time: 10/30/07 9:41 AM

October 30, 2007 09:41 AM

Clint Johnson, attorney for petitioner, present with documents for a final dissolution. Verification offered and accepted. JIS run. Findings of Fact, Conclusions of Law, Decree of Dissolution, Parenting Plan and child support worksheets are signed by Comm. Johnson.

End DaterTime: 10/30/07 9:43 AM

FILEDIN OPEN COURT

EX PARTE DEPARTMENT

OCT 2007

PIERCE COUNTY, Clerk.By___S .

DEPUTY

JUDGE/COMMISSIONER: DAVID H. JOHNSON Year 2007

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07-3.02242-1 20540404

If I III

([/(IffPCOPC 10-31-07

FILEDIN COUNTY CLERKS O FFICE

a.m. OCT 3 0 2007 pm.PIERCE COUNTY. WASHINGTON

KEVIN S T O C K lC o /n ty C le rk BY___________ f t / OEPUTY




THOMAS L. VAN DAM, NO. 07-3-02242-1

Petitioner,

vs.

SARA L. VAN DAM,

CERTIFICATION OF COMPLETION OF PARENTING CLASS RE:THOMAS L. VAN DAM

Respondent.

- 1S:\CASES9WanDarri\Parentmg Class Certification cover sheet re Thomas.wpd


5920 100th Street S.W., Suite 25 LAKEWOOD, WA 98499

(253)581-0660

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07-3-02242-1 28540406 RCOPC 10-31-07

F I L E DIN COUNTY CLERK'S OFFICE

mi. OCT 3 0 2007 p..PIERCE COUNTY, WASHINGTON

KEVIN S TO C K,|C o unify C le rk Rv L - / - 1 DEPUTY





Petitioner,

vs.

CERTIFICATION OF COMPLETION OF PARENTING CLASS RE: SARA L. VAN DAM

SARA L. VAN DAM,

Respondent.


5920 100th Street S.W., Suite 25- I La k e w o o d , WA 98499

S:\CASES9WanPam\Paicnting Class Certification cover sheet re Sara.wpd (2 5 3 ) 581 -0 6 6 0

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3-02242-1 20540407 RTSRIII 10-31-07

" C0UNTyFC L l& s 0FF1CE

AM' OCT 3 0 2007 p.m.

KEVIN j an original order[ J a modification of a prior order

It applies to _____ ]______ [number] of children.

[Date] It was:

2. Residential Schedule From Part III of the Parenting Plan

Starting with your oldest child, for each child, list his or her age and check the box that best represents the time the child spends with each parent: ________

Oldest Child - Ag Next Child - Age: I Next Child - Age:

Residential Time Summary Report - 1WPF DR Ol.tMIOS. \C AS ES9\ VanDamlfina I1RESIDE NT1AL SUMMARY.wpd

FAUBION, JOHNSON & REEDER, P.S.ATTORNEYS AT LAW


(253) 581-0660

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[ ] 0 % of the time with mother and 100 % of the time with father[ ] 1 - 34 % of the time withmother and 66 - 99 % of thetime with father[] 3 5 -4 9 % of the time withmother and 51 - 65 % of thetime with father'N ^ O % of the time with eachparent[] 51 -6 5 % of the time with mother and 35 - 49 % of the time with father [] 66 - 99 % of the time with mother and 1 - 34 % of the time with father[ ] 100 % of the time with mother and 0 % of the time with father

[ ] 0 % of the time with mother and 100 % of the time with father [ ] 1 - 34 % of the time with mother and 66 - 99 % of the time with father[] 35 - 49 % of the time with mother and 5 1 -6 5 % of the time with father[ ] 50 % of the time with each parentt ] 51 - 65 % of the time with mother and 35 - 49 % of the time with father[ ] 66 - 99 % of the time with mother and 1 - 34 % of the time with father[] 100 % of the time with mother and 0 % of the time with father

[ ] 0 % of the time with mother and 100 % of the time with father E ] 1 - 34 % of the time with mother and 66 - 99 % of the time with father [ ] 35 -4 9 % of the time with mother and 51 - 65 % of the time with father [ ] 50 % of the time with each parent[ ] 51 - 65 % of the time with mother and 35 - 49 % of the time with father [ ] 66 - 99 % of the time with mother and 1 - 34 % of the time with father [ ] 100 % of the time with mother and 0 % of the time with father

(Continued) Starting with your next child, for each child, list his or her age and check the box that best represents the time the child spends with each parent:

Next Child - Age:_____

[ ] 0 % of the time with mother and 100 % of the time with father[ ] 1 - 34 % of the time with mother and 66 - 99 % of the time with father [] 35 - 4 9 % of the time with mother and 51 - 65 % of the time with father [ ] 50 % of the time with each parent[ ] 51 - 65 % of the time with mother and 35 - 49 % of the time with father [ ] 66 - 99 % of the time with mother and 1 - 34 % of the time with father[ ] 100 % of the time with mother and 0 % of the time with father


[ ] 0 % of the time with mother and 100 % of the time with father [ ] 1 - 34 % of the time with mother and 66 - 99 % of the time with father[] 3 5 -4 9 % of the time with mother and 51 - 65 % of the time with father[ ] 50 % of the time with each parent[ ] 51 - 65 % of the time with mother and 35 - 49 % of the time with father[ ] 66 - 99 % of the time with mother and 1 - 34 % of the time with father[ ] 100 % of the time with mother and 0 % of the time with father


E] 0 % of the time with mother and 100 % of the time with father [ ] 1 - 34 % of the time with mother and 66 - 99 % of the time with father [] 3 5 -4 9 % of the time with mother and 5 1 -6 5 % of the time with father [ ] 50 % of the time with each parent[ ] 51 - 65 % of the time with mother and 35 - 49 % of the time with father [ ] 6 6 -9 9 % of the time with mother and I - 34 % of the time with father [ ] 100 % of the time with mother and 0 % of the time with father

Residential Time Summary Report - 2WPF DR 01,0410S:\CAStiS9WanDam\final\RESIDENTIAL SUMMARY.wpd


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3-02242-1 28540417 PP 10-31-07

F I L E DIN COUNTY CLERKS OFFICE

A.M. OCT 3 0 2007 P.M.PIERCE COUNTY KEVIN STOCK,

BY________

, WASHING , C o u n ty C I

- W 1'TON

le rkEPUTY





Petitioner,

vs.

PARENTING PLAN FINAL ORDER (PP)

SARA L. VAN DAM,

Respondent.

I. GENERAL INFORMATION

1.1 This parenting plan is:

The final parenting plan signed by the court pursuant to a decree of dissolution entered on this date.

IT IS HEREBY ORDERED, ADJUDGED AND DECREED:

1.2 This parenting plan applies to the following child:

Name Age

SILAS R. VAN DAM 4

II. BASIS FOR RESTRICTIONS

Under certain circumstances, as outlined below, the court may limit or prohibit a parents contact with the child and the right to make decisions fo r the child.

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2.1 PARENTAL CONDUCT (RCW 26.09.191(1), (2)).

Does not apply.

2.2 OTHER FACTORS (RCW 26.09.191(3)).

Does not apply.

III. RESIDENTIAL SCHEDULE

The residential schedule must set forth where the child shall reside each day o f the year, including provisions fo r holidays, birthdays offamily members, vacations, and other special occasions, and what contact the child shall have with each parent. Parents are encouraged to create a residential schedule that meets the developmental needs o f the child and individual needs o f their family. Paragraphs 3.1 through 3.9 are one way to write your residential schedule. I f you do not use these paragraphs, write in your own schedule in paragraph 3.13.

These provisions set forth where the child shall reside each day of the year and what contact tlie child shall have with each parent.

3.1 SCHEDULE FOR CHILDREN UNDER SCHOOL AGE.

Prior to enrollment in school, the child shall reside with the mother and father, except for the following days and times when the child will reside with or be with the other parent:

Every week schedule:t From 7:00 a.m. to 1:30 p.m. with father, Monday through Thursday,* From 5:00 p.m. to 7:00 a.m. with mother, Monday through Thursday.

From 5:00 p.m. Friday to 1:30 p.m. Sunday with father.From 1:30 p.m. Sunday to 7:00 a.m. Monday with mother.

Times not otherwise listed, the child shall be in school or at childcare because of the parents current work schedules.

3.2 SCHOOL SCHEDULE.

Upon enrollment in school, the child shall reside with the mother and father, except for the following days and times when the child will reside with or be with the other parent:

Same as Paragraph 3.1.

3.3 SCHEDULE FOR WINTER VACATION.

The child shall reside with the mother and father during winter vacation, exceptreside with or be with the

JOHNSON & REEDER, P.S.ATTORNEYS AT LAW

100th Street S.W., Suite 25 Lakewood, WA 98499

(253) 581-0660

for the following days and times when the child will other parent:

(

PARENTING PLAN-2WPF DR Oi,0400 (6/2006); RCW 2 6 .0 9 .1 8 1 187;. 194S:\CASES9W anDam'ippiemp. wpd

FAUBION,

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3.4 SCHEDULE FOR OTHER SCHOOL BREAKS.

The child shall reside with the mother and father during other school breaks, except for the following days and times when the child will reside with or be with the other parent:


3.5 SUMMER SCHEDULE.{Upon completion of the school year, the child shall reside with the mother and father, except for the following days and times when the child will reside with or be with the other parent:


3.6 VACATION WITH PARENTS.

The schedule for vacation with parents is as follows:

Each parent shall be entitled to exercise up to two weeks of consecutive vacation with the child over the summer during which time the other parent's residential time shall be suspended.

Vacation shall further be defined as when the child goes out of the area and leaves for a vacation.

3.7 SCHEDULE FOR HOLIDAYS.

The residential schedule for the child for the holidays listed below is as follows:

1 With Mother (Specify whether Odd/Even/Everv)

With Father (Specify whether Odd/Even/Everv)

New Years Day EVEN ODDMartin Luther King Day See 3.1 See 3.1Presidents Day See 3.1 See 3.1Memorial Day See 3.1 See 3.1July 4th EVEN ODDLabor Day See 3.1 See 3.1Veterans Day See 3.1 See 3.1Thanksgiving Day EVEN ODD

PARENTING PLAN - 3WPF DR 01,0400 (6/2006); RCW 26.09.181;. 187; . 194S:\CASES 9\ Van Dam\pptemp. wpd

FAUBION, JOHNSON & REEDER, P.S.attorneys at Law

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With Mother With Father(Specify whether (Specify whether Odd/Even/Everv) Odd/Even/Everv)

Christmas Eve ODD EVENChristmas Day ODD EVEN

For purposes of this parenting plan, a holiday shall begin and end as follows:

3.8 SCHEDULE FOR SPECIAL OCCASIONS.

The residential schedule for the child for the following special occasions (for example, birthdays) is as follows:

Mothers Day Fathers Day Mothers Birthday Fathers Birthday Childs Birthdays

With Mother (Specify whether Odd/Even/Everv)

EVERY

EVERY

ODD

With Father (Specify whether Odd/Even/Everv)

EVERY

EVERYEVEN

For purposes of this parenting plan, special occasions shall begin and end as follows:

See Paragraph 3.1.

3.9 PRIORITIES UNDER THE RESIDENTIAL SCHEDULE.

Does not apply.

3.10 RESTRICTIONS.

Does not apply because there are no limiting factors in paragraphs 2.1 or 2.2.

3.11 TRANSPORTATION ARRANGEMENTS.%

Transportation costs are included in the Child Support Worksheets and/or the Order of Child Support and should not be included here.

Transportation arrangements for the child between parents shall be as follows:

The receiving parent shall provide transportation except as follows:

PARENTING PLAN - 4WPF DR 0 1.0400 (6/2006); RCW 26,09.181187; . 194SACASES9\VanDam\pptempwpd



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During the weekly schedule, the father shall deliver the minor child to school before it commences or child care no later than l :30 p.m.Mother shall retrieve the child from child care or school at 5:00 p.m. and return the child to fathers residence by 7:00 a.m.

3.12 DESIGNATION OF CUSTODIAN.

The child named in this parenting plan are scheduled to reside the majority of the time with the mother and father. This parent is designated the custodian of the child solely for purposes of all other state and federal statutes which require a designation or determination of custody. This designation shall not affect either parents rights and responsibilities under this parenting plan.

3.13 OTHER

a. It is the responsibility of the parent scheduled to have the child to arrange suitable alternative care, if necessary, and pay for the needed care.

b. Each parent shall notify the other at least forty-eight (48) hours in advance if he or she is unable to comply with the regular schedule.

c. Each parent shall keep the other apprized of his or her current residence address and residence telephone number.

d. Both parents shall have unlimited access to the childrens school, day care, and medical records. Neither parent may revoke this provision by telling the providers to disobey this court order.

e. Telephone Access

The child shall have reasonable telephone privileges with the parent with whom the child is not then residing, without interference of the residential parent.

f. Participation in Childs Events

1. The child shall be accompanied by the parent with whom the child is residing at the time of a given social event. The other parent shall not be limited from attendance at that event, providing said attendance by the non-residential parent is not disruptive to the other participants.

2. Each parent shall be responsible for keeping themselves advised. of school, athletic, and social events in which the child

participates. Both parents may participate in school activities for the child, such as an open house, attendance at an athletic event, etc.

PARENTING PLAN - 5WPF DR 0! .0400 (6/2006); RCW 26.09.181 187;. 194S:\CASES9\Van Dam\pptcmp. pd


5920 100th Street S.W., Suite 25 Lakewood , WA 98499

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3.14 SUMMARY OF RCW 26.09.430 - .480, REGARDING RELOCATION OF A CHILD:

This is a summary only. For the full text, please see RCW 26.09.430 through 26.09.480.

If the person with whom the child resides a majority of the time plans to move, that person shall give notice to every person entitled to court ordered time with the child.

If the move is outside the childs school district, the relocating person must give notice by personal service or by mail requiring a return receipt. This notice must be at least 60 days before the intended move. If the relocating person could not have known about the move in time to give 60 days notice, that person must give notice within 5 days after learning of the move. The notice must contain the information required in RCW 26.09.440. See also form DRPSCU 07.0500 (Notice of Intended Relocation of A Child.)

r.If the move is within the same school district, the relocating person must provide actual notice by any reasonable means. A person entitled to time with the child may not object to the move but may ask for modification under RCW 26.09.260.

Notice maybe delayed for 21 days if the relocating person is entering a domestic violence shelter or is moving to avoid a clear, immediate and unreasonable risk to health and safety.

If information is protected under a court order or the address confidentiality program, it may be withheld from the notice.

A relocating person may ask the court to waive any notice requirements that may put the health and safety of a person or a child at risk.

Failure to give the required notice may be grounds for sanctions, including contempt.

If no objection is filed within 30 days after service of the notice of intended relocation, the relocation will be permitted and the proposed revised residential schedule may be confirmed.

A person entitled to time with a child under a court order can file an objection to the childs relocation whether or not he or she received proper notice.

An objection may be filed by using the mandatory pattern form WPF DRPSCU 07.0700, (Objection to Relocation/Petition for Modification of Custody Detree/Parenting Plan/Residential Schedule). The objection must be served on all persons entitled to time with the child.

r . ,The relocating person shall not move the child during the time for objection

PARENTING PLAN - 6WPF DR 01.0400 (6/2006); RCW 26.09.181;. 187; . 194S:\CASES9\VanDam\ppteirp.wpd


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unless: (a) the delayed notice provisions apply; or (b) a court order allows the move.

If the objecting person schedules a hearing for a date within 15 days of timely service of the objection, the relocating person shall not move the child before the hearing unless there is a clear, immediate and unreasonable risk to the health or safety of a person or a child.

WARNING: VIOLATION OF THE RESIDENTIAL PROVISIONS OF THIS ORDER WITH ACTUAL KNOWLEDGE OF ITS TERMS IS PUNISHABLE BY CONTEMPT OF COURT, AND MAY BE A CRIMINAL OFFENSE UNDER RCW 9A.40.070(2). VIOLATION OF THIS ORDER MAY SUBJECT VIOLATOR TO ARREST.

IV. DECISION MAKING

4.1 DAY TO DAY DECISIONS.

Each parent shall make decisions regarding the day-to-day care and control of each child while the child is residing with that parent. Regardless of the aliocation of decision making in this parenting plan, either parent may make emergency decisions affecting the health or safety of the child.

4.2 MAJOR DECISIONS.

Major decisions regarding each child shall be made as follows:

Education decisions JointNon-emergency health care JointReligious upbringing Mother/Father

4.3 RESTRICTIONS IN DECISION MAKING.

Does not apply because there are no limiting factors in paragraphs 2.1 and 2.2 above.

, V. DISPUTE RESOLUTION

The purpose o f this dispute resolution process is to resolve disagreements about carrying out this parenting plan. This dispute resolution process may, and under some local court rules or the provisions o f this plan must, be used before filing a petition to modify the plan or a motion for contempt for failing to follow the plan.

Disputes between the parties shall be submitted to (list person or agency):

counseling by Craig Black

PARENTING PLAN - 7WPF DR 01.0400 (6/2006); RCW 26.09.181; .187; .194SACASESQWonDarn'ppterr^ wpd



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The cost of this process shall be allocated between the parties as follows:

50% mother, 50 % father.

The counseling, mediation, or arbitration dispute resolution process shall becommenced by notifying the other party by written request certified mail.

In the dispute resolution process:

(a) Preference shall be given to carrying out this Parenting Plan.

(b) Unless an emergency exists, the parents shall use the designated process to resolve disputes relating to implementation of the plan, except those related to financial support.

(c) A written record shall be prepared of any agreement reached in counseling or mediation and of each arbitration award and shall be provided to each party.

(d) If the court finds that a parent has used or frustrated the dispute resolution process without good reason, the court shall award attorneys fees and financial sanctions to the other parent.

(e) The parties have the right of review from the dispute resolution process to the superior court.

VI. OTHER PROVISIONS

There are no other provisions.

, VII. DECLARATION FOR PROPOSED PARENTING PLAN

Does not apply.

VIII. ORDER BY THE COURT

It is ordered, adjudged and decreed that the parenting plan set forth above is adopted and approved as an order of this court.

WARNING: Violation of residential provisions of this order with actual knowledge of its terms is punishable by contempt of court and may be a criminal offense under RCW 9 A1.40.060(2). Violation of this order may subject a violator to arrest.

When mutual decision making is designated but cannot be achieved, the parties shall make a good faith effort to resolve the issue through the dispute resolution process.

If a parent fails to comply with a provision of this plan, the other parents obligations

PARENTING PLAN - 8WPF DR 01.0400 (6/2006); RCW 26.09.181;. 187;. 194S;\CASES9\VunD,i;ivpptcnip.wpd


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under the plan are not affected.

DONE IN OPEN COURT this f) day 0 < X i , 2007.

PRESENTED BY:

FAUBION, JOHNSON & REEDER, P.S.

CLINT P. JOHNSON! WSBA# 14794 Of Attorneys for Petitions

APPROVED AS TO FORM; NOTICE OF PRESENTMENT WAIVED:

B ySARA L. VAN DAM, Respondent

PARENTING PLAN - 9WPF DR 01.0400 (6/2006); RCW 26.09.181; .187; .194S:\CASES9\VanDanvpptcmp wpd

-JttegS/Commissio

THOMAS L. VAN DAM j Petitioner

IN COUNTY1 Cl I rK'S OFFlfcl

OCT 3 02007 pj.Pk e v In s ra c TKY'f!!VASHIN

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Petitioner,

vs.

SARA L. VAN DAM,

CERTIFICATION OF COMPLETION OF PARENTING CLASS RE:THOMAS L. VAN DAM

Respondent.

-1S 'CASES9\VanDam\Parcnting Class Certification cover sheet rc Thomas wpd



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Pierce County Superior Court Number:

T h is

Certificate of attendanceis h e re b y a w a rd e d to

~ V v \o trsCfr L . \l< \n

fo r a tte n d in g a n d c o m p le t in g th e

J nip act of tDivwce O n C fiiC c b te a

S eminentC o n d u c te d b y G a te w a y s f o r Y o u th a n d F a m il ie s

In P ie rc e C o u n ty , W a s h in g to n o n th is d a y

SEPTEMBER 8, 2007

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Petitioner,

vs.

CERTIFICATION OF COMPLETION OF PARENTING CLASS RE: SARA L. VAN DAM

SARA L. VAN DAM,

Respondent.

- IS:\CASES9WanDam\Parenting Class Certification cover sheet re Sara wpd


5920 100th Street S.W., Suite 25 LAKEWOOD. WA 98499

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C ourt C ause N um ber:

THIS CERTIFIES THAT

Van Ham, SaraHas successfully completed the four-hour class,

What Children o f Divorce Really Need

Presented by Lesa Swanson, LICSW and Richard MacLeod,LICSW

Dated this 8th day o f October, 2007 at the City o f Tacoma, State o f Washington.

Lesa Sw anson, L IC SW

Location: M a ry B ridge C h ild ren 's H ealth C enter

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1N countT S s omcE

m *. OCT 3 0 2 0 0 7PIERCE CO UNTY^ASnH^ , Te?l!) KEVIN STOCK/C/untyoEpunBY.




THOMAS L. VAN DAM,

Petitioner,

vs.

SARA L. VAN DAM,

Respondent. I. II.

NO. 07-3-02242-1

ORDER OF CHILD SUPPORT FINAL (ORS)

Clerks Action Required.

I. JUDGMENT SUMMARY

Does not apply because no attorneys fees or back support has been ordered.

II. BASIS

2.1 TYPE OF PROCEEDING

This order is entered pursuant to a:

Decree of Dissolution entered on this date.

2.2 CHILD SUPPORT WORKSHEET.

The child support worksheet which has been approved by the court is attached to this order and is incorporated by reference or has been initialed and filed separately and is incorporated by reference.

2.3 OTHER:

ORDER OF CHILD SUPPORT - ]WPF DR 01.0500 (7/2006); RCW 26.26.132; 26.26.132(5)S:\CASELS9Wan DanMnaftors final. wpd


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IT IS ORDERED that:

3.1 CHILDREN FOR WHOM SUPPORT IS REQUIRED.

Name (Tirst/last) Age

Silas R. Van Dam 4

3.2 PERSON PAYING SUPPORT (OBLIGOR).

Name (first/last): Sara L. Van Dam

Birth date: 09/22/1975

Service Address*: P O Box 7143Bonney Lake, WA 98391

* You may list an address that is not your residential address where you agree to accept legal documents.

THE OBLIGOR PARENT MUST IMMEDIATELY FILE WITH THE COURT AND THE WASHINGTON STATE CHILD SUPPORT REGISTRY, AND UPDATE AS NECESSARY, THE CONFIDENTIAL INFORMATION FORM REQUIRED BY RCW 26.23.050.

THE OBLIGOR PARENT SHALL UPDATE THE INFORMATION REQUIRED BY PARAGRAPH 3.2 PROMPTLY AFTER ANY CHANGE IN THE INFORMATION. THE DUTY TO UPDATE THE INFORMATION CONTINUES AS LONG AS ANY MONTHLY SUPPORT REMAINS DUE OR ANY UNPAID SUPPORT DEBT REMAINS DUE UNDER THIS ORDER.

Monthly Net Income: $2,310.00

3.3 PERSON RECEIVING SUPPORT (OBLIGEE):

Name (first/last): Thomas L. Van Dam

Birth date: 10/21/1969

Service Address*: 16014 - 64th St. E #C

* You may list an address that is not your residential address where you agree to accept legal documents.

THE OBLIGEE MUST IMMEDIATELY FILE WITH THE COURT AND THE WASHINGTON STATE CHILD SUPPORT REGISTRY, AND UPDATE AS NECESSARY, THE CONFIDENTIAL INFORMATION FORM

Sumner, WA 98390


S; \CAS ES 9\ Van Dani\flna]Vors (Inal. wpd

ORDER OF CHILD SUPPORT - 2WPF DR 0 1.0500 (7/2006); RCW 26.26.122; 26.26.132(5)

Attorneys at Law 5920 100th Street S.W., Suite 25

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REQUIRED BY RCW 26.23.050.

THE OBLIGEE SHALL UPDATE THE INFORMATION REQUIRED BY PARAGRAPH 3.3 PROMPTLY AFTER ANY CHANGE IN THE INFORMATION. THE DUTY TO UPDATE THE INFORMATION CONTINUES AS LONG AS ANY MONTHLY SUPPORT REMAINS DUE OR ANY UNPAID SUPPORT DEBT REMAINS DUE UNDER THIS ORDER.

Monthly Net Income: $3,641.35

The Obligor may be able to seek reimbursement for day care or special child rearing expenses not actually incurred. RCW 26.19.080.

3.4 SERVICE OF PROCESS.

SERVICE OF PROCESS ON THE OBLIGOR AT THE ADDRESS REQUIRED BY PARAGRAPH 3.2 OR ANY UPDATED ADDRESS, OR ON THE OBLIGEE AT THE ADDRESS REQUIRED BY PARAGRAPH 3.3 OR ANY UPDATED ADDRESS, MAY BE ALLOWED OR ACCEPTED AS ADEQUATE IN ANY PROCEEDING TO ESTABLISH, ENFORCE, OR MODIFY A CHILD SUPPORT ORDER BETWEEN THE PARTIES BY DELIVERY OF WRITTEN NOTICE TO THE OBLIGOR OR OBLIGEE AT THE LAST ADDRESS PROVIDED.

3.5 TRANSFER PAYMENT.

The obligor parent shall pay the following amounts per month for the following children:

Name Amount

Silas R. Van Dam $0.00

Total Monthly Transfer Amount $0.00

THE OBLIGOR PARENTS PRIVILEGES TO OBTAIN OR MAINTAIN A LICENSE, CERTIFICATE, REGISTRATION, PERMIT, APPROVAL, OR OTHER SIMILAR DOCUMENT ISSUED BY A LICENSING ENTITY EVIDENCING ADMISSION TO OR GRANTING AUTHORITY TO ENGAGE IN A PROFESSION, OCCUPATION, BUSINESS, INDUSTRY, RECREATIONAL PURSUIT, OR THE OPERATION OF A MOTOR VEHICLE, MAY BE DENIED OR MAY BE SUSPENDED IF THE OBLIGOR PARENT IS NOT IN COMPLIANCE WITH THIS SUPPORT ORDER AS PROVIDED IN CHAPTER 74.20A REVISED CODE OF WASHINGTON.

3.6 STANDARD CALCULATION.

ORDER OF CHILD SUPPORT - 3WPF DR 01.0500 (7/2006); RCW 26.26.132; 26.26.132(5)S:\CASES9W anDam\final\ors final. wpd



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3.6 STANDARD CALCULATION.

$368.75 per month. (See Worksheet A, line 15.)

3.7 REASONS FOR DEVIATION FROM STANDARD CALCULATION.

The child support amount ordered in paragraph 3.5 deviates from the standard calculation for the following reasons:

The child spends a significant amount of time with the parent who is obligated to make a support transfer payment. The deviation does not result in insufficient funds in the receiving parents household to meet the basic needs of the child. The child does not receive public assistance.

3.8 REASONS WHY REQUEST FOR DEVIATION WAS DENIED.

Does not apply. A deviation was ordered.

3.9 STARTING DATE AND DAY TO BE PAID.

Starting Date: November 1, 2007

Day(s) of the month support is due: n/a

3.10 INCREMENTAL PAYMENTS.

Does not apply.

3.11 HOW SUPPORT PAYMENTS SHALL BE MADE.

Does not apply.

3.12 WAGE WITHHOLDING ACTION

Withholding action may be taken against wages, earnings, assets, or benefits, and liens enforced against real and personal property under the child support statutes of this or any other state, without further notice to the obligor parent at any time after entry of this order unless an alternative provision is made below:

[If the court orders immediate wage withholding in a case where Division of Child Support does not provide support enforcement services, a mandatory wage assignment under Chapter 26.18 RCW must be entered and support payments must be made to the Support Registry.]

3.13 TERMINATION OF SUPPORT.

Support shall be paid:

Until the child reaches the age of 18 or graduates from high school,


ORDER OF CHILD SUPPORT - 4WPF DR 01.0500 (7/2006); RCW 26.26.132; 26.26.132(5)

A t t o r n e y s a t Law 5920 100th Street S.W,, Suite 25

Lakewood, WA 98499 (253) 581-0660

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whichever occurs last, except as otherwise provided below in Paragraph 3.14.

3.14 POST SECONDARY EDUCATIONAL SUPPORT.

The right to petition for post secondary support is reserved, provided that the right is exercised before support terminates as set forth in paragraph 3.13.

3.15 PAYMENT FOR EXPENSES NOT INCLUDED IN THE TRANSFER PAYMENT.

The mother shall pay 50% and the father 50% (each parents proportional share of income from the Child Support Schedule Worksheet, line 6) of the following expenses incurred on behalf of the children listed in Paragraph 3.1:

[x] day care.[x] educational expenses.

Payments shall be made to the provider of the service.

3.16 PERIODIC ADJUSTMENT.

Does not apply.

3.17 INCOME TAX EXEMPTIONS.

Tax exemptions for the children shall be allocated as follows:

Father shall be entitled to claim minor child during odd numbered years; and Mother shall be entitled to claim minor child during even numbered years.

The parents shall sign the federal income tax dependency exemption waiver.

3.18 MEDICAL INSURANCE FOR THE CHILDREN LISTED IN PARAGRAPH 3.1.

Unless one or more of the alternatives below are checked, each parent shall maintain or provide health insurance coverage if:

Alternative 3: The parent below is not obligated to provide health insurance coverage.

Mother

This parent is not obligated to provide health insurance coverage because:

The other parent provides insurance coverage.

ORDER OF CHILD SUPPORT - 5WPF DR 01.0500 (7/2006); RCW 26.26.132; 26.26.132(5)S AC A S E$9\ VanDam\ finat\on final.wpd



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The parents shall maintain health insurance coverage, if available for the children listed in paragraph 3.1, until further order of the court or until health insurance is no longer available through the parents employer or union and no conversion privileges exist to continue coverage following termination of employment.

A parent who is required under this order to provide health insurance coverage is liable for any covered health care costs for which that parent receives direct payment from an insurer.

A parent who is required under this order to provide health insurance coverage shall provide proof that such coverage is available or not available within twenty days of the entry of this order to the physical custodian or the Washington State Support Registry if the parent has been notified or ordered to make payments to the Washington State Support Registry.

If proof of health insurance coverage is available or not available is not provided within twenty days, the parent seeking enforcement or the Department of Social and Health Services may seek direct enforcement of the coverage through the obligors employer or union without further notice to the obligor as provided under Chapter 26.18 RCW.

3.19 EXTRAORDINARY HEALTH CARE EXPENSES.

Unless specifically ordered otherwise, the person receiving support is responsible for ordinary health care expenses of the child. However, both parents have an obligation to pay their share of extraordinary health care expenses. Extraordinary health care expenses mean those monthly medical expenses that exceed 5% of the basic support obligation from the Child Support Schedule Worksheet, Line 5.

The OBLIGOR and OBLIGEE shall each pay 50% of extraordinary health care expenses (the obligors proportional share of income from the Child Support Schedule Worksheet, line 6).

3.20 BACK CHILD SUPPORT.

No back child support is owed at this time.

3.21 BACK INTEREST.

No back interest is owed at this time.

3.22 OTHER:

The parties agree to establish a joint bank account for additional expenses related to Silas. The account shall be used for such expenses as school clothing

FAUBION, JOHNSON & REEDER, P.S._ ^ ^ _ _ _ TTTT Attorneys at LawORDER OF CHILD SUPPORT - 6 5920100 street s .w . suite 25WPF DR 0 1.0500 (7/2006); RCW 26.26.132; 26.26.132(5) Lakewood, WA 98499S:\CASES9\VsinDam\finat\ors(Inal.wpd (253) 581*0660

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and supplies, extracurricular activities, sports fees and equipment, and other uses the parties might agree upon. It is not to be used as the primary source of funds for expenses related to Silas.

Initially, Father shall deposit $150.00 per month into the account and Mothers deposits shall be discretionary. Either party may individually withdraw funds from this account and shall provide notice and copies of all relevant receipts to the other party within ten (10) days.

DONE IN OPEN COURT this D O day O c Y

Ju^ge/Commissioner

PRESENTED BY:

FAUBION, JOHNS EDER, P.S.

APPROVED AS TO FORM; NOTICE OF PRESENTMENT WAIVED:

AM OCT 3 02007

ORDER OF CHILD SUPPORT - 7WPF DR 01.0500 (7/2006); RCW 26.26.132; 26.26.132(5)S:\CASEjS9VVan DanVifmaKorsfinal. wpd

FAUBION, JOHNSON & REEDER, P.S.ATTORNEYS AT LAW


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count''FclI rk 'S o f f ic eA.M. cr 3 02007 P.M.

STOC^cT ^ GT*By______ Cpunty Clerk z oepury

WASHINGTON STATE CHILD SUPPORT SCHEDULE WORKSHEETS[ X p roposed by [ ] Mother [ X ] Father [ ] State of WA [ ] O ther_____________________________.(CSWP)

Or, [ ]Signed by the Judiciaf/Reviewing Officer. (CSW)

MOTHER SARA L. VAN DAM FATHER THOMAS L. VAN DAMCOUNTY PIERCE SUPERIOR COURT/OAH CASE NO. 07-3-02242-1

CHILD SUPPORT ORDER SUMMARY REPORTA. The order [ ] does [ X ] does not replace a prior court or adminstrative order.B. The STANDARD CALCULATION listed on line 15e of the Worksheet for the paying parent is:

$368.75.C. The TRANSFER AMOUNT ordered by the Court from the Order of Child Support 1 is: $0.00 to be paid by the [ ] mother [ X ] father.|D. The Court deviated (changed) from the STANDARD CALCULATION for the following reasons: j [ ] Does not apply

[ ] Nonrecurring income [ ] Sources of income and tax planning [ X ] Split custody [ ) Residential schedule (including shared custody)[ ] Children from other relationships for whom the parent owes support [ ] High debt not voluntarily incurred and high expenses for the child(ren)[ ] Other (please describe):

E. Income for the Father is ( ] imputed [ X ] actual income.Income for the Mother is [ ] imputed [ X ] actual income.

F. If applicable: [ ] All health care, day care and special child rearing expenses are included in the worksheets in Part II.

WORKSHEETS

Children and Ages Silas Van Dam 5

Part I: Basic Support O b ligation (See Instructions, page 1)

1. Gross Monthly Income Fa the r M other

a. Wages and Salaries $4,420.00 $2,773.00

b. Interest and Dividend Income $0.00 $0.00

c. Business Income $0.00 $0.00

d. Spousal Maintenance Received $0.00 $0.00

e. Other Income $0.00 $0.00

f. Total Monthly Gross Income (add lines 1a through 1e) $4,420.00 $2,773.00

WSCSS-Worksheets - Mandatory (CSW/CSWP) 7/2007 page 1 of 5 Faubion, Johnson & Reeder, P.S.Original 10/17/2007 4:08PM

2. Monthly Deductions from Gross Income Father M other

a. Income Taxes (Federal and State) $235.00 $251.00

b. F1CA (Social Security plus Medicare)/Self-Empioyment Taxes $325.00 $212.00

c. State Industrial Insurance Deductions $0.00 $0.00

d. Mandatory Union/Professional Dues $52.00 $0.00

e. Pension Plan Payments $167.00 $0.00

f. Spousal Maintenance Paid $0.00 $0.0Q

g. Normal Business Expenses $0.00 $Q.OO

h. Total Deductions from Gross Income (add lines 2a through 2g) $779.00 $463.00

3. Monthly Net Income (line 1f minus line 2h) J $3,641,00 $2,310.00

4. Combined Monthly Net lncome(add father's and mother's net incomes from line 3) ^ g51 QQ (If combined monthly net income is less than $600, skip to line 7.)

5. Basic Child Support Obligation (enter total amount in box -> )

Silas Van Dam $862 (advisory)

6. Proportional Share of Income(each parent's net income from line 3 divided by line 4)

61.18% 38.82%

7. Each Parent's Basic Child Support Obligation (multiply each number on line 6 by line 5)

(If combined net monthly income on line 4 is less than $600, enter each parent's support obligation of $25 per child. Number of children: 1. Skip to line 15a and enter this amount)

$527.37 $334.63

Part II: Health Care, Day Care, and Special Child Rearing Expenses (See instructions, page 3)

8. Health Care Expenses

a. Monthly Health Insurance Premiums Paid for Child(ren) $131.00 $0.00

b. Uninsured Monthly Health Care Expenses Paid for Child(ren) $0.00 $0.00

c, Total Monthy Health Care Expenses (line 8a plus line 8b) $131.00 $0.00

d. Combined Monthly Health Care Expenses (add father's and mother's totals from line 8c)

e. Maximum Ordinary Monthly Health Care (multiply line 5 times 0.05) $43,10

f. Extraordinary Monthly Health Care Expenses $87.90 (tine 8d minus 8e, if "0 or negative enter "0")

9. Day Care and Special Child Rearing Expenses

a. Day Care Expenses $0.00 $0.00

b. Education Expenses $0.00 $0.00

c. Long Distance Transportation Expenses $0.00 $0.00

d. Other Special Expenses (describe)

e. Total Day Care and Special Expenses (add lines 9a through 9d) $0.00 $0.00

10. Combined Monthly Total of Day Care and Special Expenses(add father's and mother's day care and special expenses from line 9e) $0.00

WSCSS-Worksheets - Mandatory (CSW/CSWP) 7/2007 page 2 of 5

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1 1 , Total Extraordinary Health Care, Day Care, and Special Expenses (line 8 f d Ius line 10)

^ $87.90

Father M other

12, Each Parent's Obligation for Extraordinary Health Care. Day Care, and Special Expenses (multiply each number on line 6 by line 11)

$53.78 $34.12

Part III: G ross C hild S upport O bligation

13. Gross Child Support Obligation (line 7 plus line 12) $581.15 $368.75

Part IV: C hild S upport C red its (See instructions, page 3)

14. Child Support Credits

a. Monthly Health Care Expenses Credit $131.00 $0.00

b. Day Care and Special Expenses Credit $0.00 $0.00

c. Other Ordinary Expense Credit (describe)

d. Total Support Credits (add lines 14a through 14c) $131.00 $0.00

Part V: S tandard C alcu la tion /P resum ptive T ransfer Paym ent (See Instructions, page 4)

15. Standard Calculation

a. Amount from line 7 if line 4 is below $600. Skip to part VI. $0.00 $0.00

b. Line 13 minus line 14d, if line 4 is over $600 (see below if applicable). $450.15 $368.75

Limitation standards adjustments

c. Amount on line 15b adjusted to meet 45% net income limitation $1,638.45 $1,039.50

d. Amount on line 15b adjusted to meet need standard limitation $2,625.00 $1,294.00

e. Enter the lowest amount of lines 15b, 15c or 15d. $450.15 $368.75

Part VI: A dd itiona l Factors fo r C onsideration (See instructions, page 4)

16. Household Assets (List the estimated present value of all major household assets.) Father'sHousehold

Mother'sHousehold

a. Real Estate

b. Stocks and Bonds

c. Vehicles

d. Boats

e. Pension/IRAs/Bank Accounts

f. Cash

g. Insurance Plans

h. Other (describe)

17. Household Debt (List liens against household assets, extaordinary debt)


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(Household Debt continued) Father'sHousehold

Mother'sHousehold

18. Other Household Income

a. Income of Current Spouse (If not the other parent of this action.)

Name

Name

b. Income o f Other Adults in Household Name

Name

c. Income of Children (If considered extraordinary) Name

Name

d. Income From Child Support Name

Name

e. Income From Assistance Programs

Program

Program

f. Other Income (describe)

19. Non-Recurring Income (describe)

20. Child Support Paid For Other Children

Name/Age

Name/Age

21. Other Children Living In Each Household (First names and ages)


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This worksheet has been certified by the State of Washinton Office of the Adminstrator for the Courts.

WSCSS-Worksheets' (CSW) 9/2000 page 5 of 5 2001-05 Thomas E. Jaffe

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07-3-02242-1 28540461 FNFCL 10-31-07

iTr Deputy




THOMAS L. VAN DAM,

Petitioner,

vs.

SARA L. VAN DAM,

Respondent. I. II.

NO. 07-3-02242-1

FINDINGS OF FACT AND CONCLUSIONS OF LAW

I. BASIS FOR FINDINGS

The findings are based on agreement.

II. FINDINGS OF FACT

Upon the basis of the court record, the court FINDS:

2.1 RESIDENCY OF PETITIONER.

The petitioner is a resident of the State of Washington.

2.2 NOTICE TO THE RESPONDENT.

The respondent accepted service on June 23, 2007.

FINDINGS OF FACT AND CONCLUSIONS OF LAW - 1WPF DR 04.0300 (6/2006); CR 52; RCW 26.09.030; .070(3)S:\CAS ES9\VanDam\finaI\iTc l.wpd



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2.3 BASIS OF PERSONAL JURISDICTION OVER THE RESPONDENT.

The facts below establish personal jurisdiction over the respondent.

The respondent is presently residing in Washington.The parties lived in Washington during their marriage and the petitioner continues to reside, or be a member of the armed forces stationed, in this state.

2.4 DATE AND PLACE OF MARRIAGE.

The parties were married on March 20, 1999 at Newport, Oregon.

2.5 STATUS OF THE PARTIES.

Husband and wife separated in April, 2006.

2.6 STATUS OF THE MARRIAGE.

The marriage is irretrievably broken and at least 90 days have elapsed since the date the petition was filed and since the date the summons was served or the respondent joined.

2.7 SEPARATION CONTRACT OR PRENUPTIAL AGREEMENT.

There is no written separation contract or prenuptial agreement.

2.8 COMMUNITY PROPERTY.

The parties have the following real or personal community property:

1. 2005 Ford Focus, subject to the obligation owing thereon;2. 1997 Toyota 4 Runner.3. Any and all household goods, furniture and furnishings presently






2.9 SEPARATE PROPERTY.

The husband has no real or personal separate property.

The wife has no real or personal separate property.

FINDINGS OF FACT AND CONCLUSIONS OF LAW - 2WPF DR 04.0300 (6/2006); CR 52; RCW 26.09.030; .070(3)S:\CASES9WanDam\final\ffcl.wpd



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2.10 COMMUNITY LIABILITIES.

The parties have incurred the following community liabilities:

Creditor Amount

1. Any and all expenses associated with the vehicle in his/her possession to include insurance, tabs and repairs; and2. Any and all expenses associated with his/her residence;3. Obligation owing to Alaska Federal Credit Union for 2005 Ford Focus;4. Sallie Mae for student loans5. Wells Fargo, credit card6. Chase credit card7. Unicom Financial for loan.

2.11 SEPARATE LIABILITIES.

The husband has no known separate liabilities.

The wife has no known separate liabilities.

2.12 MAINTENANCE.

Maintenance was not requested.


Does not apply.


Does not apply.

2.15 FEES AND COSTS.

There is no award of fees or costs.

2.16 PREGNANCY.

The wife is not pregnant.

2.17 DEPENDENT CHILDREN.

The children listed below are dependent upon either or both spouses.

Name of Mothers Fathersof Child Age Name Name

Silas R. Van Dam 4 Sara Van Dam Thomas Van Dam

FINDINGS OF FACT AND FAUBION, JOHNSON & REEDER, P.S.At t o r n e y s a t Law

CONCLUSIONS OF LAW - 3 5920 100th Street S.W., Suite 25WPF DR 04.0300 (6/2006); CR 52; RCW 26.09.030; .070(3) U kewood, WA 98499S:\CASES9\VanDam\fmaI\lTcl.wpd (253) 581 -0660

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2.18 JURISDICTION OVER THE CHILDREN.

This court has jurisdiction over the children for the reasons set forth below.

This state is the home state of the children because:

the children lived in Washington with a parent or a person acting as a parent for at least six consecutive months immediately preceding the commencement of this proceeding.

2.19 PARENTING PLAN.

The parenting plan signed by the court on this date is approved and incorporated as part of these findings.

This parenting plan is the result of an agreement of the parties.

2.20 CHILD SUPPORT.

There are children in need of support and child support should be set pursuant to the Washington State Child Support Schedule. The Order of Child Support signed by the court on this date and the child support worksheet which has been approved by the court are incorporated by reference in these findings.

2.21 OTHER:

III. CONCLUSIONS OF LAW

The court makes the following conclusions of law from the foregoing findings of fact:

3.1 JURISDICTION.

The court has jurisdiction to enter a decree in this matter.

3.2 GRANTING OF A DECREE.

The parties should be granted a decree,

3.3 PREGNANCY.

Does not apply.

3.4 DISPOSITION.

The court should determine the marital status of the parties, make provision for a parenting plan for any minor children of the marriage, make provision for the support of any minor child of the marriage entitled to support, consider or

FINDINGS OF FACT AND CONCLUSIONS OF LAW - 4WPF DR 04.0300 (6/2006); CR 52; RCW 26.09.030; .070(3)S:\CASES9Wan Danftfin aft (Tel-wpd


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approve provision for the maintenance of either spouse, make provision for the disposition of property and liabilities of the parties, make provision for the allocation of the children as federal tax exemptions, make provision for any necessary continuing restraining orders, and make provision for the change of name of any party. The distribution of property and liabilities as set forth in the decree is fair and equitable.


Does not apply.


Does not apply.

3.7 ATTORNEYS FEES AND COSTS.

Does not apply.

3.8 OTHER:

c OUNTVF CLER.s 0FF(c e

* * C f 3 0 2 0 0 7 p.m,

--- - - oepury

DONE IN OPEN COURT this

REEDER, P.S.

PRESENTED BY:

F A U ^ N , JO

ByCONT P. JOHNSON, WSBA# 14794 Of Attorneys for Paiitioner

APPROVED AS TO FORM; NOTICE OF

FINDINGS OF FACT AND CONCLUSIONS OF LAW -5WPF DR 04.0300 (6/2006); CR 52; RCW 26,09.030; .070(3)S: \C AS ES9W anDom\fina!\ffc [, wpd


5920 10Ot h Street S. W.. Suite 25 Lakewood. WA 98499

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STATE OF WASHINGTON )) ss:

County of Pierce )

THOMAS L. VAN DAM, being first duly sworn on oath, deposes and says:

I am the Petitioner in this case; and I have read the foregoing findings of fact and

have also read the conclusions of law, decree, and the support order and related

documents, if included herein; and they are true and accurate to the best of my

knowledge. I am not seeking any relief beyond that specifically requested in the

petition. The Wife is not now pregnant.

Findings of Fact and Conclusions of Law Verification by PetitionerS:'CASES9\Van DarrAflnafl ffd.wpd



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STATE OF WASHINGTON )) ss:

County of Pierce )

SARA L. VAN DAM, being first duly sworn on oath, deposes and says:

I am the Respondent in this case; and I have read the foregoing findings of fact

and have also read the conclusions of law, decree, and the support order and related

documents, if included herein; and they are true and accurate to the best of my

knowledge. The support requested is in compliance with the Uniform Support

Guidelines. Neither of us have any other children except those mentioned herein. J am

not now pregnant.

Findings of Fact and Conclusions of Law Verification by RespondentS:\CASES9WanDam\fmal\ncl wpd



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07-3-02242-1 28540462 DCD 10-31-07

IN CUNTyF t|DOFFICE

p*"' CJ 3 02007 p.Mi ^ s ^ - c^ aHwcoToN

"" 1 deputy




THOMAS L. VAN DAM,

Petitioner,

vs.

SARA L. VAN DAM,

Respondent.

NO. 07-3-02242-1

DECREE OF DISSOLUTION (DCD)

Clerks Action Required.

I. JUDGMENT/ORDER SUMMARIES

1.1 RESTRAINING ORDER SUMMARY.

Does not apply.

1.2 REAL PROPERTY JUDGMENT SUMMARY:

Does not apply.

1.3 MONEY JUDGMENT SUMMARY.

Does not apply.

END OF SUMMARIES

DECREE OF DISSOLUTION (DCD) - 1WPF DR 04.0400 (6/2006); RCW 26.09.030; .040; .070(3)S:\CAS ESQ Wan Dam\finaMecrcc. wpd



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II. BASIS

Findings of Fact and Conclusions of Law have been entered in this case.

III. DECREE

IT IS DECREED that:

3.1 STATUS OF THE MARRIAGE.

The marriage of the parties is dissolved.

3.2 PROPERTY TO BE AWARDED THE HUSBAND.

The husband is awarded as his separate property the following property (list real estate, furniture, vehicles, pensions, insurance, bank accounts, etc.):

1. 2005 Ford Focus, subject to the obligation owing thereon;2. Any and all household goods, furniture and furnishings presently






3.3 PROPERTY TO BE AWARDED TO THE WIFE.

The wife is awarded as her separate property the following property (list real estate, furniture, vehicles, pensions, insurance, bank accounts, etc.):

1. 1997 Toyota 4 Runner.2. Any and all household goods and furnishings presently in her

possession;3. Any and all clothing, jewelry and personal effects in her


in her name;5. Any and all retirement, pension or other employment benefits

earned during her employment; and her Social Security benefits6. Any and all life insurance insuring her life.

3.4 LIABILITIES TO BE PAID BY THE HUSBAND.

The husband shall pay the following community or separate liabilities:

DECREE OF DISSOLUTION (DCD) - 2WPF DR 04,0400 (6/2006); RCW 26.09.030; .040; .070(3)S.'.CASESQW anDam'.finaMecrct .w pd



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Creditor Amount

1. Any and all expenses associated with the vehicle in his possession to include insurance, tabs and repairs; and2. Any and all expenses associated with his residence;3. Obligation owing to Alaska Federal Credit Union for 2005 Ford Focus;4. Sallie Mae for student loans5. Wells Fargo, credit card

Unless otherwise provided herein, the husband shall pay all liabilities incurred by him since the date of separation.

3.5 LIABILITIES TO BE PAID BY THE WIFE.

The wife shall pay the following community or separate liabilities:

Creditor Amount

1. Any and all expenses associated with the vehicle in her possession to include insurance, tabs and repairs; and2. Any and all expenses associated with her residence;3. Chase for credit card4. Unicom Financial for loan

Unless otherwise provided herein, the wife shall pay all liabilities incurred by her since the date of separation.

3.6 HOLD HARMLESS PROVISION.

Each party shall

Documents

Thomas l Van Dam vs. Sara l Van Dam Case Number 07-3-02242-1