This is a sample only. This document is to be re-typed with pertinent information reflected Name Address Telephone Number Plaintiff / Defendant Pro Se IN THE FAMILY COURT OF THE FIRST CIRCUIT STATE OF HAWAI‘I vs. ) ) PLAINTIFF, ) ) ) ) ) ) DEFENDANT. ) ) FC-CU No. PLAINTIFF’S / DEFENDANT’S POSITION STATEMENT PLAINTIFF’S / DEFENDANT’S POSITION STATEMENT Plaintiff/Defendant submits his/her Position Statement in accordance with Rule 94 of the Hawai‘i Family Court Rules. Circumstances of the Parties Date and place civil union was solemnized. Date and place of physical separation. Different date of final separation in contemplation of civil union divorce date? Plaintiff’s prior civil unions and/or marriages. Defendant’s prior civil unions and/or marriages. Plaintiff’s age and birthdate. Defendant’s age and birthdate. Please call Ho‘okele, Family Court’s Help Desk, at 954-8290, if you have any questions about how to fill out this form. FC Adm 12/11 Reprographics (01/12) 1F RevaComm 508 Certified 1 Plaintiff/Defendant’s Position Statement 1F-P-862 Names, birth dates, custodial circumstances, and educational circumstances of children. Plaintiff’s educational background. Defendant’s educational background. Plaintiff’s employer, position, and income. Defendant’s employer, position, and income. Plaintiff’s residence address. Defendant’s residence address. Plaintiff is not pregnant. Defendant is not pregnant. Special facts and circumstances. Procedural History Date complaint filed and answer served. Status of interim orders. Pending motions and hearings. Discovery status. Position on Issues Jurisdiction. Divorce itself. Legal custody. Physical custody. Visitation. Child support. Child health care. FC Adm 12/11 Reprographics (01/12) 1F RevaComm 508 Certified 2 Plaintiff/Defendant’s Position Statement 1F-P-862 Maintenance of insurance. Payment of excess expenses. Child educational expenses. Alimony. Security for support. Property Division Credit union and bank accounts and cash. Securities. Vehicles. Real property. Life insurance. Retirement. Trust property. Personal effects. Household effects. Business assets. Investment assets. Other property. Debt. Tax matters. Liability on prior joint returns. Filing future joint returns. Allocation of credits, income and deductions on future separate returns. Taxability/deductibility of alimony, child support, and payments for property division. Dependency exemptions. Allocation of capital gain on future separate returns. Payments for property division. FC Adm 12/11 Reprographics (01/12) 1F RevaComm 508 Certified 3 Plaintiff/Defendant’s Position Statement 1F-P-862 Compliance with prior orders, arrearages, and enforcement. Name change. Execution of necessary documents. Binding effect on heirs. Entitlement to property division. Obligation to pay indebtedness. Obligation to pay alimony. Obligation to pay child support, health care, educational expenses. Effective date of divorce. DATED: , Hawai‘i, (City) . (Date) Signature of Plaintiff /Defendant Pro Se FC Adm 12/11 Reprographics (01/12) 1F RevaComm 508 Certified 4 Plaintiff/Defendant’s Position Statement 1F-P-862
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