Washington Decree of Dissolution of Marriage Form

This form certifies the completion of a divorce case filed in the State of Washington. To be valid, the form must be signed by the Judge during the divorcing couple’s final court hearing.Download

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Decree (DCD) (DCLGSP) (DCINMG) - Page 1 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
   
 
 
 
 
 
 
 
 
 
 	
Superior Court of Washington 
County of 
 
In re the Marriage of: 
 
 
 
Petitioner, 
and 
 
 
 
Respondent.  	
No.   
[ ] 	Decree of Dissolution	 (DCD) 
[ ]  	
Decree of Legal Separation	 
 (DCLGSP) 
[ ]  	
Declaration Concerning 
Validity	
 (DCINMG) 
 	
(Marriage) 	
[ ]  Clerk’s action required 
[ ]   Law Enforcement Notification, ¶ 3.8	
 	
I. Judgment/Order Summaries 
1.1  Restraining Order Summary: 	
  [ ] Does not apply.   [ ] Restraining Order Summary is set forth below: 
Name of person(s) restrained:  	
. Name of person(s) 	
 protected: 	. See paragraph 3.8.	 	 
Violation of a Restraining Order in Paragraph 3.8 Below With Actual Knowledge of its 
Terms is a Criminal Offense Under Chapter 26.50 RCW and Will Subject the Violator to 
Arrest.  RCW 26.09.050.  
1.2  Real Property Judgment Summary: 
  [ ] Does not apply.  [ ] Real Property Judgment Summary is set forth below: 
Assessor’s property tax parcel or account number:  	
Or 	
Legal description of the property awarded (including lot, block, plat, or section, township, range, county and state): 
 
 
 	See Page _________ for full legal description	 	 
1.3  Money Judgment Summary: 
  [ ]  Does not apply.   [ ]  Judgment Summary is set forth below.  
A.  Judgment creditor   
B.  Judgment debtor

Decree (DCD) (DCLGSP) (DCINMG) - Page 2 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
  C.  Principal judgment amount  $  	
 
D.  Interest to date of judgment  $  
 
E.  Attorney fees  $  
 
F.  Costs  $  
 
G. Other recovery amount  $  
 
H.  Principal judgment shall bear interest at __________ % per annum 
I.   Attorney fees, costs and other recovery amounts shall bear interest at __________ % per annum 
J.  Attorney for judgment creditor    	
 
K. Attorney for judgment debtor   
 
L. Other: 	
 	
End of Summaries 	
 	
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. 
  [ ]  The husband and wife are legally separated. 
  [ ]  The marriage of the parties is invalid. 
  [ ]  The marriage of the parties is valid.	
 
 	
3.2  Property to be Awarded the Husband 
 
[ ]  The husband is awarded as his separate property the property set forth in Exhibit _____.  
This exhibit is attached or filed and incorporated by reference as part of this decree. 
[ ]  The husband is awarded as his separate property the property set forth in the separation 
contract or prenuptial agreement executed by the parties on (date) ___________________ . 
The separation contract or prenuptial agreement is incorporated by reference as part of this 
Decree.  The prenuptial agreement or, pursuant to RCW 26.09.070(5), the separation 
contract [ ] is [ ] is not filed with the court. 
[ ]  The husband is awarded as his separate property the following property (list real estate, 
furniture, vehicles, pensions, insurance, bank accounts, etc.):

Decree (DCD) (DCLGSP) (DCINMG) - Page 3 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
   
 [ ] Other: 
 
 
 
 	
3.3  Property to be Awarded to the Wife 
 
  [ ]  The wife is awarded as her separate property the property set forth in Exhibit _____.  This 
exhibit is attached or filed and incorporated by reference as part of this decree. 
  [ ]  The wife is awarded as her separate property the property set forth in the separation contract 
or prenuptial agreement referenced above. 
  [ ]  The wife is awarded as her separate property the following property (list real estate, 
furniture, vehicles, pensions, insurance, bank accounts, etc.): 
 
 
 
 
 
 
 
 
 [ ] Other: 
 
 
3.4  Liabilities to be Paid by the Husband 
 
  [ ]  Does not apply. 
  [ ]  The husband shall pay the community or separate liabilities set forth in Exhibit _____.  This 
exhibit is attached or filed and incorporated by reference as part of this decree. 
  [ ]  The husband shall pay the community or separate liabilities as set forth in the separation 
contract or prenuptial agreement referenced above. 
  [ ]  The husband shall pay the following community or separate liabilities: 
 
    Creditor	
     Amount	 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 [ ] Other:

Decree (DCD) (DCLGSP) (DCINMG) - Page 4 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
   
 
 
 
  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 
 
  [ ]  Does not apply. 
  [ ]  The wife shall pay the community or separate liabilities set forth in Exhibit _____.  This 
exhibit is attached or filed and incorporated by reference as part of this decree. 
  [ ]  The wife shall pay the community or separate liabilities as set forth in the separation 
contract or prenuptial agreement referenced above. 
  [ ]  The wife shall pay the following community or separate liabilities: 
 
    Creditor	
     Amount	 
 
 
 
 
 
 
 
 
 
 
 
 
 
 [ ] Other: 
 
 
  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 hold the other party harmless from any collection action relating to separate 
or community liabilities set forth above, including reasonable attorney's fees and costs 
incurred in defending against any attempts to collect an obligation of the other party. 
 [ ] Other:

Decree (DCD) (DCLGSP) (DCINMG) - Page 5 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
 	
3.7 Maintenance 
 
  [ ]  Does not apply. 
  [ ]  The [ ] husband  [ ] wife shall pay maintenance as set forth in Exhibit _____.  This exhibit is 
attached or filed and incorporated by reference as part of this decree. 
  [ ]  Maintenance shall be paid as set forth in the separation contract or prenuptial agreement 
referenced above. 
  [ ]  The [ ] husband  [ ] wife shall pay $ _______________maintenance.  Maintenance shall be 
paid [ ] weekly [ ] semi-monthly [ ] monthly.   
    The first maintenance payment shall be due on (date) ____________________	
.   
  The obligation to pay future maintenance is terminated upon the death of either party or the 
remarriage of the party receiving maintenance unless otherwise specified below: 
 
 
 
  Payments shall be made: 	
 
    [ ]  directly to the other spouse. 
    [ ]  to the Washington State Child Support Registry (only available if child support is 
ordered). 
    [ ]  to the clerk of this court as trustee for remittance to the other spouse (only available 
if there are no dependent children). 
 
  [ ]  If a maintenance payment is more than 15 days past due and the total of such past due 
payments is equal to or greater than $100, or if the obligor requests a withdrawal of 
accumulated contributions from the Department of Retirement Systems, the obligee may 
seek a mandatory benefits assignment order under Chapter 41.50 RCW without prior notice 
to the obligor. 
  [ ]  The Department of Retirement Systems may make a direct payment of all or part of a 
withdrawal of accumulated contributions pursuant to RCW 41.50.550(3). 
 [ ] Other: 
 
 
 
3.8  Continuing Restraining Order 
 
  [ ]  Does not apply.   
  [ ]  A continuing restraining order is entered as follows:	
 
 	
    [ ]  The [ ] husband [ ] wife is restrained and enjoined from disturbing the peace of 
the other party. 
    [ ]  The [ ] husband [ ] wife is restrained and enjoined from going onto the grounds 
of or entering the home, work place or school of the other party, or the day care 
or school of the following named children: ________________ 
 ____________________________________________________________. 
  [ ]  The [ ] husband [ ]  wife is restrained and enjoined from knowingly coming 
within or knowingly remaining within (distance) ________________ of the 
home, work place or school of the other party, or the day care or school of 
these children: ________________________________________________. 
 other:________________________________________________________.

Decree (DCD) (DCLGSP) (DCINMG) - Page 6 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
    [ ]  (Name) _________________________ is restrained and enjoined from 
molesting, assaulting, harassing, or stalking (name) ____________________ . 
(The following firearm restrictions apply if this box is checked:  Effective 
immediately and continuing as long as this continuing restraining order is in 
effect, the restrained person may not possess a firearm or ammunition.  18 
U.S.C. § 922(g)(8).  A violation of this federal firearms law carries a maximum 
possible penalty of 10 years in prison and a $250,000 fine.  An exception exists 
for law enforcement officers and military personnel when carrying 
department/government-issue firearms.  18 U.S.C. § 925(a)(1).) 
  [ ] Other:	
 
 
 	
Violation of a Restraining Order in Paragraph 3.8 With Actual Knowledge of its Terms Is 
a Criminal Offense Under Chapter 26.50 RCW and Will Subject the Violator to Arrest. 
RCW 26.09.060. 
 
  [ ]  	Clerk’s Action	.  The clerk of the court shall forward a copy of this order, on or 
before the next judicial day, to:  _____________________________________ law 
enforcement agency which shall enter this order into any computer-based criminal 
intelligence system available in this state used by law enforcement agencies to list 
outstanding warrants.  (A law enforcement information sheet must be completed 
by the party or the party’s attorney and provided with this order before this 
order will be entered into the law enforcement computer system.) 	
 
 	Service	 	 	
[ ]  The restrained party or attorney appeared in court or signed this order; service of this 
order is not required. 
[ ]  The restrained party or attorney did not appear in court; service of this order is required. 
The protected party must arrange for service of this order on the restrained party.  File 
the original Return of Service with the clerk and provide a copy to the law enforcement 
agency listed above. 	
 
 	Expiration 	
    This restraining order expires on: (month/day/year) _____________________ . 
    This restraining order supersedes all previous temporary restraining orders in this cause 
  [ ]  Any temporary restraining order signed by the court in this cause number is terminated. 
Clerk’s Action.  The clerk of the court shall forward a copy of this order, on or before 
the next judicial day, to:  ______________________________ law enforcement 
agency where Petitioner resides which shall enter this order into any computer-based 
criminal intelligence system available in this state used by law enforcement agencies to 
list outstanding warrants. 
 	
Full Faith and Credit 	
  Pursuant to 18 U.S.C. § 2265, a court in any of the 50 states, the District of Columbia, 
Puerto Rico, any United States territory, and any tribal land within the United States 
shall accord full faith and credit to the order. 
 
3.9 Protection Order 
 
  [ ]  Does not apply.

Decree (DCD) (DCLGSP) (DCINMG) - Page 7 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
    [ ]  The parties shall comply with the [ ] domestic violence [ ] antiharassment Order for 
Protection signed by the court on this date or dated _____________________________, 
in this cause number.  The Order for Protection signed by the court is approved and 
incorporated as part of this decree. 
 	
3.10  Jurisdiction Over the Children 
 
  [ ]  Does not apply because there are no dependent children. 
  [ ]  The court has jurisdiction over the children as set forth in the Findings of Fact and 
Conclusions of Law. 
 
3.11 Parenting Plan 
 
  [ ]  Does not apply. 
  [ ]  The parties shall comply with the Parenting Plan signed by the court on this date  
 or dated ____________________________. The Parenting Plan signed by the court is 
approved and incorporated as part of this decree. 
 
3.12 Child Support 
 
  [ ]  Does not apply. 
  [ ]  Child support shall be paid in accordance with the Order of Child Support signed by the 
court on this date or dated ________________________.  This order is incorporated as part 
of this decree. 
 
3.13  Attorney Fees, Other Professional Fees and Costs 
 
  [ ]  Does not apply. 
  [ ]  Attorney fees, other professional fees and costs shall be paid as set forth in the separation 
contract or prenuptial agreement referenced above. 
  [ ]  Attorney fees, other professional fees and costs shall be paid as follows: 
 
 
 
 
 
 
 
3.14 Name Changes 
 
  [ ]  Does not apply. 
  [ ]  The wife's name shall be changed to  
(first, middle, last name) _________________________________________	
. 
  [ ]  The husband's name shall be changed to 
(first, middle, last name) _________________________________________
. 
 	
3.15 Other

Decree (DCD) (DCLGSP) (DCINMG) - Page 8 of 8 
WPF DR 04.0400 Mandatory (6/2008) - RCW 26.09.030; .040; .070 (3)	
   
 
 
 
 
 
 
 
 
Dated:  	
  	 
  	
Judge/Commissioner 	
 
Petitioner or petitioner’s lawyer:    Respondent or respondent’s lawyer: 
A signature below is actual notice of this order.   A signature below is actual notice of this order.	
 	
[ ]  Presented by:    [ ]  Presented by: 
[ ]  Approved for entry:    [ ]  Approved for entry: 
[ ]  Notice for presentation waived:    [ ]  Notice for presentation waived: 
 
 	  	 
Signature of Petitioner or Lawyer/WSBA No.    Signature of Respondent or Lawyer/WSBA No.   	
 
 	  	 
Print or Type Name  Date    Print or Type Name  Date