dissolution of marriage - cddm001889

E-FILED 2014 JAN 09 1:19 PM SAC - CLERK OF DISTRICT COURT

E-FILED 2014 JAN 21 10:43 AM SAC - CLERK OF DISTRICT COURT

2RDM04

IN THE IOWA DISTRICT COURT FOR SAC COUNTY

IN RE THE MARRIAGE OFROBYN L DAVIS and BRIAN S DAVIS

UPON THE PETITION OF ROBYN L DAVIS , PETITIONER, AND CONCERNING BRIAN S DAVIS , RESPONDENT.

Case No. 02811 CDDM001889 ORDER SETTING HEARING

On April 10, 2014, the above-entitled matter is presented to the Court for attention,pursuant to Local Rule 2.7. Proof of service on file reflects that the Respondent has been properly served oraccepted service of a copy of the petition for dissolution of marriage. The Respondenthas not filed an answer or other responsive pleading. Accordingly, the Court findsthat this matter should be set for hearing, at which time the Petitioner shall appear andpresent evidence in support of a default judgment. Pursuant to Iowa Rule of Civil Procedure 1.972, this order setting hearing shallconstitute written notice of intention to enter default judgment. THE RESPONDENTIS ADVISED THAT UNLESS YOU ACT PRIOR TO THE TIME SET FOR HEARING,A DEFAULT JUDGMENT WILL BE ENTERED AGAINST YOU AT THAT TIME ANDYOU MAY LOSE YOUR PROPERTY OR OTHER IMPORTANT RIGHTS. YOUSHOULD SEEK LEGAL ADVICE AT ONCE. IT IS, THEREFORE,THE ORDER OF THE COURT as follows: 1. A hearing to determine whether the Respondent is in Default is scheduled on05/05/2014 at 11:00 AM at the Sac Co. Courthouse, 100 NW State St., Sac City, Iowa.at which time the Petitioner shall appear and present evidence in support of a defaultjudgment. The Petitioner shall provide the court with a proposed decree at that time.

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E-FILED 2014 APR 10 11:38 AM SAC - CLERK OF DISTRICT COURT

2. The clerk of court shall send a copy of this order to the Respondent not later thanten days prior to said hearing. If you need assistance to participate in court due to a disability, call the disabilitycoordinator at 641-421-0990. Persons who are hearing or speech impaired may callRelay Iowa TTY (1-800-735-2942). Disablity coordinators cannot provide legal advice. CLERK TO FURNISH COPIES TO: BRIAN S DAVISDISTRICT COURT ADMINISTRATOR

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State of Iowa CourtsCase Number Case TitleCDDM001889 ROBYN LEE DAVIS VS. BRIAN SCOTT DAVISType: ORDER SETTING HEARING

So Ordered

Electronically signed on 2014-04-10 11:38:54

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AND CONCERNINGBRIAN SCOTT DAVIS


UPON THE PETITION OF )ROBYN LEE DAVIS

] No. CDDMO0I889

)Petit:ioner, )

) CHILDREN IN THE MIDDLE) CERTIFICATES)

)

)Respondent. )

COME NOW the Parties and hereby file completion certificates fromthe Children in the Middle Educational Program from their earlierattendance in a orior filed dissolution action.

/S/Charles A. Schulte AT0007137SCHULTE LAW FIRM, L C421 Main St., P.O. Box 392Sac City, IA 50583(712) 662-47lsFax:(712) 662-4884schulaw(rDprairieinet.net

E-FILED 2014 APR 16 2:57 PM SAC - CLERK OF DISTRICT COURT

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lN THI: DIS'I'RICT COURT OF TI IE ST{IF' OF lO\\A

IN AND FOR SAC COUNTY

IN I{E THE MARRIAGE OF ROBYN DAVIS AND BRIAN DAVIS

Upon the Petition ol

ROBYN DAVISPetitioner,

And Concerning

tsRIAN DAVISResPondent.

Total Debt:

NO. CDDN,I0l889

AFFIDAVIT OFI-INANC]IAL STATIJS

t . R o b 1 ' n D a v i s . t l l e } , e t l t l o n e r i n t l , } e a b o v e e n t i t l e d m a t t e t b e i n g f r r s t d u l y s w o r n . s t a t e l h a t l h e i b | | o r r i n ' l i l l t r t | e l n dcomplete statement of ml, assets ancl l iabjl i t ies under Division I (and m1' present income undor Division Il i fapplicable) as ot

t h< da l o f , 2 0 1 . 1 .

Division | - NETWOIITH STATIIMENT(Req i rcd r t x l ld r$ . l r t ion cases . Sec l i " 593 l l l

ASSETS

O$nershiP Market Net

l)escnptron IHXWXJ) Value Encumbrance Value

Real Estate

Vehicles (make, Year.)( a r

( )

Life Insurance (cash value)( a ,

( )

Securit ics

Cash & Bank Accounts( a )

Household Contentsl a )

Other Asscts - ltem ize

c o 0 O $ O O 0 5 0 0 0

s o . o ol-ess: Othef debts - Itemizcd belo$ s o o o

NIT WOR'IIT:

Other Debts:( a ,

$ o . 0 o

E-FILED 2014 MAY 01 2:33 PM SAC - CLERK OF DISTRICT COURT

Division II - CIJRRIINT INCOME AND EXPENSE INFORMATION1 lo bc conrp le ted b ! a l l p rn res s .ck rng or res is l rng a l i rno i ) o r s 'Pp ' !1a l lo$ences l

Gross Deduction(s)(see belorv)

Net lncomeA. Income Source ( inc lud ingADC

& other supporl PaYme nts.i

( a ) S a c c o u n t Y C a t t 1 e c o

Deductions Explained (sPeci!

lncome Source :

income suurce (a ) . (b ) . ( r ) . e tc . )( a )

( a )

{ a )

lncome Sourcer (a'( a )

( a l

House PalmenE or lenE

Meals or f ,ood

Clotshangcar expense, t ransPortat ion

Medica] , dentalut i l i t les and te lePhone

Othei exPenses:

ssssss$

lnstal lmcnt Pal ments and Odlcr Debts Pa) able to:

A I l j an I r cL rL r ( \ l s :

I

9 3 3 . 3 3 p e r n o n t h^ - r F 6 n f h

' t r . 4 a

TOtsAL :

for FederaL Tax

for state Tax

f ,o! Socia] Secui l ty Tax

< F < r q ?7---------------

$9 (

9 3 3 . 3 37 1 . 4 0 J

$ o . o oS o . o o$ ? 1 . 4 0

B. AlIlant's estimate of the other

spouse 's income ( inc lud ingADC &

other support PaYments )(a) Central Mi lvrraqrhts

Deduct ions

Deductions Iixplained (speci[ income source (a).(b).(c). etc.)

Gross

3 , 0 5 4 . 1 7 p e r t n o n E bper honth

Deduction(s)(see belorv)

4 5 6 . 9 0T o t a l :

Net Income

$ 3 , 0 s 4 1 ?s { 4 s 6 . 9 0 )$ 2 , s 9 1 . 2 6

S 108 33 Pe r$ 1 1 4 . 9 3 P e iS 233 . 64 Pe !

nonth for Eederal Tax

nonth for state Tax

monlh for socia l secur i ty Tax

C. Residential Arrangements

Are both spouses l iving in the same drvell ing? No

lfthere are children. $hich spouse or other person has physical care ofthe children? llt lsband

Do the children rcside in the family' drvell ing or elsewhere? Elsewhere

D. Personal expcnses lor Suppon ofAll iant (and 1 children)

(Note; ALI expenses are reponed monthl)):0 . 0 0 p e r m o n t r t

0.00 pe! nLonth

0 . 0 0 p e ! n o n t h

0 . 0 0 p e r m o n t h

0 . 0 0 p e r n o n t h

0 . 0 0 p e t n o n t h

0 .00 pe! month

0 .00 per monEn as

0 . 0 0 p e r n o n E h a s

0.00 as tenPorary

TOTAI :

lenporarY afinony

atshorneYs fees

$ 0 . 0 0


V E R I F I C A I I O N

S]'ATE OF IOWA

COUNTY oF r-/.18. L

I. Robyn Davis. being first dull s\\om upon rny oath, depose and slatc that I am the Petit ioner in

the above entit lccl cause ofaction: that I ltave read the statements contained in the loregoing Financial

Atl ldavit and that the statclnents therein contained are true as I verily believe

Daredrhis 1-o"r',j^ n -t

Subscribed and suorn to berirre me this 1l dat or (fu("/ .zotl

x-In and For-l he State of lorvaNOTAR

2 0 1 4 .


Docket No. : CDDMOl889

CHILD SUPPORT GUIDELINES WORKSHEET

Counry: Sac

I. Net Monthlv lncome of Petit ioner:

Ix ]Custodial Parent I lr 'voncustodial Parent [ ]Joint Physical Care(claiming ! child.ichildren as tax dependents)

A. Sources and Amounts o fAnnua l Income:sac cg{Lly !9lJ lS !9.

Robyn Davrs

unlaxeo)Iess l/2 self employment (FICA) taxIess federal ad.justments to incomeless Personal exemptions: self+ 1 dependentsless standard deduction

singleI I head ofhouseholdlx] married ti l ing seperate[ ]Net taxable income - f-ederalFederal tax l iabil iq'Federal fax Credit for Dependent Children (nonrefundable)Final Federal Tax Liabil it l

C. Statc Tax DeductionGross Annua l Income

lcss 112 self emplo)ment (FICA) taxless state adjustments to incomeless f 'ederal tax l iabil i ty (adjusted lor dcpcndcnt tax crcdit)less state standard dcduction

s ing lc [ ] head o lhouseho ld Ix ]Net taxable incotne - statestare ta\ l iabil i tv

mrnied fi l ing scpcrrte[ ]

B. Federal Tax DeductionGross Annual Taxable Income (

E.

S5S

1 1 , 2 0 0 . 0 0

1 1 , 2 0 0 _ 0 0

7 , 9 0 0 . 0 0. '

:S:

9 , 1 0 0 . 0 0 >

!r 8-9! !!0 . 0 0 >

1 t 2 C A 0 0

0 . 0 0 . -

$ lL ?!q:.q.!

0 . 0 0 >

0 . 0 0 >

8 5 6 . 8 0 >

T0tal:

s

< 4 , ' 7 4 C . A A

$ 6 , ' 1 6 0 , 0 0

S 0 . 0 0

D.

less personirl and dcpendent creditsplus school district surtax ( o * )

Final Srate Tax Liabil itvSocial Security and Nledicarc Tax / Mandalory Pension DeductionAnnual eamed IncomcApplicable rate (7.65% or 15.3%, as adjusted)Annual Social Securiry and Medicare tax l iabil i t) '(adjusted)Other Deduct ions (Annua l )l. Mandator)' occupaiional l icense fees2. Un ion duesi. Actual medical suppoft paid pursuant to courl order or administrative

order in another ordcr for other children, not the pending matter4. Prior obligation of child support and spouse suppon actually

paid pursuant to coufi or administrative order5. Deductions for 9 additional qualit ied dependents6. Child care expcnses (present action)

less federal child care tax crcditless state child care tax credit

l-et child care expensesPre l im inary Net Annua l lncomePreliminar] Average Monthly Incom€ of Petit ioner

7. Clash Monthly Medical Suppon ordered in this pending action

$ 1 1 , 2 0 0 . 0 0' 7 . 6 5 +

Adjusted Net Ntonthly Income of Petit ioner (Prcliminary Average Monthl)

income minus monthll cash medical support ordered in this action)

S$;

r o , 3 1 3 . 2 A8 6 1 . 9 3

8 6 1 . 9 3



I . Net Month l r Income o f Respondent :

[ ]Custodial Parenl Ix ]Noncustodial Parent [ ]Joint Physical Carc(claiming I child' lchildren as tax dependents)

A. Sources and Amounts o f Annua l Income:Cent ra l M i lwr l qh t

Br ian Dav l s

Total:

s _ 3 5 , 6 s 0 . 0 0s _

S 3 5 , 5 5 0 . 0 0

3 5 , 6 5 0 . 0 0

< 1 , 3 0 0 . 0 0 : -

. ; I , 3 / 9 . \ 2

. : 2 , A A 3 . 1 2

B. Federal Tax DeductionGross Annual Taxable [ncomc ( untaxed)

less l /2 se l f employment (F ICA) taxless federal adjustments to incomeless Personal exemptions; selft ! dependentsless standard dedLtction

single[ ] head ofhousehold[x] married fi l ing seperatc[ ]Net taxable income - iederalFederal tax l iabil i t l 'Federal lax Credit fol Dependent Children (nonrefundable)

Irinal Federal Tax Liabil it) 'Stale Tax DeductionGross Annual lncome

lcss 112 self emplol'ment (FICA) taxless state adjustments lo incomeless fcderal tax l iabil i t l '(adjusted for dependent ta\ credit)

less statc standard deductionsingle[ ] head ofhousehold[xl married tl l ing scperate[ ]

n-cl taxable income - stateState tax l iabil i t)

less personal and dependent creditsplus school district surtax ( --0 z )

Final State Tax Liabil it)Social Security and Medicarc Tax / Mandatory Pension Deduction

Annual eamed IncomeApplicable rate (7.65% or 15.39i,. as adjusted)Annual Social Security' and Medicarc tax l iabil i ty (adjusted)

Other Deduct ions (Annua l )L Mandatory occupational l icense t 'ecs2. [Jnion ducs3. Actual medical supporl paid pursuant to coun order or administralive

order in another order for other children. not the p€nding matter-1. Prior obligation of child support and spouse suppofi actualLy

paid pursuant to court or administrative order

5. Deductions for ! additional qualif icd dependents

6 Child care expenses (present action)lc .s fcdcr i l l ch i ld carc ra r c rcd iIess state child care tax credit

Net child care expensesPre l im inary Net Annua l lncom ePreliminarl Average Monthly Income of l{espondent

$ 1 , 4 e 9 . E< 12! i!

< 7 , 9 0 0 . 0 0

< 9 , 1 0 0 . 0 0

s 1 9 , 6 s 0 . 0 0< 2 , 3 0 0 . 0 0

+ 1 , 0 0 0 . 0 0

s 3 6 , 5 5 0 . 0 0

< i , f o o . o o

< 1 , 1 4 4 . 4 4

$ 3 0 , 5 1 0 . 0 0

C.

D.s 3 6 , 6 5 0 . 0 0

1 7 . 6 5 ?

t , .

$

7. Cash Monthll Medical Support ordered in this pending aciion

Adjusted Net Monthly lncorne of Respondent (Preliminaq' Average Monthly

income minus monthll cash medical support ordcrcd in this action)

s _ 3 1 , 1 6 7 . l ss 2 , 5 9 ' 7 . 2 5

r 5 2 . ' / r >



I I I . Ca lcu la t ion o f the Gu ide l ine Amount o fSuppor t

A. Adjusted Net Monthl) lncome

B. Proporlional Share oilncome(Also used tor L lncovered Nfcdical Lxp€nses)

C. Numbcr ofChildren for Whom Support is Soughl

D. Basic Support Obligation if Using Only NCP's lncomeE. Basic Suppod Obligation if Using Combined Income

F. Each Parent's Share ofBasic Suppon Obligation

$ 8 6 1 - 9 3 , + $ 2 , 4 4 4 . 5 5 : S 3 , 3 0 6 . 4 8

2 6 . A t Z + a ] c ] r 9 1 0 0 z

2

CustodialParcnt

Ix]Petitioner[ ]Respondent

(applicable)

NoncustodialParent

[ ] P e t i t i o n e rIx]Respondent

Combined

( \ \ 'hcn l ls ing Comblncd Inconle)

$ € 0 9 . 0 0

( \ ,A - P r€ -Sp ln Amoun l s )

Combined

G. NCP's Basic Support Obligation Befi)re Hcalth Ins.

tl. Cost ofChild(ren)'s Health Insurance Premium(Di f lerence bel$ccn tami l ] and s ingle con. or as Ordcred ) S

L Health lnsurance Add-On or Deduction fiom NCP

J. Ciuideline Amount of Child Support for NCP(NC P s l inc ( i p lus o r mrnus NCI r s l inc l )

l l l -a Ex t raord inar ) V is i ta t ion Cred i t

A. Adjusted Net Nlonthl1" lncome

B. Propodional Share oflncome(Also used f { ) r IJncLrreled l {edical E\penses)

C. Number ofChildlcn fbr Whom Suppon is Sought

S __50]!.1r ( Splr l Cusr{rd} Adlusled )

$ 5 0 4 . 1 1 ( S p l r t C u s l o d ) A d j u s t e d )

S

+ i $

(complete onl \ i fnoncuslodia l parenis coun ordered ! tsr ta lx in e\ceeds l2? o!crnighls per !ear l

K. r' 'CP's Basic Suppod Obligation Befbre health Insurance (l ine G) S

l-. Number ofcourt-ordcrcd visitaion oventights with thc NCP

Nt. Extraordinary Visitation clredit Perccntage

N. Extraordinar)' Visitation Crcdit (l inc K multrplied b) Lrnc lvll

O. Guideline Amount of Child Support (After Crcdit for Extra Visitation)(l ine J nrnut l ine N. nol less th.rn $i0 for I chrld $50 ibr 2 or more)

tV. Calculation of Joint (Equall l- Shared) Physical Care Guideline

Amount of Chld Support (not applicable)

Pet i t ioner Respondent

+ $ $

i + z - 1 C 0 :


CHILD SUPPORT GUIDELIh"ES WORKSHEET

D. Basic Support Obligation Befbre Hcalth Insurance( t .Jse l ine A combincd arnount to i lnd amoLrnl

f iom Schedule ofBasic Suppon Oblrgat ions)

I l . Each Parent's Basic Primary Care AmountBefore Health Insurance

(Line B muli l ipl ied b) l ine D for each par€nt) S

F. Each Parent 's Share ofJoint Physical Support( l . rne F ntul ip l ied bf l : fbr each perrnl to

i tucounl lbr exl ra cLrs ls for lwo residences.)

G. Each Parenl's Joint Ph-'-sical Care Support

Obll igation Before Health Insurancc(Line F nulrplred b) 5 lbr etch parcnt k)accounl i r r 509n ol t ime spert $r th each p rent ) $

H. Cost of Child(ren)'s Health Insurance Premium'(L) i f lerencc bet \ \cen thnl i l t and s in. ! : lc cosl . )

(*Tl)e heal th rnntrance adiuslmenl does not appl) r ier lhcr

parcnfs nct rncome on l i r le A la l ls $ i thr the Lor Incc 'nrc

shaded Arca A area oi the Basic Chi ld Suppon Schcdule $

l . t lealth Insurance Add-On to each Parent's

Obligation S

J . Gu ide l ine Amount o f Ch i ld Suppon( rach parcnt 's l rne G plus crch parent 's l ine l l

K. Nc1 Amount of Child Support for Joint Phlsical

Support After Offset(Smal lcr ar l rounl of l rne . l subtracled f lo ln l l t rger anrounl

of l ine J Parenl $ l1h larger ann)unlon l ine J fa ls thc

othcr parenl the di f i t rencc. as a method ofpalnrcnl

I fcr ther parent r€ccr\es a-ssistance through FlP lhc)

other prrcnts obl tg.rhon re ' 'er1\ to enlount on l i re I J $

V. Spec ia l F ind ings

A. Income imputed to Petit ioner:Income imputed to Respondent:

B. Esti lnated income of Pclit ioner:Estimated income of Respondenl

C. De!iations made fiom Child Support Cuidelines:

s _ 5

$ _ . $

D. RcquesreJ dmuun l o l c l r i l J suppon $ - per montlt



vl. changes in child support oblication as Nunlber of children Entitiled to support changcsf l ,or c. tscs $r th mul ip le chi ldren based on present rncome and apl l icable guidcl ines calculat ion method)

VI-a tsas icObl iga t ion (appt icab le )rSf lL l Custod\ Adiuslcd _ N{ul t rp lc Rcduct ion sceni l r los are fossrble.)

\L rn rber o i NCP's Bas ic

Ch i lJ ren SupponObl iga t ion1NP(l ' \ L ine G)"

55SSs

Vl-b. Jount (Equallt Shared) Phlsical Care Obligation

5 0 4 . 1 1

5 9 8 . 1 1S$$

$ _ s( q | 9 A - R L r ' n d i n r f n \ ' \

5 0 . 1 . 1 1 ( R e s f o . d € n l P i Y s )

s s _ _$s

s $ s -

*(Al l L. inc references arc to l )1\ is ion l l l . C.r lcLr l l1 i ion of lhe Guidel ine Ann)unl ofSuppon sectron ol thc ! !orkthcel)

l lealth lnsuranceAdd-on or Deduction

(NPC's l.rnc I) '

ExtraordlnaryVisitation Credil

(if applicable)(NPCI 's I ine N)*

ftot applicable)

Guideline Amount ofChild Support

Respondent(CP2 - L ine l i *

Guideline Amountof Child Support

( l ine J oI O)* i

Numbe r o f(lhildrcn

Ciuideline Arrrount ofCh i ld Suppor t

Petit ioner( C I ) l - l r n c J ) '

Ss

Net Amount of ChildSupport for Joint Physical

Care After Ofltet( L i n e K ) 1

S$

SI ATE OI ' I ( )WA. COLINTY OF 5 o c

l, !!q)f !rytr . do hercbv swear or affirm that the foregoing statement ls true. completc

and correct as I verill believe fiorn all inforniation available to me at thi\ tinre

o^./4/ ( ?u l"(

Thc undersigned attomey fbr the Petit ioner hcrebl ceftif i€s that the fbreging child Support Guidelinc workshects

were prepared b1' me or at m! direction in good faith reliance upon infomationtvailable to ne at this f .tt)

D^c: fu!4 t[/ 2" l'1

sq

5 _55

$ - ss - s

( Robl n Davis )


LcgalWorks GuideLinesIo'r'/a

A p r l L 2 1 , 2 0 1 , 1

Pe t i t l one r : Robyn Dav i s

Cus tod ia f Ch l l d ren : 1

Mon th l y G ross I ncome :S a c C o u n L y C a t t ] e C o . ' $ 9 3 3 3 3 E a r n e d

T o L a l G r o s s I n c o m e : S 9 3 3 ' 3 1

I v l onLh l y Deduc t l ons :F e d e r . a 1 T a x : $ 0 . 0 0

S t a t e T a x : $ 0 . 0 0

S o c l a l S e c u r i t y : $ 7 1 4 0

c t h e r D e c i u c t i o n s : $ 0 0 0

Cash Med Or .de r : S 0 00

T o t a f D e d u c t i o n s : $ 7 1 4 0

M c n t h l y N e t I n c o m e : S 8 6 1 . 9 3 ( 2 6 . A 5 A 2 ) { L o " t I n c o m e )

F a m i l y M e d i c a l C o s t : $ 0 . c 0

Mon th l y Suppo l : t o l ^ / ed : $ 9 ' i . 0C ( I r l dependen t Ca l cu la t i cn )

Responden t : B r l an Dav l s

C u s t o d i a l C h i l d r e n : I

Mon th l l G ross I ncome :C e n t r a l M i l w r l g h l - ' $ 3 ! 5 ' l 1 ? g a r n e d

T o t a l G r o s s I n c o m e : $ 3 0 5 4 1 7

Mor th l y Deduc t l ons :F e d e r a l T a x : $ 1 0 8 . 3 3

( l n c i u d e s $ 8 3 . 3 3 C T C )

s t a t e T a x : $ 1 1 4 . 9 3

s o c i a l S e c u r r t Y : $ 2 3 3 ' 5 1

o t h e r D e d u c L i o n s : $ 0 0 0

C a s h M e d O r d e r : i " : t 2 - ' 1 7

T o t a l D e d u c t l o n s : $ 5 0 9 6 1

M o n t h l y N e t I n c o m e : I 2 4 4 4 . t 5 \ 7 3 9 1 2 2 )

F a m i l y M e d l c a l C o s t : $ o o o

Mon th l y S r . r ppo r t Owed : $ 598 .11 ( I ndepe r rden i Ca l cu laL lon )

Mon iL l l y Suppo rL Payab ie t o PeE iL ione r : I 50 ' ! 1 11

(Sp1 r t Cus t od r - Ad i us ted )

$ 1 1 5 . 3 3 w e e k l y

S 232 . 61 B iweek I y ( eve ry t l l o weeks )

$ 2 5 2 . A 5 - S e m i M o n t h L y ( t w i c e a m o n t h l

$ 5 0 1 , 1 1 M o n t h l y


lN THI: DIS'I'RICT COURT OF TI IE ST{IF' OF lO\\A

IN AND FOR SAC COUNTY

IN I{E THE MARRIAGE OF ROBYN DAVIS AND BRIAN DAVIS

Upon the Petition ol

ROBYN DAVISPetitioner,

And Concerning

tsRIAN DAVISResPondent.

Total Debt:

NO. CDDN,I0l889

AFFIDAVIT OFI-INANC]IAL STATIJS

t . R o b 1 ' n D a v i s . t l l e } , e t l t l o n e r i n t l , } e a b o v e e n t i t l e d m a t t e t b e i n g f r r s t d u l y s w o r n . s t a t e l h a t l h e i b | | o r r i n ' l i l l t r t | e l n dcomplete statement of ml, assets ancl l iabjl i t ies under Division I (and m1' present income undor Division Il i fapplicable) as ot

t h< da l o f , 2 0 1 . 1 .

Division | - NETWOIITH STATIIMENT(Req i rcd r t x l ld r$ . l r t ion cases . Sec l i " 593 l l l

ASSETS

O$nershiP Market Net

l)escnptron IHXWXJ) Value Encumbrance Value

Real Estate

Vehicles (make, Year.)( a r

( )

Life Insurance (cash value)( a ,

( )

Securit ics

Cash & Bank Accounts( a )

Household Contentsl a )

Other Asscts - ltem ize

c o 0 O $ O O 0 5 0 0 0

s o . o ol-ess: Othef debts - Itemizcd belo$ s o o o

NIT WOR'IIT:

Other Debts:( a ,

$ o . 0 o


Division II - CIJRRIINT INCOME AND EXPENSE INFORMATION1 lo bc conrp le ted b ! a l l p rn res s .ck rng or res is l rng a l i rno i ) o r s 'Pp ' !1a l lo$ences l

Gross Deduction(s)(see belorv)

Net lncomeA. Income Source ( inc lud ingADC

& other supporl PaYme nts.i

( a ) S a c c o u n t Y C a t t 1 e c o

Deductions Explained (sPeci!

lncome Source :

income suurce (a ) . (b ) . ( r ) . e tc . )( a )

( a )

{ a )

lncome Sourcer (a'( a )

( a l

House PalmenE or lenE

Meals or f ,ood

Clotshangcar expense, t ransPortat ion

Medica] , dentalut i l i t les and te lePhone

Othei exPenses:

ssssss$

lnstal lmcnt Pal ments and Odlcr Debts Pa) able to:

A I l j an I r cL rL r ( \ l s :

I

9 3 3 . 3 3 p e r n o n t h^ - r F 6 n f h

' t r . 4 a

TOtsAL :

for FederaL Tax

for state Tax

f ,o! Socia] Secui l ty Tax

< F < r q ?7---------------

$9 (

9 3 3 . 3 37 1 . 4 0 J

$ o . o oS o . o o$ ? 1 . 4 0

B. AlIlant's estimate of the other

spouse 's income ( inc lud ingADC &

other support PaYments )(a) Central Mi lvrraqrhts

Deduct ions

Deductions Iixplained (speci[ income source (a).(b).(c). etc.)

Gross

3 , 0 5 4 . 1 7 p e r t n o n E bper honth

Deduction(s)(see belorv)

4 5 6 . 9 0T o t a l :

Net Income

$ 3 , 0 s 4 1 ?s { 4 s 6 . 9 0 )$ 2 , s 9 1 . 2 6

S 108 33 Pe r$ 1 1 4 . 9 3 P e iS 233 . 64 Pe !

nonth for Eederal Tax

nonth for state Tax

monlh for socia l secur i ty Tax

C. Residential Arrangements

Are both spouses l iving in the same drvell ing? No

lfthere are children. $hich spouse or other person has physical care ofthe children? llt lsband

Do the children rcside in the family' drvell ing or elsewhere? Elsewhere

D. Personal expcnses lor Suppon ofAll iant (and 1 children)

(Note; ALI expenses are reponed monthl)):0 . 0 0 p e r m o n t r t

0.00 pe! nLonth

0 . 0 0 p e ! n o n t h

0 . 0 0 p e r m o n t h

0 . 0 0 p e r n o n t h

0 . 0 0 p e t n o n t h

0 .00 pe! month

0 .00 per monEn as

0 . 0 0 p e r n o n E h a s

0.00 as tenPorary

TOTAI :

lenporarY afinony

atshorneYs fees

$ 0 . 0 0


V E R I F I C A I I O N

S]'ATE OF IOWA

COUNTY oF r-/.18. L

I. Robyn Davis. being first dull s\\om upon rny oath, depose and slatc that I am the Petit ioner in

the above entit lccl cause ofaction: that I ltave read the statements contained in the loregoing Financial

Atl ldavit and that the statclnents therein contained are true as I verily believe

Daredrhis 1-o"r',j^ n -t

Subscribed and suorn to berirre me this 1l dat or (fu("/ .zotl

x-In and For-l he State of lorvaNOTAR

2 0 1 4 .


Docket No. : CDDMOl889


Counry: Sac

I. Net Monthlv lncome of Petit ioner:

Ix ]Custodial Parent I lr 'voncustodial Parent [ ]Joint Physical Care(claiming ! child.ichildren as tax dependents)

A. Sources and Amounts o fAnnua l Income:sac cg{Lly !9lJ lS !9.

Robyn Davrs

unlaxeo)Iess l/2 self employment (FICA) taxIess federal ad.justments to incomeless Personal exemptions: self+ 1 dependentsless standard deduction

singleI I head ofhouseholdlx] married ti l ing seperate[ ]Net taxable income - f-ederalFederal tax l iabil iq'Federal fax Credit for Dependent Children (nonrefundable)Final Federal Tax Liabil it l

C. Statc Tax DeductionGross Annua l Income

lcss 112 self emplo)ment (FICA) taxless state adjustments to incomeless f 'ederal tax l iabil i ty (adjusted lor dcpcndcnt tax crcdit)less state standard dcduction

s ing lc [ ] head o lhouseho ld Ix ]Net taxable incotne - statestare ta\ l iabil i tv

mrnied fi l ing scpcrrte[ ]

B. Federal Tax DeductionGross Annual Taxable Income (

E.

S5S

1 1 , 2 0 0 . 0 0

1 1 , 2 0 0 _ 0 0

7 , 9 0 0 . 0 0. '

:S:

9 , 1 0 0 . 0 0 >

!r 8-9! !!0 . 0 0 >

1 t 2 C A 0 0

0 . 0 0 . -

$ lL ?!q:.q.!

0 . 0 0 >

0 . 0 0 >

8 5 6 . 8 0 >

T0tal:

s

< 4 , ' 7 4 C . A A

$ 6 , ' 1 6 0 , 0 0

S 0 . 0 0

D.

less personirl and dcpendent creditsplus school district surtax ( o * )

Final Srate Tax Liabil itvSocial Security and Nledicarc Tax / Mandalory Pension DeductionAnnual eamed IncomcApplicable rate (7.65% or 15.3%, as adjusted)Annual Social Securiry and Medicare tax l iabil i t) '(adjusted)Other Deduct ions (Annua l )l. Mandator)' occupaiional l icense fees2. Un ion duesi. Actual medical suppoft paid pursuant to courl order or administrative

order in another ordcr for other children, not the pending matter4. Prior obligation of child support and spouse suppon actually

paid pursuant to coufi or administrative order5. Deductions for 9 additional qualit ied dependents6. Child care expcnses (present action)

less federal child care tax crcditless state child care tax credit

l-et child care expensesPre l im inary Net Annua l lncomePreliminar] Average Monthly Incom€ of Petit ioner

7. Clash Monthly Medical Suppon ordered in this pending action

$ 1 1 , 2 0 0 . 0 0' 7 . 6 5 +

Adjusted Net Ntonthly Income of Petit ioner (Prcliminary Average Monthl)

income minus monthll cash medical support ordered in this action)

S$;

r o , 3 1 3 . 2 A8 6 1 . 9 3

8 6 1 . 9 3



I . Net Month l r Income o f Respondent :

[ ]Custodial Parenl Ix ]Noncustodial Parent [ ]Joint Physical Carc(claiming I child' lchildren as tax dependents)

A. Sources and Amounts o f Annua l Income:Cent ra l M i lwr l qh t

Br ian Dav l s

Total:

s _ 3 5 , 6 s 0 . 0 0s _

S 3 5 , 5 5 0 . 0 0

3 5 , 6 5 0 . 0 0

< 1 , 3 0 0 . 0 0 : -

. ; I , 3 / 9 . \ 2

. : 2 , A A 3 . 1 2

B. Federal Tax DeductionGross Annual Taxable [ncomc ( untaxed)

less l /2 se l f employment (F ICA) taxless federal adjustments to incomeless Personal exemptions; selft ! dependentsless standard dedLtction

single[ ] head ofhousehold[x] married fi l ing seperatc[ ]Net taxable income - iederalFederal tax l iabil i t l 'Federal lax Credit fol Dependent Children (nonrefundable)

Irinal Federal Tax Liabil it) 'Stale Tax DeductionGross Annual lncome

lcss 112 self emplol'ment (FICA) taxless state adjustments lo incomeless fcderal tax l iabil i t l '(adjusted for dependent ta\ credit)

less statc standard deductionsingle[ ] head ofhousehold[xl married tl l ing scperate[ ]

n-cl taxable income - stateState tax l iabil i t)

less personal and dependent creditsplus school district surtax ( --0 z )

Final State Tax Liabil it)Social Security and Medicarc Tax / Mandatory Pension Deduction

Annual eamed IncomeApplicable rate (7.65% or 15.39i,. as adjusted)Annual Social Security' and Medicarc tax l iabil i ty (adjusted)

Other Deduct ions (Annua l )L Mandatory occupational l icense t 'ecs2. [Jnion ducs3. Actual medical supporl paid pursuant to coun order or administralive

order in another order for other children. not the p€nding matter-1. Prior obligation of child support and spouse suppofi actualLy

paid pursuant to court or administrative order

5. Deductions for ! additional qualif icd dependents

6 Child care expenses (present action)lc .s fcdcr i l l ch i ld carc ra r c rcd iIess state child care tax credit

Net child care expensesPre l im inary Net Annua l lncom ePreliminarl Average Monthly Income of l{espondent

$ 1 , 4 e 9 . E< 12! i!

< 7 , 9 0 0 . 0 0

< 9 , 1 0 0 . 0 0

s 1 9 , 6 s 0 . 0 0< 2 , 3 0 0 . 0 0

+ 1 , 0 0 0 . 0 0

s 3 6 , 5 5 0 . 0 0

< i , f o o . o o

< 1 , 1 4 4 . 4 4

$ 3 0 , 5 1 0 . 0 0

C.

D.s 3 6 , 6 5 0 . 0 0

1 7 . 6 5 ?

t , .

$

7. Cash Monthll Medical Support ordered in this pending aciion

Adjusted Net Monthly lncorne of Respondent (Preliminaq' Average Monthly

income minus monthll cash medical support ordcrcd in this action)

s _ 3 1 , 1 6 7 . l ss 2 , 5 9 ' 7 . 2 5

r 5 2 . ' / r >



I I I . Ca lcu la t ion o f the Gu ide l ine Amount o fSuppor t

A. Adjusted Net Monthl) lncome

B. Proporlional Share oilncome(Also used tor L lncovered Nfcdical Lxp€nses)

C. Numbcr ofChildren for Whom Support is Soughl

D. Basic Support Obligation if Using Only NCP's lncomeE. Basic Suppod Obligation if Using Combined Income

F. Each Parent's Share ofBasic Suppon Obligation

$ 8 6 1 - 9 3 , + $ 2 , 4 4 4 . 5 5 : S 3 , 3 0 6 . 4 8

2 6 . A t Z + a ] c ] r 9 1 0 0 z

2

CustodialParcnt

Ix]Petitioner[ ]Respondent

(applicable)

NoncustodialParent

[ ] P e t i t i o n e rIx]Respondent

Combined

( \ \ 'hcn l ls ing Comblncd Inconle)

$ € 0 9 . 0 0

( \ ,A - P r€ -Sp ln Amoun l s )

Combined

G. NCP's Basic Support Obligation Befi)re Hcalth Ins.

tl. Cost ofChild(ren)'s Health Insurance Premium(Di f lerence bel$ccn tami l ] and s ingle con. or as Ordcred ) S

L Health lnsurance Add-On or Deduction fiom NCP

J. Ciuideline Amount of Child Support for NCP(NC P s l inc ( i p lus o r mrnus NCI r s l inc l )

l l l -a Ex t raord inar ) V is i ta t ion Cred i t

A. Adjusted Net Nlonthl1" lncome

B. Propodional Share oflncome(Also used f { ) r IJncLrreled l {edical E\penses)

C. Number ofChildlcn fbr Whom Suppon is Sought

S __50]!.1r ( Splr l Cusr{rd} Adlusled )

$ 5 0 4 . 1 1 ( S p l r t C u s l o d ) A d j u s t e d )

S

+ i $

(complete onl \ i fnoncuslodia l parenis coun ordered ! tsr ta lx in e\ceeds l2? o!crnighls per !ear l

K. r' 'CP's Basic Suppod Obligation Befbre health Insurance (l ine G) S

l-. Number ofcourt-ordcrcd visitaion oventights with thc NCP

Nt. Extraordinary Visitation clredit Perccntage

N. Extraordinar)' Visitation Crcdit (l inc K multrplied b) Lrnc lvll

O. Guideline Amount of Child Support (After Crcdit for Extra Visitation)(l ine J nrnut l ine N. nol less th.rn $i0 for I chrld $50 ibr 2 or more)

tV. Calculation of Joint (Equall l- Shared) Physical Care Guideline

Amount of Chld Support (not applicable)

Pet i t ioner Respondent

+ $ $

i + z - 1 C 0 :


CHILD SUPPORT GUIDELIh"ES WORKSHEET

D. Basic Support Obligation Befbre Hcalth Insurance( t .Jse l ine A combincd arnount to i lnd amoLrnl

f iom Schedule ofBasic Suppon Oblrgat ions)

I l . Each Parent's Basic Primary Care AmountBefore Health Insurance

(Line B muli l ipl ied b) l ine D for each par€nt) S

F. Each Parent 's Share ofJoint Physical Support( l . rne F ntul ip l ied bf l : fbr each perrnl to

i tucounl lbr exl ra cLrs ls for lwo residences.)

G. Each Parenl's Joint Ph-'-sical Care Support

Obll igation Before Health Insurancc(Line F nulrplred b) 5 lbr etch parcnt k)accounl i r r 509n ol t ime spert $r th each p rent ) $

H. Cost of Child(ren)'s Health Insurance Premium'(L) i f lerencc bet \ \cen thnl i l t and s in. ! : lc cosl . )

(*Tl)e heal th rnntrance adiuslmenl does not appl) r ier lhcr

parcnfs nct rncome on l i r le A la l ls $ i thr the Lor Incc 'nrc

shaded Arca A area oi the Basic Chi ld Suppon Schcdule $

l . t lealth Insurance Add-On to each Parent's

Obligation S

J . Gu ide l ine Amount o f Ch i ld Suppon( rach parcnt 's l rne G plus crch parent 's l ine l l

K. Nc1 Amount of Child Support for Joint Phlsical

Support After Offset(Smal lcr ar l rounl of l rne . l subtracled f lo ln l l t rger anrounl

of l ine J Parenl $ l1h larger ann)unlon l ine J fa ls thc

othcr parenl the di f i t rencc. as a method ofpalnrcnl

I fcr ther parent r€ccr\es a-ssistance through FlP lhc)

other prrcnts obl tg.rhon re ' 'er1\ to enlount on l i re I J $

V. Spec ia l F ind ings

A. Income imputed to Petit ioner:Income imputed to Respondent:

B. Esti lnated income of Pclit ioner:Estimated income of Respondenl

C. De!iations made fiom Child Support Cuidelines:

s _ 5

$ _ . $

D. RcquesreJ dmuun l o l c l r i l J suppon $ - per montlt



vl. changes in child support oblication as Nunlber of children Entitiled to support changcsf l ,or c. tscs $r th mul ip le chi ldren based on present rncome and apl l icable guidcl ines calculat ion method)

VI-a tsas icObl iga t ion (appt icab le )rSf lL l Custod\ Adiuslcd _ N{ul t rp lc Rcduct ion sceni l r los are fossrble.)

\L rn rber o i NCP's Bas ic

Ch i lJ ren SupponObl iga t ion1NP(l ' \ L ine G)"

55SSs

Vl-b. Jount (Equallt Shared) Phlsical Care Obligation

5 0 4 . 1 1

5 9 8 . 1 1S$$

$ _ s( q | 9 A - R L r ' n d i n r f n \ ' \

5 0 . 1 . 1 1 ( R e s f o . d € n l P i Y s )

s s _ _$s

s $ s -

*(Al l L. inc references arc to l )1\ is ion l l l . C.r lcLr l l1 i ion of lhe Guidel ine Ann)unl ofSuppon sectron ol thc ! !orkthcel)

l lealth lnsuranceAdd-on or Deduction

(NPC's l.rnc I) '

ExtraordlnaryVisitation Credil

(if applicable)(NPCI 's I ine N)*

ftot applicable)

Guideline Amount ofChild Support

Respondent(CP2 - L ine l i *

Guideline Amountof Child Support

( l ine J oI O)* i

Numbe r o f(lhildrcn

Ciuideline Arrrount ofCh i ld Suppor t

Petit ioner( C I ) l - l r n c J ) '

Ss

Net Amount of ChildSupport for Joint Physical

Care After Ofltet( L i n e K ) 1

S$

SI ATE OI ' I ( )WA. COLINTY OF 5 o c

l, !!q)f !rytr . do hercbv swear or affirm that the foregoing statement ls true. completc

and correct as I verill believe fiorn all inforniation available to me at thi\ tinre

o^./4/ ( ?u l"(

Thc undersigned attomey fbr the Petit ioner hcrebl ceftif i€s that the fbreging child Support Guidelinc workshects

were prepared b1' me or at m! direction in good faith reliance upon infomationtvailable to ne at this f .tt)

D^c: fu!4 t[/ 2" l'1

sq

5 _55

$ - ss - s

( Robl n Davis )


LcgalWorks GuideLinesIo'r'/a

A p r l L 2 1 , 2 0 1 , 1

Pe t i t l one r : Robyn Dav i s

Cus tod ia f Ch l l d ren : 1

Mon th l y G ross I ncome :S a c C o u n L y C a t t ] e C o . ' $ 9 3 3 3 3 E a r n e d

T o L a l G r o s s I n c o m e : S 9 3 3 ' 3 1

I v l onLh l y Deduc t l ons :F e d e r . a 1 T a x : $ 0 . 0 0

S t a t e T a x : $ 0 . 0 0

S o c l a l S e c u r i t y : $ 7 1 4 0

c t h e r D e c i u c t i o n s : $ 0 0 0

Cash Med Or .de r : S 0 00

T o t a f D e d u c t i o n s : $ 7 1 4 0

M c n t h l y N e t I n c o m e : S 8 6 1 . 9 3 ( 2 6 . A 5 A 2 ) { L o " t I n c o m e )

F a m i l y M e d i c a l C o s t : $ 0 . c 0

Mon th l y Suppo l : t o l ^ / ed : $ 9 ' i . 0C ( I r l dependen t Ca l cu la t i cn )

Responden t : B r l an Dav l s

C u s t o d i a l C h i l d r e n : I

Mon th l l G ross I ncome :C e n t r a l M i l w r l g h l - ' $ 3 ! 5 ' l 1 ? g a r n e d

T o t a l G r o s s I n c o m e : $ 3 0 5 4 1 7

Mor th l y Deduc t l ons :F e d e r a l T a x : $ 1 0 8 . 3 3

( l n c i u d e s $ 8 3 . 3 3 C T C )

s t a t e T a x : $ 1 1 4 . 9 3

s o c i a l S e c u r r t Y : $ 2 3 3 ' 5 1

o t h e r D e d u c L i o n s : $ 0 0 0

C a s h M e d O r d e r : i " : t 2 - ' 1 7

T o t a l D e d u c t l o n s : $ 5 0 9 6 1

M o n t h l y N e t I n c o m e : I 2 4 4 4 . t 5 \ 7 3 9 1 2 2 )

F a m i l y M e d l c a l C o s t : $ o o o

Mon th l y S r . r ppo r t Owed : $ 598 .11 ( I ndepe r rden i Ca l cu laL lon )

Mon iL l l y Suppo rL Payab ie t o PeE iL ione r : I 50 ' ! 1 11

(Sp1 r t Cus t od r - Ad i us ted )

$ 1 1 5 . 3 3 w e e k l y

S 232 . 61 B iweek I y ( eve ry t l l o weeks )

$ 2 5 2 . A 5 - S e m i M o n t h L y ( t w i c e a m o n t h l

$ 5 0 1 , 1 1 M o n t h l y



UPON ]'IIE PETITION OFROB\'N LEE DAVIS No. CDDMOO1889

Petitioner,STIPULATION ANDSETTLEMENT AGREEMENT

AND CONCERNINGBRIAN SCOTT DAVIS

Respondent.

This Stipulation and Settlernent Agreement is entered into betweenRobyn Lee Davis, Petitioner and Brian Scott Davis, Respondent. Bothparties desire an amicable settlement of all their rights, duties and

obligations growing out of their past marital relationship and growing out of

the issues presented in this cause.

IT IS AGREED. SUBJECT TO THE APPROVAL OF THE COURT, AS

FOLLOWS:

1. BREAKDOWN OF MARRIAGE: There has been a breakdown of the

rnarriage relationship between the parties and said breakdown has been to

the extent that the legitirnate objects of tnatrimony have been destroyed and

there remains no reasonable likelihood that the rnarriage can be preser-ved.

2. WAIVER OF CONCILIATION: Because of the breakdown of the

marriage between the parties, conciliation would serve no uselul purpose

and the same should be waived.

3. PERSONAL PROPERTY: The parties have previously divided their

personal propefty. Each party shall be awarded the personal property in his

or her possession at the time a decree is entered herein.

joint legal custody of M.S.D. Robyn shall be awarded primary care. Brian

shall have reasonable and liberal visitation rights such as the pafties can


agree on. In any event, Brian shall be entitled to visitation every otherweekend from Friday at 5:00 P.M. until the following Sunday at 5:00 P.M.ln even numbered years, he shall also be entitled to Christmas visitationwhich shall begin at 9:00 A.M., on the day after school lets out for theChristmas Holiday, and shall end December 25"'at Noon..During evennumbered years he shall also be entit led to visitation on 4"'of July andMernorial Day and Thanksgiving. During odd numbered years, Brian shallhave visitation during the second half of the Christmas vacation which shallbeing on Christmas Day at noon and end at 5:00 P.M., the day before schoolis scheduled to resume. During odd numbered years, Brian shall also beentitled to visitation on Easter and Labor Day. Brian shall be entitled tovisitation each Father's Day and Robyn shall be entitled to custody of thechild each Mother's Day. Holiday visitation takes precedence over regularweek-end visitation. Brian shall also be entitled to three weeks of summervisitation when school is not in session and to visitation on the child'sbirthday.

Brian shall pay $504.11 per month as child suppoft unti l such time asM.S.D. attains the age of eighteen years or graduates from high school,whichever occurs later. This amount is in compliance with the Iowa ChildSupporl Guidelines. Support shall be paid to Collection Services Center,P.O. Box 9215, Des Moines, IA 50306-9125. All sums subrnitted shall belabeled to identify the respondent and shall furlher be labeled by thefollowing case number: Sac County CDDM 1889.

5. COLLEGE SUBSIDY: The parties agree that the Courl shall retainjurisdiction to detennine the issue ofa college subsidy in the event the childpursues post secondary education.

6. MEDICAL SUPPORT: Brian shall provide health insurance for M.S D.Each party shall pay up to $250.00 toward non-covered medical costs. Thebalance due, if any, shall be paid by the parlies in proporlion to their income.

7. INCOME TAX EXEMPTIONS: Brian shall be entit led to claim thechild as a dependent for purposes of State and Federal Income Taxes foreven numbered tax years. Robyn shall be entitled to claim the child as adependant for purposes of State and Federal Income Taxes for oddnumbered tax years.

8. ATTORNEY FEES AND COSTS: Each party shall be responsible for


their own attorney fees. The respondent shall be responsible fbr the courlcosts.

9. FULL AND COMPLETE AGREEMENT: This agreement shallrepresent the full, complete and final settletnent of the parlies' rights, titles,interests, duties and obligations growing out of the marriage of the panies.Each party covenants and agrees not to make any further claims against the

other and each parly releases the other from all claims ofinheritance anddower which had existed because of the marriage relationship. Each party

agrees to execute and deliver to the other any titles, deeds or otherdocuments deemed necessary or convenient to carry out any ofthe terms orconditions of this agreement. This agreement shall inule to and bind the

heirs, executors, administrators and assigns of the parties hereto.

Dated this I day of 2014

l - , r i I

Robyn Lee Davis. Petit ioner

Dated this 9 7 dav o t AD. . ' l ,2014

DISCLAIMER

The undersigned, Brian Davis, understands that Charles A' Schulte

represents the interests of the Petitioner Robyn Davis only. Charles A.

Schulte has given the undersigned no legal advice whatsoever; has

Scott Davis. Respondent

Charles A. Schulte, Attori-ey fbi Petiti


recommended that the undersigned seek independent legal counsel and hasgiven no indication to the undersigned as to the advisability ofentering intothi c c orpprn,-n t

, \ \\ - \J

Brian Davis



In the matter of the Marriage of Robyn Lee Davis and Brian Scott Davis,

Upon the Petition of )

) No. CDDM001889

Robyn Lee Davis, )

Petitioner, ) DECREE OF DISSOLUTION

) OF MARRIAGE

And Concerning )

)

Brian Scott Davis, )

Respondent. )

___________________________________

This matter comes on for hearing. The Petitioner appears along with her attorney,

Charles A. Schulte. The respondent has neither appeared, answered or filed a motion

herein, but has signed a stipulation and settlement agreement. More than ninety days

have elapsed since the respondent was served with original notice of this action. The

Court has jurisdiction of the parties and the subject matter herein. The matter proceeds to

hearing and the Court is presented with a Stipulation and Property Settlement agreement

which has been signed by both parties. The Court examines the same and finds it to be

fair and equitable. The Court having read the pleadings and the file contents, having

heard the evidence presented by the petitioner; having heard the statements of Counsel

and being fully advised in the premises finds that there has been a breakdown of the

marriage relationship to the extent that the legitimate objects of matrimony have been

destroyed and there remains no reasonable likelihood that the marriage can be preserved.

The necessary waiting period prescribed by law has elapsed and efforts at reconciliation

have failed.

IT IS THEREFORE ORDERED, ADJUDGED AND DECREED that the parties

are hereby granted a dissolution of marriage and each party is hereby restored to all the

rights and privileges of unmarried persons.

IT IS FURTHER ORDERED, ADJUDGED AND DECREED that the Stipulation

and Property Settlement Agreement on file herein is approved and the same is adopted

and made a part of this decree the same as if fully set forth.

IT IS FURTHER ORDERED that each party shall be responsible for their

attorney fees. The Respondent shall be responsible for the court costs.

IT IS FURTHER ORDERED that the parties shall comply with Iowa Code

Section 598.22B.

E-FILED 2014 MAY 05 9:04 AM SAC - CLERK OF DISTRICT COURT

State of Iowa Courts

Type: DECREE OR FINAL SUPPORT ORDER

Case Number Case TitleCDDM001889 ROBYN LEE DAVIS VS. BRIAN SCOTT DAVIS

So Ordered

Electronically signed on 2014-05-05 09:04:09 page 2 of 2

E-FILED 2014 MAY 05 9:04 AM SAC - CLERK OF DISTRICT COURT

dissolution of marriage - cddm001889

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