STATE OF MAINE
FAMILY MATTER SUMMONS
Plaintiff has started an action against you for one of the following: Divorce, Judicial Separation,
Parental Rights and Responsibilities, Paternity or Child Support. If you want to oppose this action, you
must serve a written answer to the Complaint and, if there are minor children, a completed Child
Support Affidavit on Plaintiff within 20 days after the day this Summons, the attached Complaint and
any Child Support Affidavit were served on you. To serve your Answer and Affidavit, deliver or mail a
copy to Plaintiff’s attorney or to Plaintiff, whose name and address appear at the bottom of this page.
Within the same 20 days you must also file your original Answer and Affidavit with the court by mailing
Name and address of court:
FOR DIVORCE AND JUDICIAL SEPARATION ACTIONS ONLY
Pursuant to 19-A M.R.S.A. §§ 852 and 903, it is ORDERED that Plaintiff and Defendant shall not:
(1) sell, transfer, give away, encumber, conceal, or dispose of any property owned individually or
jointly by the parties, unless it is done (a) with the written consent of both parties, (b) to purchase
the necessities of life, (c) in the usual course of a business owned by either party, or (d) with the
permission of the court.
(2) restrain the personal liberty of the other party or any natural or adopted child of either party; or
(3) remove the other party or any child of the parties from coverage under any health insurance policy.
THIS IS AN OFFICIAL COURT ORDER. IF YOU DISOBEY THIS ORDER THE
COURT MAY FIND YOU IN CONTEMPT AND IMPOSE FINES OR OTHER
THIS ORDER WILL REMAIN IN EFFECT UNTIL THE COURT:
(A) REVOKES OR MODIFIES IT; (B) GRANTS A FINAL JUDGMENT OF
DIVORCE OR JUDICIAL SEPARATION; OR (C) DISMISSES THE ACTION.
(Attorney for Plaintiff) (Plaintiff)
This Summons (and Injunction) is issued by:
Clerk of the District Court
FM-038, Rev. 01/09