Your Name: Your Address: Your City, State, ZIP: Your Telephone No: Representing Self, Without an AttorneyIN THE SUPERIOR COURT OF ARIZONA,COUNTYIn the Matter of the Guardianship of:)Case No. ))AF IDAVIT REGARDING )MINOR CHILDREN )(A.R.S. §25-439) )) ) Minor(s)Judge/Commissioner1.Minor children subject to this guardianship are:CHILD'S NAME:BIRTH DATE:BIRTHPLACE:Name and Present Address of Person(s) Having Physical Custody of Child During Each PeriodDates of Residence Last Five YearsAddress of Each Child During Residence PeriodRelationship to Childto presenttototo1 of 4 02/03/002001 © American LegalNet, Inc.CHILD'S NAME:BIRTH DATE:BIRTHPLACE:Name and Present Address of Person(s) Having Physical Custody of Child During Each PeriodDates of Residence Last Five YearsAddress of Each Child During Residence PeriodRelationship to Childto presenttototoCHILD'S NAME:BIRTH DATE:BIRTHPLACE:Name and Present Address of Person(s) Having Physical Custody of Child During Each PeriodDates of Residence Last Five YearsAddress of Each Child During Residence PeriodRelationship to Childto presentto2 of 4 02/03/002001 © American LegalNet, Inc.toto2.I [ ] have [ ] have not participated as a party, witness, or in any other capacity in any other litigation concerning custody of a child mentioned above in this or any other state. (If affirmative, state name of child, manner of participation, court, state and county (or district), case number, date of order or judgment, if any.)3.I [ ] do [ ] do not have any information of any custody proceeding concerning a child mentioned above pending in a court of this or any other state (If affirmative, state name of each child, nature of proceeding, court, state and county (or district), case number, status of proceeding.)4.I [ ] do [ ] do not know of any person not a party to this proceeding who has physical custody or claims to have custody or visitation rights with respect to any child mentioned above. (If affirmative, state name and address of person, whether physical custody, claiming custody rights, or claiming visitation rights, name of child involved .)5.Mother's name an mailing address:6.Father's name and mailing address:3 of 4 02/03/002001 © American LegalNet, Inc.The undersigned swears or affirms that the statements set forth above are true and correct, subject to the penalties of making a false affidavit or declaration.DatePetitioner's SignatureSTATE OF ARIZONA) ) ss.COUNTY OF)SUBSCRIBED AND SWORN TO before me onMy commission expires:Notary Public/Deputy Clerk of Court4 of 4 02/03/002001 © American LegalNet, Inc.