SUPERIOR COURT OF FULTON COUNTY STATE OF GEORGIA FAMILY DIVISION Petitioner, , , Civil Action Case Number v. Respondent. PETITION FOR LEGITIMATION AND CUSTODY/VISITATION My name is and I am representing myself in this Petition for Legitimation and Custody/Visitation. In support of my case, I state as follows: 1. The Respondent is [Check only one of the following, either (a), (b), or (c).] __(a) the mother of my child(ren) __(b) the legal guardian of my child(ren) __(c) the legal custodian of my child(ren). 2. Jurisdiction and Venue: [Check those that apply] __(a) The Respondent is a resident of Fulton County, Georgia. __(b) The Respondent is a resident of County, Georgia, and I live in Fulton County. The Respondent has acknowledged service of process and consented to the jurisdiction and venue of this Court. __(c) The Respondent resides in the State of , but I am a resident of Fulton County and my child(ren) reside(s) in Georgia. . Provided by the Family Law Information Center Petition for Legitimation and Custody/Visitation - Rev. August 2015 American LegalNet, Inc. www.FormsWorkFlow.com __(d) The Respondent resides in the State of , but my child(ren) reside(s) in Fulton County. __(e) The Respondent's whereabouts are unknown to me, but I am a resident of Fulton County and my child(ren) reside in Georgia. I am filing my Affidavit of Diligent Search with this Petition, and incorporate it here by reference. __(f) The Respondent's whereabouts are unknown to me, but my child(ren) reside(s) in Fulton County. I am filing my Affidavit of Diligent Search with this Petition, and incorporate it here by reference. __(g) The Respondent Mother is deceased, but my child(ren) or I reside(s) in Fulton County. 3. Service of Process: The Respondent shall be served as provided under OCGA � 911-4, in the following manner: [Check those that apply] __(a) The Respondent may be served by the Sheriff's Department at the Respondent's residence/work address, which is: __(b) The Respondent has acknowledged service of process. I am filing the Acknowledgment of Service (which has been signed by the Respondent) with this Petition. __(c) The Respondent's whereabouts are unknown to me. I am filing my Affidavit of Diligent Search with this Petition. The Respondent shall be served by publication as provided under OCGA � 9-11-4(e)(1) for those who cannot be found within the State of Georgia. To the best of my knowledge, the Respondent's last known address is: __(d) The Respondent Mother is deceased. 4. Minor Child(ren): Petition for Legitimation and Custody/Visitation - Rev. August 2015 Provided by the Fulton Family Law Information Center American LegalNet, Inc. www.FormsWorkFlow.com I am the father of minor child(ren), listed below: Year of Birth __________ __________ __________ __________ Lives with __________ __________ __________ __________ Name of child Gender ____________________ ______ ____________________ ______ ____________________ ______ ____________________ ______ The minor child(ren) was/were born out of wedlock. 5. Child(ren)'s Current Residence: The minor child(ren) currently live at the following adult: The child(ren) has/have lived at this address since approximately 6. in County, with . . Child(ren)'s Past Residences: During the past five years, the child(ren) has/have lived at the following addresses: Dates at Address Address 7. Adults With Whom Child(ren) Has/Have Lived: During the past five years, the child(ren) has/have lived with the following adults: Name of Person Person's Current Address 8. Other Court Cases About Child(ren): [Check only one of the following, either (a) or (b).] __(a) I have never participated as a party or a witness or in any other capacity in any other litigation concerning the custody of or visitation with the minor Provided by the Family Law Information Center Petition for Legitimation and Custody/Visitation - Rev. August 2015 American LegalNet, Inc. www.FormsWorkFlow.com child(ren) in this or any other state. __(b) I have participated in other litigation concerning the custody of the minor child(ren) in Georgia or another state. The court, case number and date of any order concerning custody or visitation under the other litigation are as follows: ____________________________________________________ ___________________________________________________________. 9. Other Proceedings That Could Affect Custody or Visitation in This Case: [Check only one of the following, either (a) or (b).] __(a) I do not have any information of any proceeding that could affect this case, including proceedings for enforcement and proceedings relating to family violence, protective orders, termination of parental rights, and adoptions in this or any other state. __(b) I have information about a proceeding that could affect this case, including proceedings for enforcement and proceedings relating to family violence, protective orders, termination of parental rights, or adoptions in this or another state. The court, the case number and the nature of the proceeding are as follows: ________________________________________________ ____________________________________________________________. 10. Others Claiming Custody or Visitation: [Check only one of these, either (a) or (b).] __(a) I do not know of any person who is not a party to this case, who has physical custody of the child(ren) or who claims to have custody or visitation rights with respect to the child(ren). __(b) I know of someone who is not a party to this case, who has physical custody of the child(ren) or who claims to have custody or visitation rights with respect to the child(ren). The names and present addresses of the person(s) are: _________________________________________________ ____________________________________________________________ Petition for Legitimation and Custody/Visitation - Rev. August 2015 Provided by the Fulton Family Law Information Center American LegalNet, Inc. www.FormsWorkFlow.com 11. __12. I want to legitimate my relationship with the child(ren). I want to change the name of the child(ren) from: to to to to to __ 13. I seek to have my name entered as the father on the birth record of each child. 14. Child Custody and Visitation: (a) I should be awarded the following: [Check all that apply] Sole legal custody [OR] Joint legal custody Sole physical custody [OR] Joint physical custody Reasonable visitation as follows: ______________________________________________________________ ____________________