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Motion And Affidavit For Pre Decree Relief Form. This is a Hawaii form and can be use in Family Court Statewide.
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Tags: Motion And Affidavit For Pre Decree Relief, Hawaii Statewide, Family Court
STATE OF HAWAI‘I
FAMILY COURT
___________ CIRCUIT
MOTION AND AFFIDAVIT
FOR PRE-DECREE RELIEF
CASE NUMBER
FC-D NO.
Name, address, and telephone number of
[ ] Movant [ ] Attorney for Movant:
_________________________________________
PLAINTIFF
vs.
________________________________________
DEFENDANT
Attached hereto:
[ ] Income and Expense Statement
[ ] Asset and Debt Statement
[ ] Child Support Guidelines Worksheet
[ ] Custody/Visitation Statement
[ ] Continuation Sheet
[ ] _____________________________________
_____________________________________
[ ] Order for Pre-Decree Relief
[ ] IMPORTANT This is a Domestic Abuse Case
I am the [ ] Plaintiff [ ] Defendant in this case. I am referred to as the Movant in this motion.
My spouse is referred to as the Respondent in this motion. Pursuant to Hawai‘i Family Court
Rule 7 I seek the following relief:
[ ]
1. An order which awards the temporary legal custody, physical custody and visitation of
the parties’ child/ren as follows: ____________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
This arrangement is best for the parties’ child/ren because: _________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Note If custody and visitation orders are requested the attached Custody/Visitation
Statement must be completed and the Movant’s Income and Expense and Asset and
Debt Statements must be attached.
[ ]
2. An order requiring the Respondent to pay monthly child support of $______________ .
Note If child support is requested the Movant’s Income and Expense and Asset and
Debt Statements must be attached.
[ ]
3. An order requiring the Respondent to pay monthly
alimony of $______________.
Note If alimony is requested the Movant’s Income and
Expense and Asset and Debt Statements must be attached.
[ ]
4. An order requiring the Respondent to pay $___________
toward my legal expenses.
Note If contribution to legal expenses is requested
the Movant’s Income and Expense and Asset and Debt
Statements must be attached.
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[ ]
5. An order requiring the Respondent to make the following other payments: _________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
Note If such an order is requested the Movant’s Income and Expense and Asset and Debt
Statements must be attached.
[ ]
6. An order requiring mediation on the issues raised by this motion.
[ ]
7. An order directing a social study by the Family Court regarding the custody and/or
visitation issues raised by this motion.
[ ]
8. An order which enjoins and restrains the Respondent from transferring, encumbering,
wasting, or otherwise disposing of any of his or her real or personal property, except as
necessary, over and above current income, for the ordinary course of business or for usual
living expenses. Such a restraining order is necessary because: ______________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
[ ]
9. An order which enjoins and restrains the Respondent from removing the parties’
child/ren from the City and County of Honolulu. Such a restraining order is necessary
because: ____________________________________________________________________________________
_____________________________________________________________________________________________
[ ]
10. An order which enjoins and restrains the Respondent from physically abusing,
threatening, or harassing me and/or the parties’ child/ren because:
a. The Respondent has physically abused me in the past as follows (state nature and
date of most recent incident of abuse): __________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
b. The Respondent has threatened to abuse me in the past as follows (state nature and
date of most recent threat of abuse): ____________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
[ ]
11. The Respondent owns, intends to obtain or transfer ownership of, or possesses a firearm or
ammunition and the firearm may be used to threaten, injure or abuse any person, as follows:
a. The Respondent [ ] owns [ ] possesses the following type(s) of firearm(s): ____________
________________________________________________________________________________________
As of __________________(date), the firearm(s) was/were located at (state address and
specific location therein): _______________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
b. I believe that the Respondent intends to obtain or transfer ownership of (a) firearm(s)
because: _______________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
c. In the past the Respondent has [ ] used [ ] threatened to use (a) firearm(s) against
me and/or the parties’ child/ren as follows (state nature and date of the last such use
and/or threatened use): ________________________________________________________________
________________________________________________________________________________________
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Revised 10/04/04
Motion and Affidavit for Pre-Decree Relief
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d.
I believe that the Respondent may in the future use (a) firearm(s) to threaten, injure
and/or abuse me, the parties’ child/ren and/or someone else because: __________________
________________________________________________________________________________________
________________________________________________________________________________________
[ ]
12. The Respondent’s name, address, date of birth, telephone number, and social security
number are:
Name _________________________________________________________________________________
Address _______________________________________________________________________________
Date of Birth ____________________________ Telephone Number __________________________
Social Security Number _______________________________________________________________
[ ]
13. Other relief sought: _____________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
In further support of this motion I also affirm:
[ ]
14. I am not now, nor have I been in the past, a party to a legal proceeding other than this
case involving the Respondent.
[ ]
15. My participation as a party in other legal proceedings involving the Respondent is/has been
as follows:
Case name _____________________________________________________________________________
Case number __________________________________________________________________________
Location of Court ______________________________________________________________________
Date filed _________________________ Date concluded ____________________________________
Type of case ___________________________________________________________________________
Case name _____________________________________________________________________________
Case number __________________________________________________________________________
Location of Court ______________________________________________________________________
Date filed _________________________ Date concluded ____________________________________
Type of case ___________________________________________________________________________
I hereby declare under penalty of perjury that the information in this motion and all of the attachments
to it is true, correct, and complete to the best of my knowledge and belief.
Subscribed and sworn to before me
______________________________________________
Movant’s Signature
this _____ day of _____________, 20__.
Name:
Signature:
NOTARY PUBLIC, State of Hawai‘i
My commission expires:
Page 3 of 3
Revised 10/04/04
Motion and Affidavit for Pre-Decree Relief
American LegalNet, Inc.
www.FormsWorkflow.com