CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 1 of 6 State of Minnesota District Court County Judicial District: Court File Number: Case Type: In Re the Custody of: Born (mo/day/yr) Answer and Counterpetition to Establish Custody and Parenting Time Born (mo/day/yr) Petitioner and Respondent ANSWER Respondent222s Answer to the Petition for Custody and Parenting Time is that: 1. The statements in the Petition in the following paragraphs are TRUE: 2. The statements in the Petition in the following paragraphs are NOT TRUE: 3. The statements in the Petition in the following paragraphs are PARTLY TRUE AND PARTLY NOT TRUE: 4. Respondent does not have information to admit or deny statements in the following paragraphs of the Petition: American LegalNet, Inc. www.FormsWorkFlow.com CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 2 of 6 COUNTERPETITION Respondent states that the following information is true: 1. The Petitioner is the father mother. Petitioner222s full name: First Middle Last Street Address Apt. # City State Zip Code 2. I am the Respondent. I am the father mother. Respondent222s full name: First Middle Last Street Address Apt. # City State Zip Code 3. The names and dates of birth of the minor children involved in this action are: Child222s Full Name Date of Birth First Middle Last Month / Day / Year First Middle Last Month / Day / Year 4. The children currently live with: Me Other parent Other person (print full name of other parent or person): . The address of the children is: in the City of , County of , State of , zip code . The children have lived at this address since (mo/day/yr). If children have lived less than six months at the above listed address, list dates and locations of where the children have been living for the last six months: American LegalNet, Inc. www.FormsWorkFlow.com CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 3 of 6 5. Petitioner and Respondent signed a Minnesota Recognition of Parentage for the minor children listed above. The Recognition of Parentage has been filed with the Minnesota Department of Health and is a basis for bringing an action to grant custody, parenting time, and/or child support pursuant to Minn. Stat. 247 257.75, subd. 3 (2007). (check one) Petitioner attached a certified copy of the Recognition of Parentage to their Petition. Petitioner stated on their Petition that they requested a certified copy from the Minnesota Department of Heath and will file it with the court when Petitioner receives it. I have attached a certified copy of the Recognition of Parentage to this Answer and Counterpetition. 6. A court-appointed guardian or custodian has been appointed for the children. No Yes 226 A guardian or custodian has been appointed for the children by court order in Court File No. in the County of , State of , and the name of the guardian or custodian is . 7. Respondent222s request for custody: a. Legal Custody: Legal custody means having a right to participate in the major decisions regarding the child222s life, including education, religious upbringing and medical treatment. It is in the child222s best interests that legal custody is granted as follows: (check one) Joint legal custody to both parents OR Sole legal custody to Petitioner Respondent b. Physical Custody: Physical custody identifies who will handle the routine daily care and control of the child, and who the child will live with. It is in the children222s best interests that physical custody is granted as follows: (check one) Joint physical custody to both parents OR Sole physical custody to Petitioner Respondent American LegalNet, Inc. www.FormsWorkFlow.com CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 4 of 6 8. A child protection case involving the children in this case is open: YES NO If YES, this case is in County in the State of , and the Court File Number is . The child protection worker222s name is . 9. An Order for Protection involving me and the other parent (print full name): and/or the children is open: YES NO If YES, this case is in County in the State of , and the Court File Number is . If the order is from another county or state, include a copy of the Order for Protection with this Answer and Counterpetition if it was not included with the Petition. 10. Respondent222s request for parenting time: It is in the child222s best interests that parenting time be granted as follows: Grant parenting time to the Petitioner Respondent OR Grant supervised parenting time to the Petitioner Respondent OR Deny parenting time to the Petitioner Respondent 11. Child Support: (check only one box) There is no existing child support order and I am asking the court to establish child support in accordance with child support guidelines. There is no existing child support order and I am not asking the court to establish child support. There is an existing child support order for the children named in this action, located in the County of , State of , Court File Number . The Respondent requests that the court grant the following relief: American LegalNet, Inc. www.FormsWorkFlow.com CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 5 of 6 1. I am asking the court to grant legal custody as follows: (check one) Joint legal custody to both parents OR Sole legal custody to Petitioner Respondent 2. I am asking the court to grant physical custody as follows: (check one) Joint physical custody to both parents OR Sole physical custody to Petitioner Respondent 3. I am asking the court to: (check one) grant parenting time OR grant supervised parenting time to Petitioner Respondent OR deny parenting time to Petitioner Respondent 4. Optional 226 only check this box if asking the court for child support. I am asking the court to establish child support according to the child support guidelines. Child support includes basic support, medical support, and child care support. 5. Granting such other and further relief as the court may deem just and equitable. 6. I certify to the court that: a. I have read this document. To the best of my knowledge, information and belief the information contained in this document is well grounded in fact and is warranted by existing law. American LegalNet, Inc. www.FormsWorkFlow.com CHC204 State ENG 8/18-D www.mncourts.gov/forms Page 6 of 6 b. I have not been determined by any court in Minnesota nor in any other state to be a frivolous litigant and I am not the subject of an Order precluding me from serving or filing this document. c. I am not serving or filing this document for any improper purpose, such as to harass the other party or to cause delay or needless increase in the cost of litigation or to commit a fraud on the court. d. I understand that if I am not telling the truth or if I am misleading the court or if I am serving or filing this document for an improper purpose, the court can order me to pay money to the other party, including the reasonable expenses incurred by the other party because of the serving or filing this document, court costs, and reasonable attorney222s fees. I understand that I could also be prosecuted for perjury if I am not telling the truth in my Answer and Counter-Petition. DATE: Respondent222s Signature Street Address City, State, Zip Code Telephone E-mail address American LegalNet, Inc. www.FormsWorkFlow.com