STATE OF NORTH CAROLINA County Name And Address Of Juvenile File No. In The General Court Of Justice District Court Division IN THE MATTER OF: MOTION FOR REVIEW Juvenile's Date Of Birth Name Of Movant Age (ABUSE/NEGLECT/DEPENDENCY) G.S. 7B-1000 I request the Court to hear and further consider the case of the juvenile named above, as to whom the Court is exercising continuing jurisdiction: 1. to conduct a 90-day 6-month review pursuant to G.S. 7B-906. 2. to conduct a permanency planning hearing pursuant to G.S. 7B-907. 3. to conduct a post-termination of parental rights or relinquishment hearing pursuant to G.S. 7B-908 or 909. 4. to determine the obligation of one or both parents to pay a reasonable sum for the support of the juvenile while in the custody of someone other than the parent(s). G.S. 7B-904. 5. Other: FACTS AND CIRCUMSTANCES INDICATING NEED FOR REVIEW As grounds for such motion, the movant shows the Court: Date Name Of Movant (Type Or Print) Signature Of Movant (Use reverse side for additional Facts and Circumstances.) (Over) AOC-J-140, Rev. 9/12 (Replaces J-101) © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com ADDITIONAL FACTS AND CIRCUMSTANCES AOC-J-140, Side Two, Rev. 9/12 (Replaces J-101) © 2012 Administrative Office of the Courts American LegalNet, Inc. www.FormsWorkFlow.com