Custody Affidavit Form. This is a Ohio form and can be use in Franklin County (Court Of Common Pleas).
Tags: Custody Affidavit, Ohio County (Court Of Common Pleas), Franklin
IN THE COURT OF COMMON PLEAS OF FRANKLIN COUNTY, OHIO DIVISION OF DOMESTIC RELATIONS AND JUVENILE BRANCH CASE NO. AFFIDAVIT/R.C. §3127.23 JUDGE PLAINTIFF/PETITIONER SOCIAL SECURITY NUMBER ADDRESS DEFENDANT/RESPONDENT SOCIAL SECURITY NUMBER ADDRESS STATE OF OHIO FRANKLIN COUNTY, SS: , being first duly sworn, says that he/she is a party to the child custody proceeding hereinabove set forth, concerning the following named child(ren): 1. DOB present address 2. DOB present address 3. DOB present address 4. DOB present address 5. DOB present address 6. DOB present address Set forth below are the addresses at which said child(ren) resided during the preceding five (5) years, and the name(s) and present address of the person(s) with whom the child resided: From to With At Current address Custody affidavit (4-2005) Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com From to With to With to With to With At Current address From At Current address From At Current address From At Current address 1. Said Affiant (circle one) HAS/HAS NOT participated as a party, witness or in any other capacity in any other proceeding concerning the allocation, between the parents of the same child, of parental rights and responsibilities for the care of the child including any designation of parenting time rights and the designation of the residential parent and legal custodian of the child or that otherwise concerned the custody of or visitation with the same child. If Affiant has so participated, the court, case number and the date of the child custody determination are stated below. 2. Said Affiant (circle one) DOES/DOES NOT know of any proceeding that could affect the current proceeding, including proceedings for enforcement of child custody determinations, proceedings relating to domestic violence or protection orders, proceedings to adjudicate the child as an abused, neglected, or dependent child, proceedings seeking termination of parental rights, and adoptions. If Affiant does know of such a proceeding, the court, case number, and the nature of the proceeding are stated below. 3. Said Affiant (circle one) KNOWS/DOES NOT KNOW of any person who is not a party to the proceeding and has physical custody of the child or claims to be a parent of the child who is designated the residential parent and legal custodian of the child or to have parenting time rights with respect to the child or to be a person other than a parent of the child who has custody or visitation rights with respect to the child. If Affiant knows of such a person, the names and addresses of those persons are stated below. Said Affiant has the following knowledge regarding information set forth in paragraphs one through three above: Each party has a continuing duty to inform the court of any child custody proceeding concerning the child in this or any other state that could affect the current proceeding. Said Affiant says that all the foregoing statements are true. Affiant Attorney Notary Public Address Sworn to and subscribed by the affiant before me this day of , 20 Custody affidavit (4-2005) . Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com