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Affidavit Form. This is a Ohio form and can be use in Geauga County (Court Of Common Pleas).
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Tags: Affidavit, 16.1, Ohio County (Court Of Common Pleas), Geauga
PROBATE COURT OF GEAUGA COUNTY, OHIO
JUDGE CHARLES E. HENRY
GUARDIANSHIP OF
CASE NO.
AFFIDAVIT
[R.C. 3127.23]
State of Ohio, County of GEAUGA s.s.
(To be filed only when guardianship of the person of a minor is sought.)
Affiant being first duly sworn, deposes and says:
1.
That the child’s present address, the places where the child has lived within the last five years, and
the names and present addresses of the person(s) with whom the child has lived during that period
are:
2.
That affiant has (not) participated as a party, witness, or in any other capacity in any litigation
concerning the custody of the child(ren) in this or any other state.
3.
That the affiant has (no) information of any custody proceeding concerning the child(ren) pending
in a court of this or any other state, except
______________________________________________________________________________
______________________________________________________________________________
4.
That affiant has (no) knowledge of any person not a party to the proceedings who has physical
custody of the child(ren) or claims to have custody or visitation rights with respect to the
child(ren).
If 2, 3, or 4 is answered in the affirmative, and the space afforded is insufficient for full explanation, please
attach and incorporate herein any necessary information.
Affiant realizes that affiant has a continuing duty to inform the Court of any custody proceedings
concerning the child(ren) in this or any other state of which affiant obtains information during the
pendency of this proceeding.
Sworn to before me and subscribed in my presence this
day of
,
Notary Public
FORM 16.1 - AFFIDAVIT
Eff. Date March 1, 2008
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