Petition And Affidavit To Enforce Child Support With Reference To Divorce Referee
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Petition And Affidavit To Enforce Child Support With Reference To Divorce Referee Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Petition And Affidavit To Enforce Child Support With Reference To Divorce Referee, Tennessee Local County, Shelby
IN THE CIRCUIT/CHANCERY COURT OF SHELBY COUNTY TENNESSEE
Petitioner,
DOCKET NO:
Vs.
Defendant,
PETITION AND AFFIDAVIT TO ENFORCE CHILD SUPPORT
Comes now the Petitioner,
T.C. A. Title 36, Chapter 5, stating that:
, under
1. Petitioner is a resident of
and lives at
County
, Zip code
Street Address, City, State
Petitioner's date of birth
/
/
Social Security #
2. Defendant is a resident of
and lives at
County
, Zip code
Street Address, City, State
Defendant's date of birth
/
/
Social Security #
3. The child(ren) for whom support is sought is (are):
Name
Birth date
/
/
Name
Birth date
/
/
Name
Birth date
/
/
Name
Birth date
/
/
4. This (these) child(ren) reside at
5. Petitioner's relationship to the (these) child(ren) is
6. When and how much was his/her last contribution for support?
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7. Is there an order for support in any Court?
and docket number.
If so, name the Court, amount
8. Defendant is employed by: (Give company name and address)
9. Petitioner seeks to: (Check appropriate items)
(a) enforce support
(b) recover arrearages due in the amount of $
The above facts are true and correct to the best of my knowledge and belief
Petitioner's Signature:
Address:
Telephone Number:
State of Tennessee
County of Shelby
Sworn to and Subscribed before me on this
day of
20
Notary Public or Deputy Clerk
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REFERENCE TO DIVORCE REFEREE
The above matter is referred to the Divorce Referee for a hearing regarding the above
requested relief
This cause is set for Hearing on the
at 1:00 p.m. at the following location:
day of
Shelby County Courthouse
140 Adams, Room 327
Memphis, TN 38103
Phone: 901-545-4010
FAX: 901- 545-4723
, 20
I
CERTIFICATE OF SERVICE
i certify that a copy of this Petition, with Hearing date included, was mailed to the
Respondent at
by United States Mail prepaid
day of
this
, 20
DEPUTY COURT CLERK
RECOMMENDATIONS OF DIVORCE REFEREE
DIVORCE REFEREE
DATE
The above recommendations of the Divorce Referee are confirmed and so ordered by the
court.
JUDGE
DATE
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