IN THE CIRCUIT/CHANCERY COURT OF SHELBY COUNTY TENNESSEE Petitioner VS Respondent Petition (Check one) To set child support To enforce child support To modify child support under TCA Title 36, Chapter 5 states: County, Tennessee, and lives at DOCKET NO: Petitioner, 1. Petitioner is a resident of 2. Respondent is a resident of and lives at 3. The child(ren) for whom support is sought is (are): Name Name Name 4. This (These) child(ren) reside(s) at: Birth date Birth date Birth date 5. Petitioner's relationship to the (these) child(ren) is: 6. Respondent is obligated to pay support for this (these) child(ren) because: (check appropriate section) (a.) Respondent is legal party by virtue of birth during marriage to (ex-spouse name) on (date of marriage) (b.) Court Order of Court on (date) order of paternity, legitimization, divorce, adoption, non-support.} (c.) Other (specify) 7. Petitioner seeks to: (check appropriate items a-e) (a.) have support set. (b.) enforce support. (c.) modify support (1.) by increasing support; (2.) by decreasing support. 1-1 American LegalNet, Inc. www.FormsWorkFlow.com {copy attached may be (d.) recover arrearages due. (e.) other (specify) 8. Respondent has children under the age of 18 other than those listed above? If yes: Name Name Name 9. Respondent is under an order of support for any other children? 10. Respondent was previously married? Yes No No Yes Yes Birth Date Birth Date Birth Date No No 11. Respondent has subsequently married? Yes WHEREFORE PREMISES CONSIDERED PETITIONER REQUESTS: 1. That a hearing in this cause be set and notice of said hearing be served on Respondent, as Provided in �36-5-405(a). 2. That the Court order: (check the appropriate paragraph (a) through (d)) (a) Respondent to pay a reasonable amount of child support in the manner deemed appropriate. (b) Enforcement of the previously ordered child support by means the Court finds to be appropriate, including but not limited to income assignment, issuance of lines on real and/or personal property of Respondent, requiring a bond or other security to assure payment. (c) An increase in child support. (d) A 3. For general relief. STATE OF TENNESSEE COUNTY OF , being first duly sworn, affirms that the Petitioner has read the foregoing petition, knows the contents thereof, and that the same is true and correct to the best of petitioner's knowledge. in child support PETITIONER (signature) Sworn and subscribed before me on this day of , 20 NOTARY/DEPUTY CLERK My commission expires: 1-2 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT/CHANCERY COURT OF SHELBY COUNTY TENNESSEE Petitioner VS Respondent DOCKET NO: AFFIDAVIT Petitioner 1. What is your full name? 2. Where do you reside? 3. When and where were you married to the Respondent? Date? Location? 4. Are you still the spouse of the Respondent? If not, give date and place of divorce. 5. Were there any children born of this marriage? 6. What are their names, ages, and dates of birth? , the Petitioner herein, being duly sworn, says as follows: 7. Are the children living with you? 8. When did the Respondent last live with you? 9. When and how much was his/her last contribution for support? 10. Is there a complaint or an order for support in any Court? If so, name the court, amount, and docket number. 11. Are you employed? If so, what are your earnings? 12. Do you have any outstanding debts? (itemize balance due on charge accounts, etc.) 13. How much support is spent for yourself and/or the children? 2-1 American LegalNet, Inc. www.FormsWorkFlow.com EXPENSES Rent Groceries Entertainment Transportation (includes car payment, insurance payment, gas, maintenance, or bus or car fare). Medical (includes doctor bills, hospital bills, insurance premiums, etc.). Utilities (includes phone bill, electric bill, natural gas bill, water and sewer, garbage pickup bills). Child Care (includes babysitting care, day care, nursery, kindergarten). Schools (includes school supplies, school lunches, etc., and tuition where applicable). Insurance (other than medical or automobile). Charge Loan Incidentals (includes gifts, donations, subscriptions, haircuts, etc.). Laundry and cleaning expenses Other (specify) Total Where is respondent now living? Describe the respondent: Height: Hair: Photograph attached? Other? Weight: Race: Yes No Date of Birth: Social Security No: Eyes: account payments payments or and Mortgage household payment supplies What is the respondent's usual occupation? 2-2 American LegalNet, Inc. www.FormsWorkFlow.com Where is the respondent employed and what is his/her salary? To your knowledge, does the respondent have additional income? (second job, Military, reservist, etc.)? Does respondent own any property? If so, describe it: Does the respondent have children under the age of 18 other than those listed on this form? Is the respondent under a court order of support for any other children? Was the respondent previously married? If so, did he/she have children by this previous marriage? If so, are any of the children under the age of 18? Has the respondent subsequently married? If so, does he/she have any children under the age of 18 by this subsequent marriage? Are you receiving financial assistance from the Department of Human Services? If so, in what amount? If you do not receive support from the respondent, will it be necessary for you to apply to the Department of Human Services for financial support? How much do you need from the respondent to support yourself and/or the children? PETITIONER (signature) STATE OF TENNESSEE COUNTY OF , being first duly sworn, affirms that the Petitioner has read the forgoing petitioner, knows the contents thereof, and that the same is true and correct to the best of petitioner's knowledge. PETITIONER (signature) Sworn and subscribed before me this day of , 20 My commission expires: NOTARY PUBLIC/CLERK 2-3 American LegalNet, Inc. www.FormsWorkFlow.com IN THE CIRCUIT/CHANCERY COURT OF SHELBY COUNTY TENNESSEE Petitioner VS Respondent DOCKET NO: NOTICE TO THE RESPONDENT, Notice is hereby given to you, Honorable Divorce Referee of the County, Tennessee, on the requesting the Court: (check appropriate section) (a) to order support payments for the individuals listed in the attached Petition for Child Support (b) to enforce the order of support entered in the , 20 Court on the of day of that the Petitioner will appear before the Court for , 20 , as set out in the attached Petitioner for Child Suppo