.PetitionerV.DefendantBefore me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein are true to the best of his/her knowledge, information and belief.STATE OF TENNESSEECOUNTY OF SHELBY AFFIDAVIT PETITION FOR CHILD SUPPORTTo the Honorable Dan H. Michael, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee:Your Petitioner respectfully represents to the Court that: þ 1. þ The defendant has a duty of support toward the following named child(ren): þ 2. þ Said child(ren) are/is in the care or custody of the petitioner who has made or hereby makes application for child support enforcement assistance pursuant to Title IV-D of the Social Security Act. þ 3. þ The defendant should be ordered to contribute toward the support of said child(ren) according to the defendant's means and the needs of said child(ren). þ 4. þ The defendant be ordered to provide health insurance for said child(ren) if available to defendant at reasonable cost or in the alternative that defendant be responsible for all of said child(ren)'s medical expenses.Premises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make such orders as the Court may deem proper and in the best interest of said child(ren). PetitionerAddressDocket Number IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEEPetitionerSworn to and subscribed before me this day of , 20 JC-26AJANIS FULLILOVE, Clerk of CourtBy D. C.9/1/10 American LegalNet, Inc. www.FormsWorkFlow.com