Petition - Unruly And Delinquent Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition - Unruly And Delinquent Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Petition - Unruly And Delinquent, JC-1, Tennessee Local County, Shelby
IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE
IN THE MATTER OF
Docket Number ____________________________
A child under 18 years of age
PETITION
To the Honorable Curtis S. Person, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee:
Your petitioner respectfully represents to the Court on information and belief that:
1. Said child is _________________________ child within the meaning of the law of the State of Tennessee.
Said child did on or about ______________________________, 20 ____, in Shelby County, Tennessee,
commit ____________________ act, to wit,
2.
3.
4.
5.
6.
It is in the best interest of said child and the public that this proceeding be brought.
Said child is in need of treatment or rehabilitation.
The father is ______________________________, residing at _________________________________.
The mother is _____________________________, residing at _________________________________.
The child is in the custody and control of _________________________________________________
residing at __________________________________________________________________________.
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 within its jurisdiction.
__________________________________________
Petitioner
____________________________________________
Address
STATE OF TENNESSEE
COUNTY OF SHELBY
AFFIDAVIT
Before me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein
are true to the best of his knowledge, information and belief.
____________________________________________
Petitioner
Sworn to and subscribed before me this __________ day of _________________________________, 20 _____
JOY TOULIATOS, Clerk of Court
By __________________________________ D. C.
9/1/10
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JC-1