Fillable Ex Parte Temporary Custody Application - Affidavit Of Petitioner printable pdf download

Ex Parte Temporary Custody Application - Affidavit Of Petitioner

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EX PARTE TEMPORARY CUSTODY APPLICATION

Form E

AFFIDAVIT OF PETITIONER

PARISH OF ___________________________________

STATE OF LOUISIANA

BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in this state and

parish, personally appeared ___________________________________, who after being duly sworn, did

depose and state:

I have read the allegations of the petition and they are true and accurate to the best of my

knowledge, information, and belief; and

Immediate and irreparable injury will result to the child or children named in the attached petition

before the defendant herein or his/her attorney can be heard in opposition because of the following

specific facts:

_____________________________________________________________________________________

(attach additional pages if necessary)

___________________________________

PETITIONER’S SIGNATURE

before me this ____ day of ________________________,

20___, at _________________________, Louisiana.

___________________________________

NOTARY PUBLIC

: The Court will not consider any ex parte custody application unless this form and Form F are attached.

THE FAMILY COURT

FORM E

REVISED: NOV 2013

Ex Parte Temporary Custody Application - Affidavit Of Petitioner

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