General Testimony (Page 17 of 30) in pdf

Items 1 - 5: Provide a physical description of the mother by listing her race, height, weight, hair color,

and eye color. This information may be helpful in locating or serving the mother if she is the

respondent in this action. Optional: attach a recent photo if available. A photo may be useful if the

mother is the respondent and identification or service of process is necessary.

When listing the mother's race, select from the following: 1) White (non-hispanic), 2) Black (non-

hispanic), 3) Hispanic, 4) American Indian - Alaskan Native, or 5) Asian - Pacific Islander.

Part C: Present Marital Status of Child(ren)'s Mother

Items 1 - 7: Check the appropriate box(es) which describe the mother's present marital status. This

information may be considered in determining the obligor's ability to pay or the obligee's need for

support when a support order is established or modified. Check "single" only if the mother has never

been married to anyone; if the mother has previously been married, check divorced, legally separated,

or separated, as appropriate.

Part D: Information about Current Spouse or Partner of Child(ren)'s Mother. Complete part D only if

the mother currently has a spouse or non-marital partner. Otherwise, enter "Not Applicable".

Item 1: Enter the name of the mother's current spouse or non-marital partner.

Item 2: Check the appropriate box to indicate whether the mother's current spouse/partner is

employed.

Item 3: If the answer to item 2 is "Yes", enter the name and address of the spouse's/partner's

employer.

Item 4: Enter the spouse's/partner's estimated gross monthly earnings.

Part E: Check the appropriate box to indicate whether the mother is responsible for dependents other

than the child(ren) in this action (listed in Section V). If the answer is "yes", provide information about

each dependent under items 1 through 3. If there are more than three dependents, provide

information about the other dependents in Section X: Other Pertinent Information.

Item a: Enter the full name of the dependent (First, Middle, Last).

Item b: Enter the dependent's date of birth (Month, Date, Year).

Item c: Enter the dependent's relation to the child(ren)'s mother.

Item d: Indicate who the dependent is living with.

Item e: Enter the dependent's source of support or income.

Item f: Enter the monthly amount (both gross and net) of that support or income.

SECTION II, PERSONAL INFORMATION ABOUT CHILD(REN)'S FATHER: This section asks for

information about the child(ren)'s father. This includes an alleged father if paternity has not yet been

established. If the father is the respondent in this action, this information will be used to identify him,

locate him, discover income and assets, begin the process of determining his ability to pay, and/or

effect collection actions. If the father is the respondent and needs to be located, also attach a

completed "Locate Data Sheet".

Instructions for General Testimony--Page 4

General Testimony Page 17