General Testimony Page 21

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Item 6: Check this box if the parents are legally separated. Indicate the date (Month, Date, Year) and
County/State of the legal separation.
Item 7: Check this box if divorce proceedings are pending. Indicate the County/State of the
proceedings.
Item 8: Check this box if a child support order has been entered. Indicate the date (Month, Date,
Year) of the order.
Item 9: Check this box if no child support order has been entered.
Item 10: Check this box to indicate relationships not described by the options above. Describe the
relationship on the line provided (e.g. mother and father lived together; mother and father had casual
relationship; etc).
Item 11: List the name and location of the tribunal (court or agency) that entered any divorce decree,
legal separation, or child support order.
Remember to attach the required number of copies of any existing support orders (including a divorce
decree or separation agreement). If you are sending this case to a State that uses the Uniform
Interstate Family Support Act (UIFSA), you will generally need to attach two copies, one of which is
certified, of any support order. If you are sending this case to a State that uses a version of the
Uniform Reciprocal Enforcement of Support Act (URESA), you will generally need to attach three
certified copies of any support order. Note, however, that some responding States may be able to
take certain administrative enforcement actions (e.g., interstate wage withholding) without having a
certified copy of the order, although a regular copy is still necessary.
SECTION V, DEPENDENT CHILD(REN) IN THIS ACTION: This information is used to identify child(ren)
for whom paternity is to be established and/or for whom support or a modification thereof is sought.
Part A: List all the children for whom paternity is to be established or support is sought or due from
the obligor listed on page 1 of this form. These should be the same children listed in section I of the
Uniform Support Petition. List only children of the particular obligor named in this action. Provide
information about each child under items 1 through 4. If there are more than four children, provide
information about the other children in Section X: Other Pertinent Information. If a child listed is over
18, indicate whether (s)he is enrolled in high school or college; some responding States may require a
letter from the child's school for verification purposes.
Attach a separate "Affidavit in Support of Establishing Paternity" for each child whose
paternity is at issue.
Check the box "Nondisclosure Finding Attached" if a nondisclosure finding pursuant to the Uniform
Interstate Family Support Act (UIFSA) or an existing protective order excuses disclosure of the
child(ren)'s address or other identifying information. Attach a copy of any nondisclosure finding. If a
nondisclosure finding exists, do not enter the child(ren)'s address or identifying information on the
form.
Item a: Enter the child's full name (First, Middle, Last).
Item b: Enter the child's address (Street, City, State, Zip Code).
Item c: Enter the child's Social Security Number.
Instructions for General Testimony--Page 8

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