Answer To Complaint Petition Motion Page 4

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Instructions: If you want something different from what the other side wants, check below and fill
out the appropriate DOM REL Form(s). See General Instructions, DOM REL 0-1 and Forms DOM
REL 1 through 21.
COUNTERCLAIM
I,
representing myself, state that:
I want (check all that apply and attach forms indicated):
child support (attach DOM REL 1, DOM REL 30)
custody (attach DOM REL 4)
visitation (attach DOM REL 5)
modification of child support (attach DOM REL 6, DOM REL 30)
modification of custody/visitation (attach DOM REL 7)
absolute divorce (attach DOM REL 20, DOM REL 31, DOM REL 33)
limited divorce (attach DOM REL 21, DOM REL 31)
Date
Signature
CERTIFICATE OF SERVICE
I HEREBY CERTIFY that on this
day of
,
,
a copy of this Counterclaim and a copy of the forms listed above, were mailed, postage
prepaid, to
Opposing Party or His/Her Attorney
Opposing Party’s or His/He r Attorney’s Address includ ing City/State/Zip
Date
Signature
Page 4 of 4
DR 50 (Rev. 3/2006)

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