Jurisdictional Affidavit - State Of Maine printable pdf download

STATE OF MAINE

_____________________COUNTY

PROBATE COURT

DOCKET NO. _______

In Re ____________________________

JURISDICTIONAL AFFIDAVIT

Minor Child(ren)

Pursuant to 4 M.R.S. § 251-A, in order to accept for filing a petition for paternity,

guardianship of minor(s), a petition for termination of a guardianship of minor(s), a petition for

adoption of minor child(ren), a petition to establish parental rights and responsibilities, a petition

for termination of parental rights, or a petition for name change of minor child(ren), Maine’s

Probate Courts must first determine: 1) whether there are any pending cases involving the child

or children in any of Maine’s District Courts; and, 2) whether a case involving the child or

children has ever been transferred from a Probate Court to a District Court. A “pending” case

is a case that has been filed in a District Court, is being litigated in that court, and/or is awaiting

decision by that court. In order to assist the Probate Court in determining whether it has

jurisdiction, you must provide the following information.

1. Name, date of birth, and address of minor child(ren) _________________________________

_____________________________________________________________________________

2. Name, date of birth, address and telephone number of child(ren)’s first legal parent: ________

_____________________________________________________________________________

3. Name, date of birth, address and telephone number of child(ren)’s second legal parent: ______

_____________________________________________________________________________

4. Name, date of birth, address and telephone number of child(ren)’s guardian: _____________

______________________________________________________________________________

5. Name, date of birth, address and telephone number of PETITIONER: ___________________

_____________________________________________________________________________

6. Relationship of petitioner to child(ren): ____________________________________________

7. I, ______________, state under oath, that I know of no guardianship, adoption, name change,

divorce, family matter, protection from abuse, protection from harassment, or child protective

custody case concerning the child(ren) that is currently pending before any Maine District Court.

8. I, ______________, state under oath, that I know of no guardianship, adoption, or name

change case concerning the child(ren) that is currently pending before any Maine Probate Court.

9. I, ______________, state under oath, that I know of no proceeding involving custody or other

parental rights case concerning the child(ren) that is currently pending before any court of

another state.

Jurisdictional Affidavit - State Of Maine