Form 11 - Affidavit For Judgment
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1
2FORM 11
IN THE CIRCUIT COURT OF (COUNTY NAME) COUNTY, MISSOURI
)
Petitioner,
)
Date:
)
Social Security #
)
Case No.:
and
)
)
)
Respondent.
)
)
Social Security #
)
AFFIDAVIT FOR JUDGMENT
(Pursuant to Local Rule 68.8)
1.
My name is ___________________________ and I am the (Petitioner) (Respondent) in the above dissolution of marriage case.
2.
I currently reside at_______________ , _____________ County, State of _____________.
3.
I have been a resident of the State of Missouri for at least 90 days and the County of (County name) for at least 60 days
immediately prior to the filing
of the petition herein.
My spouse has been a resident of Missouri for at least 90 days and the County of (County name) for at least 60 days
immediately prior to the filing of the petition herein.
4.
My spouse (currently resides) (and I have resided) during the marriage in the State of Missouri.
My spouse has subjected (himself) (herself) to the jurisdiction of this court by the following acts.
5.
Both my spouse and I are over the age of 18 years.
6.
I was married to ______________, the (Petitioner)(Respondent) herein, on ____________ and the marriage is registered in
________________, State of _____________.
7.
My spouse and I separated on or about _______________.
8.
Neither my spouse nor I are on active duty in the armed services at the present time or any time
since the filing of the petition.
9.
There is no reasonable likelihood that the marriage can be preserved and the marriage is
irretrievably broken.
10.
(I am)(My Wife is) not pregnant.
11.
There are no living minor children born or adopted of the marriage.
There (are)(is) _______ minor, unemancipated child(ren) of the marriage, to wit:
____________ born _____________, SSN __________
____________ born _____________, SSN __________
A Parenting Plan to include a Form 14 is attached hereto as Exhibit _____.
11a. There is no other litigation pending in this or any other state concerning the custody of the minor, unemancipated child(ren) and
there are no persons other than my spouse and myself who have physical custody of the minor child(ren) or claims any rights
with respect to the minor child(ren), (except) _________________.
12.
It is in the best interest of the minor child(ren) that (I) (my spouse) be awarded custody of the
minor child(ren).
It is in the best interest of the minor child(ren) that my spouse and I be awarded joint legal custody of the minor child(ren) and
that (I) (my spouse) be awarded physical custody of the minor child(ren) pursuant to a Parenting Plan attached hereto.
It is in the best interest of the minor child(ren) that my spouse and I have joint legal and physical custody of the minor child(ren)
pursuant to a Parenting Plan attached hereto.
13.
Child support has been calculated pursuant to Form 14.
The child support calculated pursuant to Form 14 is unjust or inappropriate because ______.
14.
I am able to support myself through appropriate employment or have sufficient assets from
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