Child Custody And Support Judgment Form - St. Louis County, Missouri
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3IN THE CIRCUIT COURT OF ST. LOUIS COUNTY, MISSOURI
_________________
_____________
____________________
_________
(First)
(Middle)
(Last)
(Jr./Sr./III)
Petitioner,
Case No. ____________
-and-
Division No. ____________
_________________
_____________
____________________
_________
(First)
(Middle)
(Last)
(Jr./Sr./III)
Respondent.
Child Custody and Support Judgment
Parties
1.
As used herein, “Mother” refers to Petitioner and “Father” refers to Respondent.
As used herein, “Father” refers to Petitioner and “Mother” refers to Respondent.
2. Appearances
(Check all that apply)
Petitioner appears in
Petitioner appears by
Guardian ad Litem
person.
attorney.
appears in person.
Respondent appears in
Respondent appears by
Cause submitted upon
person.
attorney.
affidavit of Petitioner.
Third Party _____________
Third Party ___________
Cause submitted upon
appears in person.
appears by attorney.
affidavit of Respondent.
3. The last four digits of Petitioner’s Social Security Number are ___________ and the last four
digits of Respondent’s Social Security Number are ___________.
Paternity
4.
Paternity was acknowledged by both parties and father’s name appears on the birth certificate
of each child listed in this judgment.
An administrative order was entered that determined paternity for each child listed in this
judgment.
Father and Mother were married at the time of the birth of each child listed in this judgment
and there are no other existing custody judgments.
Other __________________________________________________________
(Explain)
Children
5. This judgment pertains to the following child(ren) hereinafter referred to as “minor child(ren):
Name of Child
Age
Child Custody and Support Judgment – Page 1 of 3
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