Child Custody And Support Judgment Form - St. Louis County, Missouri Page 3

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Waiver of Right to Rehearing
(If case is heard by a Commissioner pursuant to RSMo. §487.010 et. seq.)
We, the undersigned parties, do hereby acknowledge receipt of the findings and recommendations of
the commissioner, and waive the right to file a motion for rehearing in this case.
(If heard by a Family Court Judge)
(If heard by a Family Court Commissioner)
Findings and Recommendations of Commissioner:
__________________________
___________
__________________________
___________
Judge
Date
Commissioner
Date
Approved and Adopted as Judgment of the Court:
__________________________
___________
Judge
Date
A certified copy of this judgment is to be mailed to the following person(s):
(Check all applicable boxes)
Petitioner’s Attorney
Respondent’s Attorney
Guardian ad Litem
____________________________
____________________________
____________________________
(Signature of Attorney)
(Signature of Attorney)
(Signature of Guardian ad Litem)
____________________________
____________________________
____________________________
(Street)
(Street)
(Street)
____________
______ ______
____________
______ ______
____________
______ ______
(City)
(State) (Zip)
(City)
(State) (Zip)
(City)
(State) (Zip)
_________________________
_________________________
_________________________
(Telephone Number)
(Telephone Number)
(Telephone Number)
Petitioner
Respondent
Third Party
____________________________
____________________________
____________________________
(Signature of Petitioner)
(Signature of Respondent)
(Signature of Third Party)
____________________________
____________________________
____________________________
(Street)
(Street)
(Street)
____________
______ ______
____________
______ ______
____________
______ ______
(City)
(State) (Zip)
(City)
(State) (Zip)
(City)
(State) (Zip)
_________________________
_________________________
_________________________
(Telephone Number)
(Telephone Number)
(Telephone Number)
Child Custody and Support Judgment – Page 3 of 3

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