Petition For Modification Of Custody And Child Support Form Page 4
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7☐ (b) I have information about a proceeding that could affect this case,
including proceedings for enforcement and proceedings relating to family
violence, protective orders, termination of parental rights, or adoptions in
this or another state. The court, the case number and the nature of the
proceeding are as follows:
9.
Others Claiming Custody or Visitation:
[Check only one of these, either (a) or (b).]
☐ (a) I do not know of any person who is not a party to this case, who has
physical custody of the children or who claims to have custody or
visitation rights with respect to the children.
☐ (b) I know of someone who is not a party to this case, who has physical
custody of the children or who claims to have custody or visitation rights
with respect to the children. The names and current addresses of the
person(s) are as follows:
10.
Since the date of the prior custody determination, there has been a change in
circumstances which materially affects the welfare of the minor children.
[Check all that apply.]
☐ (a) The Respondent has consented to the modification of custody. I am
filing the Consent (which has been signed by the Respondent) with this
Petition.
☐ (b) The minor children want to live to me and have signed an Affidavit of
Custody Election. I am filing the Affidavit with this petition.
☐ (c) The Respondent was awarded physical custody of the minor children in
the prior custody determination, but the minor children have been living
with me since
.
Petition for Modification of Custody and Support — Rev. May 2016
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Provided by the Gwinnett Family Law Clinic
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