Affidavit In Support Of Judgment Pursuant To The Uniform Parentage Act
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4IN THE CIRCUIT COURT OF GREENE COUNTY, MISSOURI
FAMILY COURT DIVISION
_______________________ [name of minor child] )
by Next Friend __________________________
)
SSN: ___________________
)
and
)
_____________________________, individually, )
SSN: ____________________
)
Plaintiffs,
)
)
vs.
)
Case No.____________________
)
______________________________,
)
SSN: ____________________
)
Defendant.
)
AFFIDAVIT IN SUPPORT OF JUDGMENT
PURSUANT TO THE UNIFORM PARENTAGE ACT
(Form #3)
The undersigned, having first been sworn upon his/her oath, hereby swears/affirms pursuant to local rule
68.6 that the following testimony is true:
1.
My name is ___________________ and I am the (Plaintiff)(Defendant) in the above action for the
determination of parent-child relationship.
2.
I currently reside at _____________________ [street address] in ____________ County, State of
______________. I (am)(am not) acting as Next Friend for the minor child.
3.
The minor child(ren) is/are a (male)(female) who was born on _______________ [date] in
_____________, _____________ [city & state] and the birth of the child(ren) is recorded in the Bureau
of Vital Statistics of the State of Missouri.
4.
(Plaintiff)(Defendant) is the biological mother of the child and resides at ______________________
[address] in _____________________ County, ____________ [state].
5.
The minor child is presently residing with (Plaintiff)(Defendant) at _________________,
________________ [city & state] and has lived in the state of Missouri for six (6) months preceding the
filing of the Petition.
6.
Neither Plaintiff nor Defendant has participated in any capacity in any other litigation concerning the
custody of the minor child(ren) in this or any other state. I do not have any information of any other
custody proceeding concerning the minor child(ren) pending in any court of this state or any other state
and I am unaware of any other person not a party to this proceeding who has physical custody or claims
to have custody or visitation rights with respect to the minor child(ren).
form last revised January 22, 2014
______/_______
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