Affidavit Of Defendant In Action For Divorce (Page 3 of 4) in pdf

If (1) is selected, a Support Collection Information Sheet (Form UD-8a) must be completed and

submitted with your papers.

Pursuant to DRL § 240 1 (a-1) Records Checking Requirements:

An Order of Protection

has been

has never been issued against me, enjoining me or

requiring my compliance.

An Order of Protection

has

has never been issued in favor of or protecting me or my

child(ren) or a member of my household.

List all Family/Criminal Court Docket #’s and Counties,

______________________

Supreme Court Index #’s and Counties

______________________

I or my child(ren) or my spouse has been named in a Child Abuse/Neglect Proceeding

(FCA Art.10)

List all Family Court Docket #’s

______________________

and Counties

______________________

I or my child(ren) or my spouse has never been named in a Child Abuse/Neglect

Proceeding (FCA Art.10)

I am registered under New York State’s Sex Offender Registration Act

List all names and any

______________________________________________

related information

______________________________________________

I am not registered under New York State’s Sex Offender Registration Act

8. If DRL §170 subd. (7) is the ground alleged, then Defendant hereby affirms, by checking the Box

A, B, or C or D below (NOTE: BOX A, B, C or D below must be checked if DRL 170(7) is the

ground alleged), that the following statement is true:

All economic issues of equitable distribution of marital property, the payment or waiver

of spousal support, the payment of child support, the payment of counsel and experts' fees

and expenses as well as the custody and visitation with the minor children of the marriage:

A. have been resolved by the parties and are to be incorporated into the Judgment of Divorce.

by oral settlement/ stipulation on the record; or

by written Settlement/ Separation Agreement

B. will be determined by the Court and are to be Incorporated into the Judgment of

Divorce.

C. were determined by Family Court order (custody and visitation or child support and/

or spousal support issues only) which will be continued.

D. are not to be incorporated into the Judgment of Divorce, since neither party to the

divorce has contested any such issues.

_________________________________

Defendant’s Signature

Subscribed and Sworn to

before me on

__________________

NOTARY PUBLIC

(Form UD-7 Rev. 1/13)

Affidavit Of Defendant In Action For Divorce Page 3

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