Information About Children Page 2

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4. If you have previously participated in a court case about these children, provide the following
information: the name of the court, the location of the court, the case number, and whether any order or
judgment was given in that case.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
AFFIDAVIT OF MOVER
PARISH OF ___________________________________
STATE OF LOUISIANA
BEFORE ME, the undersigned Notary Public, duly commissioned and qualified in this state and
parish, personally appeared ___________________________________, who after being sworn, declared:
1. that he/she provided the information above, and that the information is true and correct to the best of
his/her knowledge, information, or belief; and
2. that he/she acknowledges that he/she has a containing duty to inform this Court of any other court
proceedings in this state or any other state that could affect the children in this case.
____________________________________
SIGNATURE OF MOVER
SWORN TO AND SUBSCRIBED before me this ____ day of ________________________, 20___, at
_________________________, Louisiana.
___________________________________
NOTARY PUBLIC
THE FAMILY COURT
FORM P, p. 2 of 2
REVISED: NOV 2013

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