Answer And Counterclaim For Dissolution Of Marriage (Children) - Nebraska District Court Page 3
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8_____________________________________
_____________
(name of child)
(child’s year of birth)
____________________________________
_____________
(name of child)
(child’s year of birth)
10.
______________________________ a fit and proper person to have the
(“I am” or “my spouse is”)
care, custody, and control of our minor child(ren).
11.
The following information is provided because of the requirements of the
Uniform Child Custody Jurisdiction and Enforcement Act:
(a)
For the last five years, the child(ren)’s addresses and the persons
they have lived with are:
DATES:
ADDRESS:
NAME and CURRENT ADDRESS
OF PERSON(S) WITH WHOM
THE CHILDREN HAVE LIVED:
______________
___________________
________________________________
______________
___________________
________________________________
______________
___________________
________________________________
______________
___________________
________________________________
______________
___________________
________________________________
(b)
Check the box that applies:
[ ]
I have not been a party or a witness in any other proceeding
concerning the custody of or visitation with the child(ren).
OR
[ ]
I have been a party or a witness in another proceeding
concerning the custody of or visitation with the child(ren), as
follows:
Answer and Counterclaim for Dissolution of Marriage (with children), DC 10:1,
3
PSC Nebraska, Rev. 6/11.
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