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FL-273
CASE NUMBER:
PETITIONER/PLAINTIFF:
RESPONDENT/DEFENDANT:
OTHER PARENT:
DECLARATION IN SUPPORT OF MOTION TO SET ASIDE JUDGMENT OF PATERNITY
(Attach a copy of this declaration for each child for whom relief is requested.)
1.
The orders requested are for the following child. The legal name, home address, date of birth, and county of residence are (specify
if known, write “unknown” if unknown):
a.
Child’s name:
Date of birth:
d.
b.
Address:
c.
County of residence:
2.
The name, mailing address, and county of residence, or, if deceased, the date and place of death, of the following persons are
( if unknown, write “unknown”):
a.
Previously Established Father
b.
Previously Established Mother
Name:
Name:
Address:
Address:
County of residence:
County of residence:
Deceased
Date of death:
Deceased
Date of death:
Place of death:
Place of death:
d.
c.
Same as above
Biological Mother
Same as above
Biological Father
Name:
Name:
Address:
Address:
County of residence:
County of residence:
Deceased
Date of death:
Deceased
Date of death:
Place of death:
Place of death:
e.
f.
Person with physical custody of the child
Guardian of the child
Name:
Name:
Address:
Address:
County of residence:
County of residence:
Deceased
Date of death:
Deceased
Date of death:
Place of death:
Place of death:
g.
h.
Other (specify):
Guardian Ad Litem of the child
Name:
Name:
Address:
Address:
County of residence:
County of residence:
Date of death:
Deceased
Date of death:
Deceased
Place of death:
Place of death:
In support of this request, I declare:
3.
a. I believe the previously established father is not the biological father of the child. The specific reasons for this belief are (specify):
included in the attached page(s).
Page 1 of 2
Form Adopted for Mandatory Use
DECLARATION IN SUPPORT OF MOTION
Judicial Council of California
FL-273 [New January 1, 2006]
TO SET ASIDE JUDGMENT OF PATERNITY
(Family Law—Governmental)