and having remained separated since that time.
5.
The parties have ______ child(ren) together under the age of 18. He/she/they
is/are:
(Number of Children)
(full name of child)
(child’s date of birth and age)
(full name of child)
(child’s date of birth and age)
(full name of child)
(child’s date of birth and age)
(full name of child)
(child’s date of birth and age)
6.
The child(ren) currently live(s) with
the Petitioner or
the Respondent at
!
!
_______
____________________________________________________________________.
(Address)
7.
During the last five years, the child(ren) has/have lived at the following addresses:
a.
with
the Petitioner
the Respondent
both
!
!
!
b.
with
the Petitioner
the Respondent
both
!
!
!
c.
with
the Petitioner
the Respondent
both
!
!
!
d.
with
the Petitioner
the Respondent
both
!
!
!
e.
with
the Petitioner
the Respondent
both
!
!
!
Revised 7/18/2007
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