Complaint For Divorce Page 4

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7.
For the past five years, the children lived at the following addresses with the following persons:
Address
Dates
Lived With
8.
Other court actions concerning the children (Choose only one: a or b)
a)
Plaintiff asserts that □ he/ □ she has not participated as a party or a witness or in
any other capacity in any other litigation concerning the children named above, and knows of no
other proceeding concerning the minor children in this or any other state. No person other than
the parties to this action has physical custody of the minor children or any claim to custody or
visitation with the minor children.
b)
The minor children have been involved in the following actions:
(Please tell the court about the following types of actions: custody, visitation, family violence,
protective orders, termination of parental rights, and adoption.)
County/State/Court
Type of Custody Action
Date Filed
Status
________________ ___________________________
_________
__________________
________________ ___________________________
_________
__________________
________________ ___________________________
_________
__________________
________________ ___________________________
_________
__________________
________________ ___________________________
_________
__________________
9.
Others with a custody claim (Choose only one: a or b)
a)
I know of no other person, not a party to this proceeding, who has physical
custody of the children or claims to have custody or visitation rights with respect to the minor
children.
b)
The following persons who are not a party to this proceeding have custody or
visitation rights with the minor children:
4

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