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73.
Date of Marriage: (Check (a) or (b):)
a) The Respondent and I were lawfully married on
.
b) The Respondent and I are common law married having entered into a common law
marriage before January 1, 1997 as of
.
4.
Date of Separation: Respondent and I separated on
and have
remained in a bona fide state of separation since that date.
5.
Children: (Check (a) or (b):)
a) There are no minor children of this marriage.
b) Respondent and I are the parents of
minor children:
Name of child
Sex (m/f)
Date of Birth
Resides with mother/father/other
6. Custody/Visitation: (If there are minor children check (a), (b) or (c):)
a) I am entitled to the temporary and permanent sole legal and physical custody of these
children.
b) I am entitled to joint legal and physical custody of these children.
c) I am entitled to reasonable visitation with these children.
7.
Children’s Place of Residence (If there are minor children, please complete)
The minor children of the parties currently reside at
with
. During the past five years, the minor children have lived at the
addresses below with the following persons:
Address
Resided with
8. Other Custody Actions: (If there are minor children, check (a) or (b):)
a) I have not participated as a party, or witness, or in any capacity in any other litigation
concerning the custody of the minor children in this or any other state. I do not know of
any custody proceeding concerning the minor children which may be pending in a Court
in this or any other state.
b) The minor children have been involved in the following custody actions.
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