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Affidavit In Support Of Ex Parte Motion For Temporary Custody - Oregon
| Affidavit In Support Of Ex Parte Motion For Temporary Custody Form. This is a Oregon form and can be used in Immediate Danger Temporary Custody Or Parenting Time Family Law Circuit Court Statewide . |
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IN THE CIRCUIT COURT OF THE STATE OF OREGON FOR THE COUNTY OF _________________ In the Matter of the Marriage of: , Petitioner, and , Respondent. STATE OF ________________________ County of _________________________ 1. ) ) ) ) ) ) ) ) ) ) ss. ) , being first duly sworn, say: I am the Case No. AFFIDAVIT IN SUPPORT OF EX PARTE MOTION FOR TEMPORARY CUSTODY AND PARENTING TIME UNDER ORS 107.097(3)(a) "IMMEDIATE DANGER" I, (print your name) Petitioner Respondent in this proceeding. 2. The name(s) and year(s) of birth of my minor child/ren that should be protected by this order are: NAME YEAR OF BIRTH 3. My child/ren are in "immediate danger" because of the following detailed facts (be specific): Additional page attached 4. List the places where the minor child/ren of the parties have lived in the last five years and the names of the people they lived with at that time. Dates County, State Parent(s)/Caretaker Current Address/Contact Address of Parent/Caretaker Which Children Additional page attached /// /// AFFIDAVIT IN SUPPORT OF EX PARTE MOTION FOR TEMPORARY ORDER FOR CUSTODY AND PARENTING TIME UNDER ORS 107.097(3)(a) "IMMEDIATE DANGER" - Page 1 of 2 PreJudgTempCustPT 16A: Affidavit-16AVer02.doc (9/10) American LegalNet, Inc. www.FormsWorkFlow.com 5. I have have not participated in any litigation concerning the custody, visitation, parenting time or placement of the child/ren in this or any other state. I have participated in the following litigation: Name of Court State Case No. Date Result 6. I do not know of any other domestic violence, custody, visitation, parenting time or placement proceeding involving the child/ren, or of any other court case which could affect this case, pending in this or any other state except for: (identify court, case number and the kind of proceeding) 7. I do not know any person other than the other parent who has physical custody of the child/ren or who claims to have custody, visitation or parenting time rights except for: (list name and address) 8. There are are not any other custody, parenting time, visitation or restraining orders affecting the child/ren. I have attached copies of any existing orders to this affidavit. day of , 20 . Dated: Petitioner Respondent, Signature SIGNED AND SWORN to before me this ___________ day of by: , 20 Notary Public for ____________/Court Clerk My Commission Expires: Certificate of Document Preparation. You are required to truthfully complete this certificate regarding the document you are filing with the court. Check all boxes and complete all blanks that apply: I selected this document for myself and I completed it without paid assistance. I paid or will pay money to for assistance in preparing this form. Petitioner Respondent, Signature Address or Contact Address Print Name City, State, Zip Telephone or Contact Telephone I certify that this is a true copy: ____________________________________ Petitioner Respondent, Signature AFFIDAVIT IN SUPPORT OF EX PARTE MOTION FOR TEMPORARY ORDER FOR CUSTODY AND PARENTING TIME UNDER ORS 107.097(3)(a) "IMMEDIATE DANGER" - Page 2 of 2 American LegalNet, Inc. PreJudgTempCustPT 16A: Affidavit-16AVer02.doc (9/10) www.FormsWorkFlow.com
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