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Confidential Address Form F - Louisiana

Confidential Address Form Form. This is a Louisiana form and can be used in Protection From Abuse General Court Statewide .
 Fillable pdf Last Modified 4/21/2005
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COURT PETITIONER PARISH/CITY OF V. STATE OF LOUISIANA DIVISION: NUMBER: DEFENDANT FILED: CLERK: CONFIDENTIAL ADDRESS FORM TO BE USED WHEN PETITIONER DOES NOT WANT DEFENDANT TO LEARN ADDRESS PETITION FOR PROTECTION FROM ABUSE Pursuant to La. R.S. 46:2131, et seq., La. R.S. 46:2151, La. R.S. 13:4248 or La. Ch. C. Art. 1564, et seq. The petition of _______________________________________, born ________________________ your name month, day, year a domiciliary of the State of _____________________, respectfully represents: Paragraph 1 Petitioner files this petition on behalf of: a. ____ Petitioner, and/or b. ____ Minor child(ren) as follows: Name DOB Relationship to petitioner Name DOB Relationship to petitioner Name DOB Relationship to petitioner Name DOB Relationship to petitioner c. ____ Alleged incompetent: Name DOB Relationship to petitioner Name DOB Relationship to petitioner Paragraph 2 Petitioners current mailing address: _______________________________________________________________________ No. & Street Apt. No. _______________________________________________________________________ City State Zip Code The minor childs or alleged incompetents current address: _______________________________________________________________________ No. & Street Apt. No. _______________________________________________________________________ City State Zip Code THIS COVER SHEET IS TO BE FILED UNDER SEAL AND ITS CONTENTS TO REMAIN CONFIDENTIAL TO THE COURT PURSUANT TO LA. R.S. 46:2134(B), R.S. 13:4243(B), or Ch. C. Art. 1568(b). LPOR F v.4
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