Ohio > County (Court Of Common Pleas) > Clermont > Domestic Relations
Supplemental Affidavit DR-804 - Ohio
| Supplemental Affidavit Form. This is a Ohio form and can be used in Domestic Relations Clermont County (Court Of Common Pleas) . |
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COURT OF COMMON PLEAS DIVISION OF DOMESTIC RELATIONS CLERMONT COUNTY, OHIO ________________________ ___ CASE NO. ___________________ Plaintiff/Petitioner VS. SUPPLEMENTAL AFFIDAVIT ___________________________ Defendant/Respondent 1. I, __________________, am a parent of the following minor child(ren): Name_________________________________ Date of Birth:_____________________ Name_________________________________ Date of Birth:_____________________ Name_________________________________ Date of Birth:_____________________ 2. The present address of my former spouse (the non-residential parent) is: ______________________________________ ______________________________________ ______________________________________ 3. The non-residential parent a) has has not been convicted of or pleaded guilty to a violation of Ohio Revised Code Section 2919.25 (criminal domestic violence) in volving a victim who, at the time of the commission of the offense, was a member of the family or household that is the subject of the proceedings in this case; b) has has not been convicted of or pleaded guilty to any other offense which caused harm to a victim who, at the time of the offense, was a member of the family or household that is the subject of the proceedings in this case; c) has has not been determined to be the person who committed an act which is the basis of a court finding that a child has been abused. ____________________________________ Affiant (residential parent) Sworn to and subscribed before me this ______ day of ____________________, 20______. _____________________________________ N otary Public My commission expires__________________ NOTE: This affidavit is only required if you are requesting that your new address be withheld from the former spouse. If the response to each of the statements in question #3 is has not, the court will issue an order stating that the non-residential parent is to be sent a copy of this and any subseque nt Notice of Intent to Relocate that is filed with the court. If the responsean to y of the statements in question #3 is has, the court will issue an order stating that the non-residential parent shall not be sent a copy of this or any future Notice of Intent to Relocate. The court will, however, send a notice to the non-residential parent that he/she may file a motion requesting a court hearing to determine whether it would be in the best interest of the child(ren) that he/she be given the new address, and wh ether the visitation order should be revised. Form DR-804 American LegalNet, Inc. www.USCourtForms.com
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