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Uniform Child Custody Jurisdiction And Enforcement Act Affidavit GF-150 - Wisconsin
| Uniform Child Custody Jurisdiction And Enforcement Act Affidavit Form. This is a Wisconsin form and can be used in General Circuit Court Statewide . |
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For Official Use STATE OF WISCONSIN, CIRCUIT COURT, Case Caption: COUNTY Uniform Child Custody Jurisdiction and Enforcement Act Affidavit Case No. Under oath I state: 1. The child's name and present address are: Name: Present Address: 2. The child has lived in the following places over the last 5 years: 3. The name and present address of each person(s) with whom the child has lived over the last 5 years is: Name: Present Address: Time Period: Name: Present Address: Time Period: Name: Present Address: Time Period: Name: Present Address: Time Period: See attached 4. I have participated as a party, witness or in any other capacity in any other proceeding concerning the custody, physical placement, or visitation with the child. Yes No If Yes, identify court, case number and date of any determination: 5. I have information of other proceedings concerning the child pending in Wisconsin or any other state, including enforcement, domestic violence, protective orders, termination of parental rights and adoption. Yes No If Yes, identify court, case number and nature of proceedings: 6. I know of persons not a party to this proceeding who have physical custody of the child or claim to have custody, physical placement, or visitation rights with respect to the child. Yes No If Yes, give name and address of each person: 7. I understand that I have a duty to inform the court if I learn in the future of any proceeding concerning the child in Wisconsin or any other state. Subscribed and sworn to before me on: Signature of Party Notary Public, State of Wisconsin Name Typed or Printed My commission expires: Date GF-150, 04/06 Uniform Child Custody Jurisdiction Act Affidavit ยง822.09, Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material.
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