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Affidavit (By Affiant) JC-1B - Tennessee
| Affidavit (By Affiant) Form. This is a Tennessee form and can be used in Juvenile Court Shelby Local County . |
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IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE IN THE MATTER OF Docket Number_________________________________ Child(ren) under 18 years of age AFFIDAVIT Your petitioner, after being first duly sworn does make oath and swear that statements contained hereunder made pursuant to Tennessee Code Annotated ยง 36-6-210(a) (1) (2) and (3) are true to the best of my information, knowledge and belief, TO WIT: 1. That child(ren)'s present address is_______________________________________________________. 2. That places where and persons with whom the child(ren) have lived over the last five years are: PERSON PLACE Year One ________________________________________/_______________________________________; Year Two ________________________________________/_______________________________________; Year Three ______________________________________/________________________________________; Year Four _______________________________________/________________________________________; Year Five _______________________________________/________________________________________; 3. The petitioner (has) (has not) participated (as a party, witness, or in any other capacity) in any other litigation concerning the custody of the same child(ren) in this or any other state. 4. The petitioner (has) (does not have) information in any custody proceeding concerning the child(ren) pending in a court of this or any other state. 5. The petitioner (knows) (does not know) of any person not a party to the proceedings who has physical custody of the child or claims to have custody or visitation rights with respect to the child. That I have been informed, and I understand that if any of the above items are answered in the affirmative I will be under duty to give such additional information under oath as required by law. I further understand that I have a continuing duty to inform the court of any custody proceeding concerning the child(ren) in this or any other state. _________________________________________________________________________________ AFFIANT STATE OF TENNESSEE COUNTY OF SHELBY Before me personally appeared the Affiant, who makes oath that the statements therein are true to the best of Affiant's knowledge, information and belief. _______________________________________________ AFFIANT Sworn to and subscribed before me this _________ day of ______________________________, 20 _________ JOY TOULIATOS, Clerk of Court By ______________________________________ D. C. 9/1/10 American LegalNet, Inc. www.FormsWorkFlow.com JC-1B
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