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Motion To Modify Judgment-Full Order Of Trial Protection (10 Children) CP53 - Missouri
| Motion To Modify Judgment-Full Order Of Trial Protection (10 Children) Form. This is a Missouri form and can be used in Child Protection Circuit Court Statewide . |
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IN THE ______ JUDICIAL CIRCUIT COURT, ______________________________, MISSOURI Affidavit of Changes in Circumstance and Motion to Modify Judgment/Full Order of Child Protection Judge or Division: Petitioner: Case Number: Court ORI Number: MSHP Number: Responsible Law Enforcement ORI: Protected Child 1: Age of Protected Child: F M Race: Sex: Protected Child 2: Age of Protected Child: Sex: F M Race: Protected Child 3: Age of Protected Child: Sex: F M Race: Protected Child 4: Age of Protected Child: Sex: F M Race: Protected Child 5: Age of Protected Child: Sex: F M Race: Protected Child 6: Age of Protected Child: Sex: F M Race: Protected Child 7: Age of Protected Child: Sex: F M Race: Protected Child 8: Age of Protected Child: Sex: F M Race: Protected Child 9: Age of Protected Child: F M Race: Sex: Protected Child 10: Age of Protected Child: Sex: F M Race: vs. Respondent: Alias/Nicknames: Respondent's DOB: SSN (if known, last four digits): Sex: Race: F M Related Cases: Respondent's Home Address: Home Phone Number: Respondent's Work Address: (Date File Stamp) Work Phone Number: Work Hours: Protected Child's Relationship to Respondent pursuant to 18 U.S.C. ยงยง 921(a)(32) and 922(g)(8) determination: Protected Child's Relationship to Respondent (Child 1): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 2): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 3): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 4): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 5): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 6): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 7): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 8): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 9): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ Protected Child's Relationship to Respondent (Child 10): Child Step-Child or Former Step-Child Parent is Unmarried, Intimate Residing/Resided with Respondent Other (specify) __________________________________________________ OSCA (12-09) CP53 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 455.060 RSMo A Judgment/Full Order of Child Protection was entered in __________________________________ (County/City of St. Louis), Missouri, on ____________________________ (date). A change has occurred in the circumstances of the child or his/her custodian and the modification is necessary to serve the best interests of the child. Below are the specific facts, including dates and times, which Litem petitioner respondent Guardian ad Court Appointed Special Advocate believes forms grounds for modification of the court's judgment: I request that the court find grounds for modification of: (check the box that applies) Installments of maintenance or support. Custody. Visitation. Other (specify): I swear /affirm under penalty of perjury that these facts are true according to my best knowledge and belief. ____________________________________________ Date ___________________________________________________ Your Signature ___________________________________________________ NOTICE: Section 455.510.3 RSMo provides that a Petitioner seeking protection under the Child Protection Orders Act is not required to reveal any current address or place of residence of the child on this petition. Do not provide this information if doing so will endanger the child. In witness thereof: ___________________________________ Date Your Street Address ___________________________________________________ City State Your Telephone Number Zip ___________________________________________________ ______________________________________________ Clerk Witnessing Signature Subscribed and sworn to before me on this ________________________________ (date). (Seal) My commission expires: __________________ Date ___________________________________ Notary Public Directions for Completing This affidavit must be completed and signature witnessed by a court clerk or notary before filing it with the court. OSCA (12-09) CP53 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 455.060 RSMo
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