Petition - Unruly And Delinquent {JC-1}

IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE IN THE MATTER OF Docket Number ____________________________ A child under 18 years of age PETITION To the Honorable Curtis S. Person, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee: Your petitioner respectfully represents to the Court on information and belief that: 1. Said child is _________________________ child within the meaning of the law of the State of Tennessee. Said child did on or about ______________________________, 20 ____, in Shelby County, Tennessee, commit ____________________ act, to wit, 2. 3. 4. 5. 6. It is in the best interest of said child and the public that this proceeding be brought. Said child is in need of treatment or rehabilitation. The father is ______________________________, residing at _________________________________. The mother is _____________________________, residing at _________________________________. The child is in the custody and control of _________________________________________________ residing at __________________________________________________________________________. Premises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make such orders as the Court may deem proper within its jurisdiction. __________________________________________ Petitioner ____________________________________________ Address STATE OF TENNESSEE COUNTY OF SHELBY AFFIDAVIT Before me personally appeared the petitioner in the foregoing petition, who makes oath that the statements therein are true to the best of his knowledge, information and belief. ____________________________________________ Petitioner 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-1