( ) The
wife of the marriage is not now pregnant with any further
children to be born as a result of this
union.
( ) The
wife is approximately ______ months pregnant and is expecting
a child to be born about
____________________________.
XI. UNIFORM CHILD CUSTODY JURISDICTION ACT ALLEGATIONS
1. The above-named child(ren) has (have) lived with the
following
person(s)
during the last five (5) years at the following places (beginning
with the most
recent place):
PLACE WHERE
PERSON CHILD
CHILD’S NAME
CHILD LIVED TIME PERIOD
LIVED WITH
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
__________________
_________________ _________________ _________________
2. The names and present addresses of all persons with whom
the
child(ren) has
(have) lived during the last five (5) years are as follows:
NAME
OF PERSON(S)
CURRENT ADDRESS
TIME PERIOD
_______________________
____________________________ ____________________
_______________________
____________________________ ____________________
_______________________
____________________________ ____________________
COMPLAINT
FOR DIVORCE
(WITH CHILDREN INVOLVED)
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