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Custody Petition for by sr07R7bP

VIEWS: 94 PAGES: 3

									                                     IN THE TRIBAL COURT OF THE
                                        QUECHAN INDIAN TRIBE
                                  450 Quechan Drive, Winterhaven, CA 92283

 Petitioner’s Name and Address           Respondent’s Name and Address        ___________________________
 _____________________________           __________________________                 Case Number
 _____________________________           __________________________           PETITION FOR
 _____________________________           __________________________              EMERGENCY
 _____________________________           __________________________             TEMPORARY CUSTODY,
                                                                                FULL CUSTODY
                                                                                JOINT CUSTODY


 In Re the Custody of:
 _________________________________________               _____________
 Name                                                       D.O.B.
 _________________________________________               _____________
 Name                                                       D.O.B.
 _________________________________________               _____________
 Name                                                       D.O.B.
 A Minor Child(ren)

I/We, ________________________________________, petitioner(s) in the above-entitled action, hereby
state the following:

1.      The Tribal Court has jurisdiction as follows:
                The minor(s) is/are enrolled with the Quechan Indian Tribe.
                The minor(s) reside within the boundaries of the Quechan Indian Reservation.
                 The petitioner and/or defendant are enrolled tribal members of the Quechan Indian Tribe and
                 reside within its jurisdictional boundaries.

                Other: _____________________________________________________________________

2.      I/We, petitioner(s), am/are ____________________________________ of the above-named
        minor(s), and live at _______________________________________________________________.
3.      Co-petitioner, if applicable) am ________________________________ of the above-named
        minor(s), and live at _______________________________________________________________.
4.      The natural mother is _____________________________________, and lives at
        ________________________________________________________________________________,

Revised: 8/27/2009                                                                               Page 1 of 3
Form CH5
        is employed by _____________________________________ and
        petition (is applicable see attached consent).


5.      The natural father is _____________________________________, and lives at
        ________________________________________________________________________________,
        is employed by
        petition (is applicable see attached consent).
6.      The following are other parties in interest to this petition:

        Name                           Address                                  Relationship

        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
7.      The above-named minor(s) have been residing with _______________________________________
        at _______________________________________________________________________________
        for approximately __________________________________.
8.
9.      I/We are ready, willing and able to provide for the minor child(ren).
10.                                                                                                   full


        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________
        _________________________________________________________________________________




Revised: 8/27/2009                                                                             Page 2 of 3
Form CH5
Therefore, I/we request the following of the Court:
                 Set a hearing in this matter and grant the petitioner(s) temporary orders regarding the custody
                 of the minor child(ren) until such time of hearing.

                 Set a hearing in this matter and award the petitioner(s) orders regarding the custody of the
                 minor child(ren), visitation, and child support.

                 Order the defendant(s) to pay child support in the amount of $_______________ or to be
                 determined by the Court


                 defendant. Conditions as follows (if applicable):
                 ___________________________________________________________________________
                 ___________________________________________________________________________
                 ___________________________________________________________________________
                 ___________________________________________________________________________

                 Other requests: _____________________________________________________________
                 ___________________________________________________________________________
                 ___________________________________________________________________________
                 ___________________________________________________________________________


The undersigned swears or affirms that the statements set forth above are true, correct, and complete
to the best of my knowledge and are subject to penalties of making a false affidavit or declaration.

Date: _____________________                           _______________________________________
                                                      Petitioner

Date: _____________________                           _______________________________________
                                                      Co-Petitioner


Subscribed and sworn before me on this ______ day of ________________, 20______.


__________________________________________                    _______________________________________
My Commission Expires                                         Notary Public/Court Clerk




Revised: 8/27/2009                                                                                  Page 3 of 3
Form CH5

								
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