Georgia Answer Counterclaim With Minor Children by vam16455

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									                       IN THE SUPERIOR COURT OF DEKALB COUNTY

                                             STATE OF GEORGIA


                                                ,
                                                                  Civil Action
                            Plaintiff,
vs.                                                               Case Number           -

                                                ,

                            Defendant.


                           AFFIDAVIT UNDER
                UNIFORM CHILD CUSTODY JURISDICTION ACT

       I am the Defendant in this case. I am filing this Affidavit under OCGA ' 19-9-49.
I hereby swear or affirm, before a notary public, that the following information is true:

1.       Children’s Current Residence:
         The minor children currently live at
                                                                     in          County, with the
         following people:
                                                                                       . The
         children have lived at this address since approximately                                 .

2.       Children’s Past Residences:
         During the past five years, the children have lived at the following addresses:

         Dates at Address                      Address




Affidavit Under UCCJA - rev. 3/15/01                                                   Page 1 of 3
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
3.       People With Whom Children Have Lived:
         During the past five years, the children have lived with the following people:

         Name of Person                        Person’s Current Address




4.       Prior Court Cases About Children: [Check only one of the following, either (a) or (b).]
         o (a) I have never participated as a party or a witness or in any other capacity in any
               other litigation concerning the custody the minor children in this or any other
               state.

         o (b) I have participated in other litigation concerning the custody of the minor
               children in Georgia or another state. The court, parties and date of final order
               concerning the prior litigation are as follows:




5.       Pending Cases About Children: [Check only one of the following, either (a) or (b).]
         o (a) I do not have any information of any custody proceeding concerning the
               minor children, pending in a Georgia court or a court of another state.

         o (b) I have information about a pending custody proceeding concerning the minor
               children. The court, parties and filing date concerning the pending court case
               are as follows:




Affidavit Under UCCJA - rev. 3/15/01                                                   Page 2 of 3
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
6.       Others Claiming Custody or Visitation: [Check only one of these, either (a) or (b).]
         o (a) I do not know of any person other than the Plaintiff, who has physical custody
               of the children or who claims to have custody or visitation rights with respect
               to the children.

         o (b) I know of someone other than the Plaintiff, who has physical custody of the
               children or who claims to have custody or visitation rights with respect to the
               children. The names and present addresses of the person(s) are:




                                                        Defendant, pro se        (Sign here in front of notary.)
Subscribed and sworn before me
on                            , 200      .


Notary Public




Affidavit Under UCCJA - rev. 3/15/01                                                                Page 3 of 3
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society

								
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