Affidavit For Establishment of Custody, Visitation, and Child Support Without Appearance Of Parties

Affidavit for Order Establishing Custody and Support July 2014 Page 1 of 4 STATE OF WYOMING ) IN THE DISTRICT COURT ) ss COUNTY OF ) JUDICIAL DISTRICT Petitioner:,) Civil Action Case No. (Print name of person filing) ) ) vs. ) ) Respondent: .) (Print name of other party) AFFIDAVIT FOR ORDER ESTABLISHING CUSTODY, VISITATION AND CHILD SUPPORT WITHOUT APPEARANCE OF PARTIES (Only use if the parties have reached an agreement and both have signed the Order Establishing Custody, Visitation and Child Support or if either party defaulted and all default paperwork has been presented to the court and an Entry of Default issued.) STATE OF WYOMING ) ) ss. COUNTY OF ) , being first duly sworn, deposes and says: (Print Name) 1. I am the Petitioner Respondent in the case. 2. Petitioner resided in the State of Wyoming for more than 60 days immediately prior to filing the Petition in this case. 3. That the child(ren) named in the Petition have have not been in the State of Wyoming for a period of six (6) months or more immediately before filing the Petition. (If not, seek the advice of a lawyer before filing). 4. Petitioner is currently a resident of County, State of . 5. Respondent is currently a resident of County, State of . 6. Petitioner and Respondent are the parents, either natural or adoptive, of child(ren) who are either under 18 years of age, between the ages of 18 and 20 years and still in American LegalNet, Inc. www.FormsWorkFlow.com Affidavit for Order Establishing Custody and Support July 2014 Page 2 of 4 high school or a program equivalent to high school, or prevented from supporting himself/herself due to a mental, emotional or physical impairment. Initials: Year of Birth: Initials: Year of Birth: Initials: Year of Birth: Initials: Year of Birth: 7. Petitioner has completed and filed a Confidential Financial Affidavit. 8. Respondent (Check One): A. has filed a Confidential Financial Affidavit; OR B. Petitioner has filed an Affidavit of Imputed Income because Respondent did not file a Confidential Financial Affidavit. 9. The Order Establishing Custody, Visitation, and Child Support sets forth provisions for child custody, visitation, parental decision-making and child support that I In support of this statement, I provide the following evidence, under oath and to the best of my information and belief. Please address as many of the following factors as possible in your explanation of why the Order (i) The quality of the relationship each child has with each parent: (ii) The ability of each parent to provide adequate care for each child throughout each period of responsibility, including arranging for each child's care by others as needed: (iii) The relative competency and fitness of each parent: (iv) Each parent's willingness to accept all responsibilities of parenting, including a willingness to accept care for each child at specified times and to relinquish care to the other parent at specified times: American LegalNet, Inc. www.FormsWorkFlow.com Affidavit for Order Establishing Custody and Support July 2014 Page 3 of 4 (v) How the parents and each child can best maintain and strengthen a relationship with each other: (vi) How the parents and each child interact and communicate with each other and how such interaction and communication may be improved: (vii) The ability and willingness of each parent to allow the other to provide care without intrusion, respect the other parent's rights and responsibilities, including the right to privacy: (viii) Geographic distance between the parents' residences: (ix) The current physical and mental ability of each parent to care for each child: (x) Any other factors you want the court to consider necessary and relevant: (xi) The law requires the court to consider evidence of spousal abuse (domestic violence) or child abuse as being contrary to the best interest of the children. Please state whether or not there has been any domestic violence or abuse in the relationship and whether the Order adequately makes arrangements for visitation that best protects the child(ren) and the abused party from further harm: American LegalNet, Inc. www.FormsWorkFlow.com Affidavit for Order Establishing Custody and Support July 2014 Page 4 of 4 10. I request the court enter an Order Establishing Custody, Visitation, and Child Support. OATH I affirm that the factual statements made in this Affidavit (including attached sheets, if relevant) are true and correct to the best of my information and belief. I am aware the court may punish as perjury any materially false statements knowingly made with intent to defraud or mislead. Signature Printed Name: Address: Phone Number: Subscribed and sworn to before me by on this day of , 20. Witness my hand and official seal. Notarial Officer / Court Clerk My Commission Expires: CERTIFICATE OF SERVICE I certify that on (date) the original of this document was filed with the Clerk of District Court; and, a true and accurate copy of this document was served on the other party by Hand Delivery OR Faxed to this number OR by placing it in the United States mail, postage pre-paid, and addressed to the following: TO: Your signature Print name American LegalNet, Inc. www.FormsWorkFlow.com