Pending Litigation Custody Affidavit {Form V}

<document>COURT COUNTY OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:::::::Index No.Calendar No.IN THE COMMON PLEAS COURT OF ERIE COUNTY, OHIOJUDICIAL SUBPOENAPlaintiff(s) -against-Defendant(s)PROBATE DIVISIONIN THE MATTER OF*CASE NO. THE ADOPTION OF**PENDING LITIGATION *(CUSTODY) AFFIDAVIT * ********************************************************************************. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Affiant, being first duly sworn, says:(1) That the child's current address, the places where the child has lived within the last five (5) years and the names and current addresses of the person(s) with whom the child has lived during that period are:THE PEOPLE OF THE STATE OF NEW YORK TOFromtowithNameGREETINGS:AddressWE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Court at the the HonorableFromtowith,Namelocated at County ofo'clock in the day ofnoon, and at any recessed in room, on the, 20, at or adjourned date, to testify and give evidence as a witness in this action on the part of theAddressAttach a separate sheet of paper, if necessary.Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply.(2) That affiant has/has not(circle one) participated as a party, witness, or in any other capacity in any litigation concerning the custody of the child to be adopted, in this or any other state, in Family Court or Juvenile Court.Pending Litigation:, one of the Justices of theCourt in Witness, Honorableday of, 20 County,(3) That affiant has no knowledge of any person not a party to the proceeding who has physical custody of said child or claims to have custody or visitation rights with respect to said child.(Attorney must sign above and type name below)Said affiant states that all of the foregoing statements are true.Attorney(s) forParent holding custody of childSworn to before me and subscribed in my presence thisday ofOffice and P.O. AddressTelephone No.: Facsimile No.: E-Mail Address:Notary Public/Deputy ClerkMobile Tel. No.:Form VAmerican LegalNet, Inc. www.USCourtForms.com</document>