Fill and Sign the Form 182

Form 182 (Rev. 6/10) The Family Court of the State of Delaware In and For New Castle Kent Sussex County AFFIDAVIT AND REQUEST TO REGISTER A FOREIGN CUSTODY ORDER Petitioner Respondent BE IT REMEMBERED, that on this date, , (“Petitioner”), who, being duly sworn by me according tothe law personally appeared before me, a Notary Public for the State and County declared above, did depose and say:1.I hereby request that the Family Court of the State of Delaware register the attached child custody order issued by a court of another state.2.I have attached two (2) copies of said Order, at least one (1) of which is a certified copy.3. To the best of my knowledge and belief, the attached Order has not been modified.4.Below are the names and addresses of any parent or person acting as parent who has been awarded custody or visitation in the child custody determination sought to be registered. Affiant SWORN TO AND SUBSCRIBED before me this date Clerk of Court/Notary Public Date: cc: Petitioner Respondent Other: NameName File Number Street AddressStreet Address P.O. Box NumberP.O. Box Number Petition Number City/State/Zip CodeCity/State/Zip Code Attorney NameAttorney Name NameName Street AddressStreet Address P.O. Box NumberP.O. Box Number City/State/Zip CodeCity/State/Zip Code