Fill and Sign the Grandparents Petition Visitation Form

IN THE ____________________________________ (Name of Court) OF _____________________________________________ (Name of County), _________________________________________________ (State) ________________________________________________ PLAINTIFF/RESPONDENT (Name of Plaintiff) VS. CASE NUMBER ________- __________ _________________________________________________ DEFENDANT/RESPONDENT (Name of Defendant) _________________________________________________ PETITIONER (Name of Petitioner) Affidavit in Support of Petition by Grandparent for Visitation Rights STATE OF __________________________________________ COUNTY OF _________________________________ PERSONALLY appeared before me, the undersigned authority in and for said county and state, ___________________________________________________ (Name of Petitioner) , who, having been being first duty sworn, deposes and says: 1. Affiant presents this affidavit in support of his Petition for reasonable visitation rights with the minor child of Plaintiff and Defendant on the dissolution of their marriage. 2. Petitioner, _____________________________________________ ( Name of Petitioner) , of ___________________________________________________________________________ ______________________________________________________________________________ _______________________________________ (street address, city, county, state, zip code) is the maternal/ paternal grandfather/grandmother o f _____________________________________ ___________________________ (Name of Child) , who is ____ years of and the minor child of Plaintiff and Defendant in the above-entitled action. 3. ________________________________________________ (Name of Child), said minor child, has resided with Petitioner in his residence for at least two weeks during the each of the last five years, and has also visited with Petitioner on numerous occasions on weekends and holidays during each of the last five years. During the two week visitations, Petitioner cared for the minor child by providing meals for him, purchasing clothing for him, taking him to the doctor when necessary, and planning recreational activities for him. 4. A warm and affectionate relationship has developed between Petitioner and the minor child. 5. Petitioner is in excellent health and can provide excellent care for the minor child during visitation periods. ____________ ________________ (Signature of Petitioner) SWORN to and subscribed before me, this the day of ______________________, 20____. ________________________________ Notary Public My Commission Expires: CERTIFICATE OF SERVICE I, ___________________________________________________________ (Name of Petitioner’s Attorney) , Attorney for Petitioner do hereby certify that a true and correct copy of the above and foregoing Affidavit in Support of Petition by Grandparent for Visitation Rights has been sent, via first class mail, postage prepaid, to _____________________________ ______________________ (Name of Plaintiff’s Attorney) at ____________________________ ______________________________________________________________________________ __________________________________________ (street address, city, county, state, zip code) and _______________________________________________ (Name of Defendant’s Attorney) at ____________________________________________________________________________ ______________________________________________________________________________ ________________________________________ (street address, city, county, state, zip code). So certified, this the _____ day of ____________________________________, 20____. ______________________________________ (Name of Petitioner’s Attorney)