Fill and Sign the Uniform Child Custody Jurisdiction and Ncjrs

- 1 - STATE OF MINNESOTA DISTRICT COURT COUNTY OF JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Marriage of: Court File No. , Petitioner, PETITION FOR AND CUSTODY/VISITATION , Respondent, For (his) (her) (their) Petition for (Custody) (Visitation), Petitioner(s) allege(s):I. The true and correct name(s) and address(es) of Petitioner(s) and Respondent(s) are: Petitioner(s): ______________________ ____________________________________________ ______________________ ____________________________________________ Respondent(s): ______________________ ____________________________________________ ______________________ ____________________________________________ - 2 - II. The true and correct name(s), and address(es), birthdate(s), and age(s) of the minor child(ren) who (is) (are) the subject of this Petition are: Name of child: _______________________________ Address: _______________________________ _______________________________ Birthdate/Age: ________________________ (____) Name of child: _______________________________ Address: _______________________________ _______________________________ Birthdate/Age: ________________________ (____) Name of child: _______________________________ Address: _______________________________ _______________________________ Birthdate/Age: ________________________ (____) III. Petitioner(s) (is) (are) being represented in these proceedings by Attorney's Name, of , Address_________ , City , ST Zip . IV. Petitioner(s) (has) (have) resided within the State of Minnesota for more than 180 days and (is) (are) (a) resident(s) of _____________ County. V. The minor child(ren) (has) (have) resided within the State of Minnesota for more than 180 days and (is a resident) (are residents) of _____________ County. VI. The minor child(ren) (is) (are) currently residing with _______________________________________, (pursuant to) (as a result of) ____________________________________________________. VII. - 3 - The best interests and welfare of the child(ren) will be served if _____________ (is) (are) granted _____________ legal custody and _____________ (is) (are) granted _____________ physical custody subject to (reasonable) (supervised) (reasonable and liberal) visitation by _____________. AND/OR The child(ren)'s present environment (endangers the child(ren)'s (physical) (emotional) (physical and emotional) health) (impairs the child(ren)'s emotional development) because ____________________________________________________. AND/OR The minor child(ren) resided with Petitioner(s) for _____________years and _____________ months at _____________; visitation rights for Petitioner(s) would be in the best interests of the minor child(ren); Petitioner(s) and the minor child(ren) have established emotional ties creating a parent-child relationship; and visitation rights would not interfere with the relationship between the minor child(ren) and the custodial parent(s). WHEREFORE, Petitioner(s) prays for the Judgment and Decree of this Court: (CUSTODY) (VISITATION) 1. Granting _____________ legal and physical custody of the minor child(ren), subject to _____________'s right to (reasonable) (supervised) (reasonable and liberal) visitation. 1. Granting Petitioner(s) and Respondent(s) joint legal custody of the minor child(ren), and granting _____________ physical custody, subject to _____________'s right to (reasonable) (supervised) (reasonable and liberal) visitation. 1. Granting Petitioner and Respondent joint legal and physical custody of the minor child(ren). 1. Granting Petitioner(s) (reasonable) (supervised) (reasonable and liberal) visitation with the minor child(ren). 1. Granting such custody, care, and control of the minor child(ren) as the Court deems in (his) (her) (their) best interests. CHILD SUPPORT - 4 - 2. Ordering such support for the minor child(ren) as the Court deems just, fair and equitable. 2. Ordering _____________ to pay to _____________ a reasonable sum of money for the support of the minor child(ren). 2. Reserving the issue of support for the minor child(ren). ATTORNEYS' FEES 3. Ordering that each party be responsible for their own attorneys' fees and suit costs incurred incident to this proceeding. 3. Ordering an equitable and just allocation of the attorneys' fees and suit costs incurred incident to this proceeding. 3. Ordering that _____________ pay for _____________'s attorneys' fees and suit costs incurred incident to this proceeding. SUCH OTHER 4. For such other and further relief as the Court may deem just, fair and equitable in the premises. - 5 - Dated: _____________ By____________________________ _______________________________ __________________ Attorney for Petitioner #1 Address #2 Address City, State Zip Telephone (____) __________ Attorney Reg. No.: ______ - 6 - VERIFICATION STATE OF MINNESOTA) ) SS. COUNTY OF ________) ________________, being first duly sworn upon oath, deposes and states that (he)(she) is the Petitioner in the above-entitled action; that (he)(she) has read the foregoing Petition, knows the contents thereof and that the same is true and correct, except as to those matters therein sta ted on information and belief and as to those matters (he)(she) believes them to be true. ______________________________ [Name] Petitioner Dated: Petitioner/Respondent Subscribed and sworn to before me this day of , 20 . _______________________________ NOTARY PUBLIC ACKNOWLEDGMENT STATE OF MINNESOTA) ) SS. COUNTY OF ________) Attorney's Name , the attorney for Petitioner in the above-captioned matter, and ________________, Petitioner herein, hereby acknowledge that pursuant to Minn. Stat. ?549.21, costs, disbursements, witness fees and reasonable attorneys' fees may be awarded to Respondents in the event Petitioner is found to be acting in bad faith and/or asserting a frivolous claim. - 7 - ______________________________ [Name] Petitioner Dated: Petitioner/Respondent Subscribed and sworn to before me this day of , 20 . _______________________________ NOTARY PUBLIC ______________________________ Attorney for Petitioner Dated: Petitioner/Respondent Subscribed and sworn to before me this day of , 20 . _______________________________ NOTARY PUBLIC