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RULES OF CIVIL PROCEDURE - Supreme Court

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. Child’s Name: Place of Birth:Date of Birth: Sex: Male Female Check this box if the information requested below would be the same as in subsection 2a and skip to the next question.Period of ResidenceCheck ifConfidentialPerson(s) With Whom Child Lived(name & address)RelationshiptotototopresentAddressConfidential?AddressConfidential?AddressConfidential?AddressConfidential?c. Child’s Name: Place of Birth:Date of Birth: Sex: Male Female Check this box if the information requested below would be the same as in subsection 2a and skip to the next question.Period of ResidenceCheck ifConfidentialPerson(s) With Whom Child Lived(name & address)RelationshiptotototopresentAddressConfidential?AddressConfidential?AddressConfidential?AddressConfidential?IF MORE SPACE IS NEEDED FOR ADDITIONAL CHILDREN, ATTACH A SEPARATE PAGE AND CHECK THISBOX .3. Participation in custody case(s): (Check only one box.)I HAVE NOT participated as a party, witness, or in any capacity in any other case, in this or any otherstate, concerning the custody of, or visitation (parenting time), with any child subject to this case.I HAVE participated as a party, witness, or in any capacity in any other case, in this or any otherstate, concerning the custody of, or visitation (parenting time), with any child subject to this case. Foreach case in which you participated, give the following information:<strong>Supreme</strong> <strong>Court</strong> of OhioUniform Domestic Relations Form – Affidavit 3Parenting Proceeding AffidavitApproved under Ohio Civil Rule 84Effective Date: July 1, 2010 Page 2 of 4

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