AFFIDAVIT COMMONWEALTH OF VIRGINIA Va. …证词弗吉尼亚州弗吉尼亚联邦u2026.pdfVIP

AFFIDAVIT (Uniform Child Custody Jurisdiction and Enforcement Act) Case No. COMMONWEALTH OF VIRGINIA Va. Code § 20-146.20 [ ] Circuit Court [ ] Juvenile and Domestic Relations District Court In re: JUVENILE v. I, the undersigned affiant, state the following information under oath: [ ] Certain information has been omitted from this form and submitted under seal because I allege that the health, safety or liberty of a party or child would be jeopardized by disclosure. Another party may request that a hearing be held to determine whether this information should be disclosed. 1. The child presently resides at: ADDRESS The child commenced residing there on and has resided there continuously to this date. DATE 2. The other places where and persons with whom this child has lived during the last five (5) years : (please complete reverse side). 3. I [ ] have [ ] have not participated, either as a party, witness, or in any other capacity in any other litigation (court proceeding) concerning custody of or visitation with this child, in any State or foreign country. If yes, complete below: a. Name of Court and State or foreign country in which litigation occurred: b. When did the litigation occur: c. What was the outcome of the litigation: