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Minor Child (Indiana Legal Help)

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Page 1 of 2 Approved by the Coalition for Court Access
CCA-GF-0520-3022
www.indianalegalhelp.org
STATE OF INDIANA IN THE __________________ ______________ COURT
COUNTY OF _________________ CAUSE NO. ________________________________
IN RE THE PATERNITY OF:
__________________________
Minor Child
__________________________
Petitioner,
v.
__________________________
Respondent.
APPEARANCE BY SELF REPRESENTED PERSON
1. My name is _________________________________ and in this case I am not represented
by a lawyer.
2. My contact information for receiving legal service of documents and case information as
required by Court Rules is:
Address:
Email address:
☐ I will accept service at the above email address.
Phone:
Fax:
OR, if in a related case, you have used the Attorney General confidential address, you may
check the box below:
☐ Attorney General confidential address
3. This is a ______ case type as defined in Administrative Rule 8(B)(3).
4. There are other cases related to this case: (If yes, please indicate below)
☐ Yes
☐ No
____________________
Page 2 of 2 Approved by the Coalition for Court Access
CCA-GF-0520-3022
www.indianalegalhelp.org
Caption and case number of related cases:
Caption: Case No.:
Caption: Case No.:
Caption: Case No.:
Additional information as required by local rule:
Signature
CERTIFICATE OF SERVICE
I hereby certify that I sent a copy of this document on ________________________ by
☐ e-service using the e-filing system
☐ first-class U.S. mail, postage prepaid
☐ hand delivery
to _____________________________________ at the following address:
______________________________
______________________________
______________________________
______________________________
Signature
____________________________________
Printed Name
Page 1 of 1 Approved by the Coalition for Court Access
CCA-DC-0520-1070
www.indianalegalhelp.org
STATE OF INDIANA IN THE ___________________________COURT
COUNTY OF ______________________ CAUSE NO. ______________________________
IN THE MATTER OF:
________________________________
Minor Child (Paternity Only)
______________________________
Petitioner
v.
______________________________
Respondent
NOTICE OF INTENT TO RELOCATE
Comes now, __________________________________, self represented, and respectfully
notifies this Court and ___________________________________ of their intent to relocate and
in support thereof states as follows:
1. _____________________________________ ☐has or ☐is seeking the
☐custody ☐parenting time ☐grandparent visitation of the following child(ren):
Name
Date of Birth
2. I plan to move to the following address:
_____________________________________________________________________________
on this date: ___________________________________________________________________.
3. If different from the above address, my mailing address is:
_____________________________________________________________________________.
4. My telephone numbers are as follows:
Home
Work
Cell
Other
5. The specific reasons for the proposed relocation are as follows:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
____________________
Page 1 of 1 Approved by the Coalition for Court Access
CCA-DC-0520-1070
www.indianalegalhelp.org
6. ☐I believe that a revision of parenting time is necessary.
☐I do not believe that a revision of parenting time is necessary.
7. ☐I believe that a revision of grandparent visitation is necessary.
☐I do not believe that a revision of grandparent visitation is necessary.
☐ There is no grandparent visitation order in place.
8. A nonrelocating parent must file a response regarding the relocation of the child
with the court within twenty (20) days after the service of this notice.
9. A party may file a petition requesting an order to prevent the temporary or
permanent relocation of a child.
10. A nonrelocating individual may file a petition to modify a custody order,
parenting time order, grandparent visitation order, or child support order.
11. All existing orders for custody, parenting time, grandparent visitation, and child
support remain in effect until modified by the court.
Respectfully submitted,
____________________________________
Signature
____________________________________
Printed Name
CERTIFICATE OF SERVICE
I hereby certify that I sent a copy of this document on ________________________ by
☐ e-service using the e-filing system
☐ first-class U.S. mail, postage prepaid
☐ hand delivery
to _____________________________________ at the following address:
______________________________
______________________________
______________________________
______________________________
Signature
____________________________________
Printed Name
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Minor Child (Indiana Legal Help)

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Completed 31 December 2021

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