§ Answer to Petition for Child Custody

Answer to Petition for Child Custody

[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]

In what Missouri County is this In the Circuit Court of

case to be decided? MISSOURI

What is the case number? (This number is
assigned at time of filing) Case Number Division Number

Answer all questions on this form completely.

Your Information 1. My full name is:

__________________ ______________ ________________ ___________
(First Name) (Middle Name) (Last Name) (Jr./Sr./III)

2. [ ] I am the Mother

[ ] I am the Father

3. The last four numbers of my Social Security Number are: XXX-XX-
_________________________________________________________

                                4.    My mailing address is:
                                       __________________________________________________________
                                         (Street)

                                      ______________________________    _______________   __________
                                               (City)                                             (State)                (Zip)
                                     _____________________________       ____________________________
                                         (Telephone Number)                               (E-Mail Address)

Other Party's
Information 5. The full name of the other party is:

__________________ ______________ ________________ ___________
(First Name) (Middle Name) (Last Name) (Jr./Sr./III)

Military                  6.      [ ] I am NOT on active duty in the United States military.
Information                     [ ] I am on active duty in the United States military, but waive my rights pursuant to the
                                               Servicemembers Civil Relief Act of 2003.

Important Information   7.    I understand that by voluntarily entering my appearance and filing this pleading, I am subjecting
                                       myself to the jurisdiction of this court, and the court may enter such orders and judgments as are
                                       authorized by law, including orders awarding child support, child custody, parenting time/
                                        visitation, and attorney's fees.

Answer to Petition for Child Custody--Page 1 of 2

Form CAFC211-7/1/               This form is available for free at www.selfrepresent.mo.gov
2010
Agree or Disagree
with                         9.    I admit as true EVERYTHING the other party stated in his or her Petition for Child Custody and
                                         incorporate all of those allegations herein EXCEPT the following:

Motion                        __________________________________________________________
                                  __________________________________________________________
                                  __________________________________________________________
                                  __________________________________________________________
                                  __________________________________________________________

I certify under oath that I have given the other party a copy of this Answer to Petition for Child Custody pursuant to Missouri Supreme Court Rule 43.01(d) by: (You MUST check at least ONE of the following four boxes)

[ ] Mailing a copy to the other party or his or her attorney on __________(Date) at the following address:

_________________________________________________________________________
(Street)

___________________ ________________ _____________________________________
(City) (State) (Zip)

[ ] Handing a copy to the other party or his or her attorney on _______________ (Date).

[ ] Sending a copy to the other party or his or her attorney by fax to __________(fax number) on __________(Date) at
__________(Time).

[ ] (To be used only by written consent of the party filed with the court) Sending a copy via electronic mail to the other
party or his or her attorney at __________(Email Address) on __________(Date).

Respondent, of lawful age, being duly sworn on his or her oath, states that he or she is Respondent named above and that the facts stated in this Answer to Petition for Child Custody are true according to his or her best knowledge and belief.

_____________________________________________ ___________________________
SIGN HERE (Sign here in front of a Notary Public) PRINT YOUR NAME HERE

Subscribed and sworn to on
_________________________________________________.
_________________________________________________

Notary Public

My Commission Expires:
_________________________________________________

    ATTORNEY INFORMATION (To be completed by your attorney)              Do not enter any information here if
                                                                                                                you are filing this
    ___________________________     _____________________                    pleading without the

Attorney--SIGN HERE Missouri Bar Number assistance ofa lawyer.

__________________________________________________ This information should be

PRINT YOUR ATTORNEY'S NAME HERE completed by your attorney.

__________________________________________________
(Street)

    _______________________________    ___________     _____             [ ] I have assisted the
            (City)                                               (State)            (Zip)            Respondent in the preparation of
                                                                                                            these pleadings, but I am

________________ ____________ ___________________ not entering my appearance
(Telephone Number) (Fax Number) (Email Address) on his or her behalf.

nswer to Petition for Child Custody--Page 2 of 2

Form CAFC211-7/1/ This form is available for free at www.selfrepresent.mo.gov
2010

[Publisher's note: Referenced interactive forms can be accessed at www.selfrepresent.mo.gov]