A.B.,
______________)
Plaintiff)
v.) Civil Action
) File no. ________
C.D.,
______________)
Defendant)
As of ______________ (date), Plaintiff can fully demonstrate to the court that he or she:
The facts of the case are:
1. ______________________________________________________________________
2. ______________________________________________________________________
3. ______________________________________________________________________
4. ______________________________________________________________________
____________________________ ____________________________
Dated Pro Se Applicant
_______________________________________________________________________
Address
_______________________________________________________________________
Address
STATE OF GEORGIA
COUNTY OF ______________
Personally appeared before me, the undersigned officer duly authorized to administer oaths, ______________, who, after having been sworn, deposes, and says as follows:
That my name is: __________________________________________________________
That my address is: _______________________________________________________
These are the facts to support the existence of an equitable caregiver relationship with a child as set forth in subsection (c) of O.C.G.A. 19-7-3.1:
____________________________________
DatedPro Se Applicant
__________________
Address
__________________
Address
Sworn to and subscribed
before me this ______________
day of __________, ______________.
________________________________________
Notary public (SEAL)
My commission expires: __________________"
- For annual survey on domestic relations, see 71 Mercer L. Rev. 83 (2019). For article, "2019 Legislative Review," see 24 Ga. St. B.J. 28 (June 2019).