Free Notice of Relocation - West Virginia

IN THE FAMILY CO URT OF ________________ COUNTY, W EST VIRGINIA In Re: The Marriage / Children of: _________________________, Petitioner _________________________ _________________________
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Civil Action No. ____________ and _________________________. Respondent _________________________ _________________________
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NOTICE of RELOCATION
NOTICE TO: ______________________________________ From: ___________________________________________ Take NOTICE that I plan to relocate from my current address. I plan for our children to relocate with me. Information regarding my relocation plans, my proposals for changing the custodial responsibility arrangements under our court ordered Parenting Plan, and other important information is set forth below . If you object to my planned relocation, or to my proposals for changing the Parenting Plan's custodial responsibility arrangements, you must immediately send a written request for a hearing to me, and to the Family Court at this address:

Information Regarding Planned Relocation
1. Name of person giving notice: __________________________________________________ 2. Under a court ordered Parenting Plan, I have custodial responsibility for the children whose names and ages I have listed below. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. I plan to relocate. I will be moving on or after this date: _____________________________.
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4. My new address and telephone number will be: ___________________________________ _________________________________________________________________________. 5. I expect this relocation to be: ___ Permanent; ___ Less than ninety days. 6. I am giving this Notice of Relocation to _________________________________ who, along with me, has custodial responsibility for the children whose names are listed in Item 2. This person's current address and phone number are: ____________________________________ _____________________________________________________________. 7. I am relocating for the following purpose(s).
(You MU ST explain the purpose(s) for your m ove.)

___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 8. Because of my relocation, I propose that the Parenting Plan's, custodial responsibility arrangements be changed in the following ways. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 9. I believe the other parent with custodial responsibility under the Parenting Plan can reasonably accommodate the changes I have proposed in item 6 in the following ways. ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Continue to the next page. You must sign this Notice, and you must sign Verification that follows before a Notary Public or other authorized official.
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__________________________ Signature

____________________ Date

VERIFICATION I, ____________________________, after making an oath or affirmation to tell the truth, say that the facts I have stated in this Notice are true of my personal knowledge; and if I have set forth matters upon information given to me by others, I believe that information to be true. ___________________________ Signature ____________ Date

This Verification was sworn to or affirmed before me on the ____ day of __________________, 20____.

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expires:______________________ Notary Public

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CERTIFICATE of SERVICE State of West Virginia County of _______________________________ I, ____________________________, mailed a Notice of Relocation by first class United States Mail, postage paid, to __________________________________, at the address of _______________________________________________, on the ____ day of __________________, 20___.

___________________________ Signature

____________ Date

SCA-FC-131 (12/01)

Notice of Relocation

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