Free ______________________County, Colorado q District Court - Colorado

District Court Denver Juvenile Court _________________________________________ County, Colorado Court Address:
______________________________________________________

In re: The Marriage of: Parental Responsibilities concerning: ______________________________________________________ Petitioner:_________________________________ and Co-Petitioner/Respondent:__________________________________ Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number:___________________

Phone Number:___________________ E-mail: _________________ FAX Number:_____________________ Atty. Reg. #:_____________

Division_______ Courtroom _______

AFFIDAVIT IN SUPPORT OF MOTION TO MODIFY ALLOCATION OF PARENTAL RESPONSIBILITIES (DECISION-MAKING AND PARENTING TIME)
Petitioner Co-Petitioner/Respondent Other_________________________ (identify relationship) I am the of the minor child(ren), who is/are the subject of a Motion to Modify Allocation of Parental Responsibilities with the Court on __________________________ (date).

I believe the modification is in the best interests of the child(ren) because:

JDF 1416

R7/07 AFFIDAVIT IN SUPPORT OF MOTION TO MODIFY APR

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VERIFICATION AND ACKNOWLEDGMENT
I swear/affirm under oath that I have read the foregoing Affidavit and that the statements set forth therein are true and correct to the best of my knowledge.

Date: __________________________

_____________________________________________ Petitioner or Co-Petitioner/Respondent ____________________________________________ Address ____________________________________________ City, State, Zip Code ____________________________________________ (Area Code) Telephone Number (home) ____________________________________________ (Area Code) Telephone Number (work)

Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______.

My Commission Expires: ___________________

____________________________________________ Notary Public/Deputy Clerk

CERTIFICATE OF SERVICE
I certify that on _______________________ (date) a true and accurate copy of the Affidavit in Support of Motion to Modify Allocation of Parental Responsibilities was served on the other party by: Hand Delivery E-filed Faxed to this number ___________________ or by placing it in the United States mail, postage pre-paid, and addressed to the following: To: ______________________________________ ______________________________________ ______________________________________ ______________________________________
(Your Signature)

JDF 1416

R7/07 AFFIDAVIT IN SUPPORT OF MOTION TO MODIFY APR

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