Free IN THE SUPERIOR COURT FOR THE STATE OF ALASKA - Alaska

IN THE SUPERIOR COURT FOR THE STATE OF ALASKA AT In the Matter of: ) ) ) ) ) ) )

A minor under 18 years of age Date of birth:

CASE NO.

DL

AFFIDAVIT AND MEMORANDUM IN SUPPORT OF REQUEST FOR RELIEF:

I, the best of my knowledge:

, swear or affirm that the following facts are true to

More pages are attached and incorporated by reference. The following is a list of attached documents:

(date) Subscribed and sworn to or affirmed before me at .

Probation Officer , Alaska on

Clerk of Court, Notary Public or other person authorized to administer oaths. My commission expires:
I certify that on a copy of this document was given or sent to: DA Minor's Attorney Parent or Guardian Other: By:
DL-162 (5/09)(cs) AFFIDAVIT AND MEMORANDUM IN SUPPORT OF REQUEST FOR RELIEF