Guardianship and Third Party Custody Law Sample Pleadings for Indiana Attorneys (These Documents Should Not be Used by Unrepresented Parties)



Similar documents
NOTICE TO GRANDPARENT

Huron County Juvenile Court

Grandparent Power of Attorney (POA) Checklist

Grandparent s Power of Attorney Information and Forms

PACKET 9. Forms for a Petition for Temporary Custody When:

STEP-PARENT ADOPTIONS AND TERMINATION OF PARENTAL RIGHTS

CHECKLIST FOR THE PREPARATION AND REVIEW OF A PETITION FOR ADOPTION INVOLVING A DEPARTMENT OR AGENCY ADOPTIVE PLACEMENT PURSUANT TO O.C.G.A.

A GUIDE TO UNDERSTANDING THE EMANCIPATION OF A MINOR

RESPONSE TO PETITION FOR GRANDPARENT S VISITATION

POWER OF ATTORNEY., the parent(s), the undersigned, residing at, in the county of, state of, hereby appoint the child s

Grandparent Custody and Visitation Issues

IN THE SUPERIOR COURT OF STATE OF GEORGIA. File No., Defendant. COMPLAINT FOR MODIFICATION OF CHILD SUPPORT

SELF HELP INSTRUCTIONS TO ESTABLISH PATERNITY, CUSTODY AND VISITATION INTRODUCTION

COMMONWEALTH OF MASSACHUSETTS JUVENILE COURT DEPARTMENT JUVENILE COURT RULES

A. Right To Have This Information In A Language You Understand


INSTRUCTIONS FOR PETITION FOR INVOLUNTARY TREATMENT FOR ALCOHOL AND OTHER DRUG ABUSE [R.C ] PLEASE READ VERY CAREFULLY!!

INSTRUCTIONS FOR FILING A PETITION FOR LEGITIMATION AND CUSTODY/VISITATION

Synopsis of Nevada Probate Law. Don W. Ashworth Probate Commissioner Eighth Judicial District Court

When should this form be used?

!" #$ % # $ ##!# & '((!) * % ( * % '+ ( ((* % ,-- (- (. ) * % '(. ). * % () ) ( / &0#!!0 &102!

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (a), PETITION FOR INJUNCTION FOR PROTECTION AGAINST DOMESTIC VIOLENCE (06/12)

INSTRUCTIONS FOR PETITION FOR INVOLUNTARY TREATMENT FOR ALCOHOL AND OTHER DRUG ABUSE [R.C ] PLEASE READ VERY CAREFULLY!!

When should this form be used?

STATE OF INDIANA ) IN THE HOWARD COURT ) SS: COUNTY OF HOWARD ) CAUSE NO.: APPEARANCE BY ATTORNEY IN CIVIL CASE

POWER OF ATTORNEY FORM. AUTHORIZED BY SECTIONS to OF THE OHIO REVISED CODE I, the undersigned, residing at, in the

SUPERIOR COURT OF ARIZONA IN PIMA COUNTY

You may petition for adoption in the Probate Division of the Vermont Superior Court if:

ADOPTION. The Adoption Law All adoptions filed in the state of Missouri are governed by the same 1123

INSTRUCTIONS FOR COMPLETING THE PETITION TO CORRECT A BIRTH CERTIFICATE

"# $% & $ % $$ "$ ' '((!) * % ( * % '+( ((* % ,-- (- (. ) * % () ) ( / &0#!!0 &102!

Florida Manual for Incarcerated Parents

RULES OF THE CIRCUIT COURT OF THE THIRD JUDICIAL CIRCUIT, STATE OF ILLINOIS (BOND AND MADISON COUNTIES)

Delaware UCCJEA 13 Del. Code 1901 et seq.

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM (b)(1), PETITION FOR DISSOLUTION OF MARRIAGE WITH DEPENDENT OR MINOR CHILD(REN)

a. Defendant. The defendant is the person against whom the plaintiff or other appropriate party is seeking protection.

PETITION FOR WRIT OF HABEAS CORPUS AND EMERGENCY RETURN OF CHILD PACKET

IN THE COURT OF COMMON PLEAS, CUYAHOGA COUNTY, OHIO JUVENILE DIVISION. GRANDPARENT POWER OF ATTORNEY Pursuant to to , Ohio Revised Code

Children s Law Center of Indiana

State of Ohio, County of ) Subscribed, sworn to, and acknowledged before me this day of, 20.

STATE OF FLORIDA. Emancipation - Removal of Disability of Minority Package. Control Number FL - EM - 001

PETITION TO PROBATE WILL IN SOLEMN FORM INSTRUCTIONS

GUARDIANSHIP OF MINOR CHILDREN

Who s Your Daddy? The Responsible Father Registry and Other Legislative Developments

SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES CHAPTER SIX ADOPTION RULES...137

Asking the Court to Appoint a Lawyer for You in a Lawsuit to Terminate Your Parental Rights

POWER OF ATTORNEY OVER A MINOR CHILD HEALTH CARE FORMS AND INSTRUCTIONS

INSTRUCTIONS FOR CUSTODY BY A THIRD PARTY

GUIDELINES FOR ATTORNEYS FOR CHILDREN IN THE FOURTH DEPARTMENT

JOINT SIMPLIFIED DISSOLUTION OF MARRIAGE

Frequently Asked Questions about Adoption in Tennessee

HOW TO FILE A PETITION TO EXPUNGE JUVENILE OFFENSES

DIVORCE AND SEPARATION

IN THE CIRCUIT COURT OF JACKSON COUNTY, MISSOURI FAMILY COURT DIVISION ORDER

IN THE CIRCUIT COURT OF THE NINETEENTH JUDICIAL CIRCUIT, IN AND FOR MARTIN COUNTY, FLORIDA

SP0225, LD 708, item 1, 123rd Maine State Legislature An Act To Amend the Laws Concerning the Emancipation of Minors

PIERCE COUNTY JUVENILE COURT 5501 SIXTH AVENUE TACOMA, WA (253)

CONSENT TO ADOPTION OF MINOR CHILD NOTICE TO PARENT OR LEGAL GUARDIAN:

Part 6 Adjudication of Parentage

C H A P T E R 9 CHILD CUSTODY. JENNIFER K. DIERINGER, ESQ. Western Massachusetts Legal Services, Springfield

IN THE FAMILY COURT OF THE FIRST CIRCUIT STATE OF HAWAI I PETITION FOR ASSISTED COMMUNITY TREATMENT

FREQUENTLY ASKED QUESTIONS ABOUT ADOPTION IN FLORIDA

AFFIDAVIT OF PLAINTIFF (FOR UNCONTESTED DIVORCE) FC-D No.

INSTRUCTIONS PETITION FOR EXPUNGEMENT OF CRIMINAL RECORDS PROVIDED UNDER W.VA. CODE

Emancipation of Minors Packet

COSTS INVOLVED & GENERAL INFORMATION ON ACTING AS A PRO SE LITIGANT Petition for Appointment of Guardian(s) of a Minor s Property

(Effective July 1, 2014) APPENDIX A

ANSWER PACKET NON-SPECIFIC INSTRUCTIONS ON PREPARING AN ANSWER

-410 St John s Avenue, Palatka, FL or from the following website

COUNTY OF HUNTINGDON

Role of Foster Parents in Family Court

Physician s Signature

DIVORCE PACKET YOUR LEGAL RIGHTS MAY BE BETTER PROTECTED WITH THE HELP OF AN ATTORNEY

SUPREME COURT OF PENNSYLVANIA DOMESTIC RELATIONS PROCEDURAL RULES COMMITTEE RECOMMENDATION 140

Matter of H.P. v. B.P. 1/22/2008 NYLJ 19, (col. 3)

ARIZONA RULES OF FAMILY LAW PROCEDURE

ADULT ABUSE/STALKING ORDERS OF PROTECTION INFORMATION FOR BOTH PARTIES

INSTRUCTIONS FOR SETTLING A MINOR S CLAIM FOR PERSONAL INJURY

EXHIBIT A IN THE CIRCUIT COURT OF THE 11 TH JUDICIAL CIRCUIT IN AND FOR MIAMI-DADE COUNTY, FLORIDA ISSUED PURSUANT TO ADMINISTRATIVE ORDER NO.

NO. COA NORTH CAROLINA COURT OF APPEALS. Filed: 3 November Wake County No. 07 JT 819

WHEREAS, children caught in the middle of high parental conflict are more likely to be harmed; and

REQUIREMENTS ON TEMPORARY TRIAL CARD FOR QUALIFIED LAW STUDENTS AND QUALIFIED UNLICENSED LAW SCHOOL GRADUATES

DOMESTIC INTAKE WORKSHEET

When should this form be used?

NAME CHANGES IN TEXAS

SENATE... No The Commonwealth of Massachusetts. In the Year Two Thousand Fourteen

APPLICATION FOR EMANCIPATION

Child Abuse, Child Neglect. What Parents Should Know If They Are Investigated

RESPONSE TO PETITION TO ESTABLISH PATERNITY, LEGAL DECISION-MAKING AND PARENTING TIME

Marriage & Family Arizona Adoption Laws

PREVIEW PLEASE DO NOT COPY THIS DOCUMENT THANK YOU

Guardianships: Wyoming Law Nuts and Bolts

Petition for Letters of Administration with Will Annexed (Will Previously Probated) INSTRUCTIONS

In Your Child s Best Interest

GUIDE TO PROTECTIVE ORDERS IN VIRGINIA

STANISLAUS COUNTY SUPERIOR COURT (209)

If you are emancipated, you will give up the right to be supported by your parents. Even if you are emancipated some things will not change:

IN THE SUPREME COURT OF THE STATE OF ALASKA ORDER NO. 1861

INSTRUCTIONS FOR SEALING/EXPUNGING AN ADULT CRIMINAL COURT RECORD

Completing an Adoption in Minnesota. The Rights and Responsibilities of Birth Parents, Prospective Adoptive Parents and Adoption Agencies

Transcription:

Guardianship and Third Party Custody Law Sample Pleadings for Indiana Attorneys (These Documents Should Not be Used by Unrepresented Parties Attachment A: Verified Petition for Appointment of Temporary Guardians Without Notice and Hearing A-1 to A-4 Attachment B: Order Granting Verified Petition for Appointment of Temporary Guardians Pending Notice and Hearing. B-1 to B-2 Attachment C: Parent s Consent to the Appointment of Guardian(s of the Person of Minor Child. C-1 Attachment D: Verified Petition for Appointment of Guardians of the Person of Minor D-1 to D-4 Attachment E: Order for Appointment of Guardians of the Person of Minor.. E-1 to E-2 Attachment F: Verified Motion to Intervene and Be Joined as Necessary Parties and Petition for Modification of Custody... F-1 to F-4 Attachment G: Order Granting Maternal Grandparents Motion to Intervene.. G-1 to G-2 Attachment H: Order Granting Intervener Maternal Grandparents Petition for Modification of Custody. H-1 to H-4

STATE OF INDIANA IN THE SUPERIOR COURT SS: PROBATE DIVISION COUNTY OF (county CAUSE NO. IN THE MATTER OF: THE GUARDIANSHIP OF:, A Minor, (child s name VERIFIED PETITION FOR APPOINTMENT OF TEMPORARY GUARDIANS WITHOUT NOTICE AND HEARING Come now the petitioners, (proposed guardians names by counsel,, and respectfully petition the Court to appoint them as (counsel s name temporary guardians of. In support of this request, the petitioners would respectfully show the Court as follows: 1. currently resides with the petitioners at, (street address, Indiana, and no CHINS petition or program of informal adjustment has been filed regarding the child. (county 2. was born on and is years old (date of birth (number and is incapacitated due to his/her minority. 3. has no real property or personal property other than some clothing. The petitioners have not been appointed guardians of any other person in any state. 4. The petitioners reside at,, Indiana and their (street address (county relationship to is that of. (relationship Attachment A Page A 1

5. The names and addresses as far as known or can reasonably be ascertained, of the persons most closely related by blood or marriage to are: a. whose last know address was, (mother s name (street address (county Indiana, but petitioners do not have a current address for the mother, and her whereabouts are currently unknown to them. b. was born out of wedlock, and petitioners do not believe that a (child s name paternity affidavit has been executed nor that paternity has been established by a judicial proceeding. The petitioners last known address for the alleged father,, is,,. (father s name (street address (county (state c. The maternal grandmother of is, who (grandmother s name resides at,,. (street address (county (state 6. The petitioners have had physical care and custody of since (date when was left with petitioners by. (mother 7. The appointment of a temporary guardian is sought for the following reasons: a. No guardian has been appointed for, an emergency exists, and the welfare of, requires immediate action, and no other person appears to have authority to act in the circumstances. b. The nature of the emergency is. (explain details of emergency c. The immediate action required on behalf of is. (state facts Attachment A Page A - 2

The petitioners are able and willing to undertake said action if the Court grants their petition. d. Immediate and irreparable injury to the person of may result unless the Court grants said temporary guardianship without notice and hearing. 8. The petitioners are requesting to be appointed temporary guardians because of, and the petitioners interest in the appointment is (list reasons. (describe interest 9. The name and business address of the attorney who is representing the petitioners is. (attorney s name and address 10. Notice of this petition is being served on the persons listed in paragraph number six of the petition pursuant to IC 29-3-6. 11. The filing fee in this action has been paid. Wherefore, the petitioners respectfully request to be appointed temporary guardians of, pending notice and hearing. The petitioners further request that the Court find that a guardian has not been appointed for, an emergency exists, the requires immediate action, no other person appears to have authority to act, and irreparable injury to the person of may result if said temporary guardianship is not granted. Attachment A Page A - 3

We solemnly swear or affirm, under penalty for perjury, that the foregoing facts and representations are true to the best of our knowledge and belief. (proposed guardian (proposed guardian Attorney Name Address Telephone number Attachment A Page A 4

STATE OF INDIANA IN THE SUPERIOR COURT SS: PROBATE DIVISION COUNTY OF (county CAUSE NO. IN THE MATTER OF: THE GUARDIANSHIP OF:, A Minor, (child s name ORDER GRANTING VERIFIED PETITION FOR APPOINTMENT OF TEMPORARY GUARDIANS PENDING NOTICE AND HEARING Come now the petitioners,, (proposed guardians names by counsel, and file their Verified Petition for Appointment of (counsel s name Temporary Guardians Without Notice and Hearing. And the Court, having read and reviewed said Petition, enters the following findings and orders: 1. That is incapacitated due to her minority. 2. That has no real property or personal property other than some clothing and toys. 3. That the petitioners have not been appointed guardians of any other person in this state. 4. That was born out of wedlock. 5. That the petitioners have had physical custody of, since (date when was left with the petitioners by. (mother 6. That no guardian has been appointed for, that an emergency Attachment B Page B-1

exists that the welfare of requires immediate action concerning. (list circumstances 7. That immediate and irreparable injury to the person of may result unless the Court grants temporary guardianship to petitioners without notice and hearing. 8. That the petitioners are suitable and willing to serve as temporary guardians of. 9. That said temporary guardianship is necessary and in best interest. 10. That a hearing on said guardianship shall be scheduled for the day of, 20, at -m., and that notice shall be given to the persons most closely related to, as listed in the petition, by the best means possible, pursuant to IC 29-3-6. 11. That are hereby appointed (petitioners names temporary guardians of, without limitations on their duties, pending the hearing, and the Clerk shall issue Letters of Temporary Guardianship to the petitioners. Dated: Judge, Court, Probate Division DISTRIBUTION: Attachment B Page B-2

STATE OF INDIANA IN THE (COUNTY (COURT SS: COUNTY OF (COUNTY CAUSE NO. PARENT S CONSENT TO THE APPOINTMENT OF GUARDIAN(S OF THE PERSON OF MINOR CHILD, being duly sworn upon his/her oath, says that he/she is an adult, (parent whose birth date is, and is the parent of, whose birth date (parent s birth date is. is familiar with the Petition for Appointment of (child s birth date (parent Guardian(s of the person of which plan(s to file in (guardian(s the above Court. hereby consents to the appointment of (parent as Guardian(s of the person of and expressly waives service (guardian(s of summons and notice of hearing on said guardianship petition. (parent Sworn to me and subscribed in my presence, a Notary Public in and for the State of Indiana, County of this day of, 20. Notary Public Attachment C Page C - 1

STATE OF INDIANA IN THE (COUNTY SUPERIOR COURT SS: PROBATE DIVISION COUNTY OF (COUNTY CAUSE NO. IN THE MATTER OF: THE GUARDIANSHIP OF:, A Minor, (child s name VERIFIED PETITION FOR APPOINTMENT OF GUARDIANS OF THE PERSON OF MINOR Come now the petitioners,, by (proposed guardians names counsel,, and respectfully petition the Court to appoint (counsel s name them as guardians of. In support of this request, the petitioners would respectfully show the Court as follows: 1. currently resides with the petitioners at, (street address, Indiana. has lived with the petitioners since (county when placed the child with (date (Mother s name (petitioners. The petitioners are the child s. The petitioners have (state relationship been supporting and caring for the child and no CHINS petition or program of informal adjustment has been filed. 2. was born on and is years old and is (date (number incapacitated due to his/her minority. Attachment D Page D - 1

3. has no real property or personal property other than some clothing and toys. 4. was born out of wedlock and, to petitioners knowledge, no paternity affidavit was signed nor has paternity been established by a judicial proceeding. 5. The names and addresses as far as known or can be reasonably ascertained, of the persons most closely related by blood or marriage to are: a., whose last known address was, (mother s name (street address, Indiana, but petitioners do not have a current address for the Mother, and her (county whereabouts are currently unknown to them. b., whose last known address was (alleged father s name (street address, Indiana, but petitioners do not have a current address for the alleged father, and his (county whereabouts are currently unknown. c., who resides in foster care under the supervision of the (minor child s half-sibling Marion County Department of Child Services. 6. The appointment of a permanent guardian is sought for the following reasons: a. has been abandoned by Mother, who is unavailable. b. is unavailable to care for the child due to. (alleged father (state reasons Attachment D Page D 2

c., if appointed guardians, can receive health insurance through (petitioners their employment and can provide with a secure, stable home. 7. The name and business address of the attorney who is representing the petitioners is. (counsel s name and address 8. Notice of this petition is being served on the mother and the alleged father by publication. 9. The filing fee for this proceeding has been paid. 10. The petitioners request that no bond be required of them since has no assets. Wherefore, the petitioners respectfully request to be appointed guardians of after notice and hearing. The petitioners further request that the Court find that the parental presumption has been rebutted by evidence of parental unfitness and abandonment of and that their guardianship of is in the child s best interests and presents a substantial and significant advantage to. The petitioners further request that the Court Order supervised visitation for with when (parents the parents are located, and the petitioners are willing to supervise said visitation at mutually convenient times and places. We solemnly swear or affirm, under penalty for perjury, that the foregoing facts and representations are true to the best of our knowledge and belief. (petitioner Attorney Name and Supreme Court Number Address Telephone Number (petitioner Attachment D Page D 3

STATE OF INDIANA IN THE (County COUNTY SUPERIOR COURT SS: COUNTY OF (county CAUSE NO. IN THE MATTER OF: THE GUARDIANSHIP OF:, A Minor. ORDER FOR APPOINTMENT OF GUARDIANS OF THE PERSON OF MINOR On (Date, this Court issued an Order Granting Emergency Petition for the Appointment of Temporary Guardians of the Person over minor whereby (temporary guardians names were made temporary guardians over (child s name, minor. On (Date, a hearing was held to determine whether the temporary guardians should be appointed guardians. Petitioners (Petitioners Names appeared with counsel, attorney (attorney s name; the mother appeared with counsel (attorney s name, (any other parties that appeared. After the evidence was presented and being duly advised in the premises, the Court now enters the following facts and conclusions and issues this Order Thereon: 1. That the Court has jurisdiction over the parties and the subject matter in this case. 2. That is (age years-old, being born on (DOB, and is incapacitated due to minority. 3. That the minor child does not possess any property, personal or real, for which to account. 4. That no other guardian has been appointed or is acting for the minor child. 5. That the name and business address of the attorney who represents the guardians is (attorney s name and address. 6. That the appointment of a guardian is necessary as a means of providing care and supervision of the physical person of the minor child, pursuant to IC 29-3-5-3. Attachment E Page E - 1

7. That the mother, (mother s name, and the father of the minor child, (father s name, both consent and agree to the appointment of (guardians names as guardians of. 8. That the weekly child support being paid by (father or mother for the benefit of minor child (child s name shall now be forwarded to the guardians (guardians names at their residence, which is (guardians address, until further notice of this Court. IT IS, THEREFORE, ORDERED that Petitioners (Petitioners names are hereby appointed as legal guardians of (child s name, minor child, and that said guardians shall serve without bond, and that the clerk shall issue Letters of Guardianship without any limitations to said guardians upon their taking an oath. Said guardians are authorized to exercise all powers granted guardians of the person of a minor as set forth in IC 29-3-8-1 through IC 29-3-8-4. SO ORDERED ON: THIS DAY OF, 20. JUDGE (County COUNTY SUPERIOR COURT Attachment E Page E 2

STATE OF INDIANA IN THE (COUNTY CIRCUIT COURT SS: COUNTY OF (COUNTY CAUSE NO. IN RE THE PATERNITY OF: (minor child BY NEXT FRIEND: (mother PETITIONER MOTHER AND (father RESPONDENT FATHER (maternal grandparents Interveners VERIFIED MOTION TO INTERVENE AND BE JOINED AS NECESSARY PARTIES AND PETITION FOR MODIFICATION OF CUSTODY Come now and, hereinafter Maternal (maternal grandfather (maternal grandmother Grandparents, and respectfully file their Verified Motion to Intervene and Be Joined as Necessary Parties and Petition for Modification of Custody. In support of these requests, maternal grandparents would respectfully show the Court as follows: 1. was born out of wedlock to Petitioner Mother,, and is now years old. (mother s name (number Attachment F Page F - 1

2. Paternity was established for on. (date 3. Pursuant to the agreement between Petitioner Mother and Respondent Father, (date legal custody of was awarded to Petitioner Mother and Respondent Father was awarded Indiana Parenting Time Guideline parenting time. Respondent Father was ordered to pay per week in child support to Petitioner Mother via Income Withholding Order. (amount 4. Since the date of the Agreement, the following events have occurred: a. Petitioner Mother has repeatedly been a victim of domestic violence by two live-in boyfriends within the past year. b. Respondent Father has been convicted of molesting his niece and has been incarcerated at Putnamville Correctional Facility with an earliest possible release date of May 30, 2012. c. Petitioner Mother has been unable to maintain employment or housing, and is currently homeless. d. Petitioner Mother has been diagnosed with schizophrenia and is currently on an outpatient commitment under cause number. e. needs a stable home from which to attend school and neither parent can provide a stable home. f. has been residing at the home of Maternal Grandparents since because Petitioner Mother was living in her car, after being evicted from her (date apartment. Attachment F Page F - 2

5. Maternal Grandparents seek intervention to request that the Court appoint them as Third Party Custodians of. The Maternal Grandparents reside at, (street address, Indiana. (county 6. Maternal Grandparents believe that best interests would be substantially and significantly served by placement with them based upon the following: a. Maternal Grandparents have been married for thirty years. b. Maternal Grandfather has been employed at XYZ Corporation for twenty years and can provide health insurance for the child. c. Maternal Grandparents own their home where the child has her own bedroom. 7. The Maternal Grandparents request that the Court permit them to intervene as necessary parties pursuant to Indiana Trial Rule 24(B because the child currently is living in their home, and the Maternal Grandparents are requesting to be appointed third party custodians. The Maternal Grandparents have a claim in common with the paternity proceeding in this cause. 8. Maternal Grandparents further request that the Court order supervised visitation for Petitioner Mother and no visitation for Respondent Father. Wherefore, the Maternal Grandparents respectfully request that the Court permit them to intervene in this matter, and schedule a hearing on their Petition to Modify Custody. Attachment F Page F - 3

We solemnly swear or affirm, under the penalty for perjury, that the foregoing facts and representations are true to the best of our knowledge and belief. (maternal grandfather (maternal grandmother Attorney Name and Supreme Court Number Address Telephone Number Attachment F Page F 4

STATE OF INDIANA IN THE (COUNTY CIRCUIT COURT SS: COUNTY OF (COUNTY CAUSE NO. IN RE THE PATERNITY OF: (minor child BY NEXT FRIEND: (mother PETITIONER MOTHER AND (father RESPONDENT FATHER (maternal grandparents Interveners ORDER GRANTING MATERNAL GRANDPARENTS MOTION TO INTERVENE Come now the Maternal Grandparents, and (maternal grandfather, by counsel and file their Verified (maternal grandmother (attorney name Motion to Intervene and Be Joined as Necessary Parties and Petition for Modification of Custody. And the Court, having read and reviewed said Motion and Petition, now finds that the Maternal Grandparents are hereby permitted to intervene in the above cause pursuant to Indiana Trial Rule 24(B for the purpose of providing evidence on their Petition for Modification of Attachment G Page G - 1

Custody. The Court now schedules the Intervener Maternal Grandparents Petition for Modification of Custody for hearing on the day of, 2008, at.m. Counsel for the Intervener Maternal Grandparents is directed to serve a copy of this Order on Petitioner Mother and Respondent Father. Date: Judge (county Circuit Court DISTRIBUTION: Attorney for Interveners Attachment G Page G 2

STATE OF INDIANA IN THE (COUNTY CIRCUIT COURT SS: COUNTY OF (COUNTY CAUSE NO. IN RE THE PATERNITY OF: (minor child BY NEXT FRIEND: (mother PETITIONER MOTHER AND (father RESPONDENT FATHER (maternal grandparents Interveners ORDER GRANTING INTERVENER MATERNAL GRANDPARENTS PETITION FOR MODIFICATION OF CUSTODY Comes now the Petitioner Mother,, in person and by counsel, (mother s name, the Respondent Father,, by telephone, and the (father s name Intervener Maternal Grandparents, and (maternal grandfather, in person, and by counsel for hearing on (maternal grandmother the Interveners Petition for Modification of Custody. Attachment H Page H - 1

Witnesses sworn. Evidence heard and concluded. And the Court now enters the following findings and orders: 1. The rebuttable presumption in favor of Petitioner Mother s custody of the child has been overcome by the following clear and convincing evidence: a. Petitioner Mother has repeatedly been the victim of domestic violence by two live-in boyfriends within the past year. b. Petitioner Mother has been unable to maintain employment or housing, and is currently homeless. c. Petitioner Mother has been diagnosed with schizophrenia and is currently on outpatient commitment under cause number. d. Petitioner Mother has been living in her car and placed the child with Intervener Maternal Grandparents on. (date 2. The rebuttable presumption in favor of Respondent Father s custody of the child has been overcome by the following clear and convincing evidence: a. Respondent Father was charged with and convicted of child molestation of his twelve year old niece under Superior Court, Criminal Division, cause number (county. b. Respondent Father is incarcerated at Putnamville Correctional Facility with a projected release date of May 30, 2012. c. Respondent Father is unavailable to care for the child due to incarceration. d. Respondent Father cannot have visitation with any children due to the nature of the crime for which he was convicted pursuant to the Rules of the Indiana Department of Correction. Attachment H Page H - 2

3. Placing in the custody of the Intervener Maternal Grandparents is in the child s best interests because: a. Maternal Grandparents have been married for thirty years and have a stable home. b. Maternal Grandfather has been employed by XYZ Corporation for twenty years and can obtain health insurance for and financially support the child. c. The Maternal Grandparents own their home and the child has her own bedroom in their home. 4. The Intervener Maternal Grandparents are appointed legal and physical custodians of. 5. The Petitioner Mother shall have parenting time supervised by Maternal Grandparents or a competant adult of their choosing from Noon to 5:00 p.m. on alternate Sundays beginning. (date 6. The Respondent Father shall have no parenting time. 7. is appointed to serve as a temporary conditional custodian in the (relative s name event of the death or disability of the Maternal Grandparents. resides at (Relative,, Indiana, her telephone number is, and (street address (county counsel for Maternal Grandparents shall send her a copy of this Order. Attachment H Page H - 3

8. Counsel for Petitioner Mother shall submit a child support worksheet within 30 days so that a child support order can be entered. Date Judge (county CIRCUIT COURT DISTRIBUTION: Attorney for Interveners Attorney for Petitioner Mother Respondent Father Attachment H Page H - 4