Form GS-010 "Child Custody Affidavit in Support of Appointment of Guardian of a Minor" - Maine

Form GS-010 or the "Child Custody Affidavit In Support Of Appointment Of Guardian Of A Minor" is a form issued by the Maine District Court.

The form was last revised in October 1, 2016 and is available for digital filing. Download an up-to-date Form GS-010 in PDF-format down below or look it up on the Maine District Court Forms website.

ADVERTISEMENT

Download Form GS-010 "Child Custody Affidavit in Support of Appointment of Guardian of a Minor" - Maine

941 times
Rate
(4.4 / 5) 56 votes
STATE OF MAINE
DISTRICT COURT
Location ________________
Docket No. ______________
In re the Guardianship of:
(Name of Minor)
CHILD CUSTODY
AFFIDAVIT IN SUPPORT
OF APPOINTMENT OF
GUARDIAN OF A MINOR
19-A M.R.S. § 1753
18-A M.R.S. § 5-204
I/We, ______________________________ and _______________________________________
am/are the petitioner(s) seeking to be appointed guardian(s) of the above-named child.
The Petition for Guardianship / Temporary Guardianship we filed recites that the child’s parents
are:___________________________________________________________________________
____________________________________________________________
The child’s present address is:
______________________________________________________________________________
During the past five (5) years, the child has lived at the following addresses with the following people:
Name of custodian
Address of custodian when
Date of child’s residence
child was present
with this custodian
The custodian(s) named above currently live at the following address(es):
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
We, or one of us (check as many as are true):
(A) have/has participated as a party, witness, or in some other capacity in other litigation
concerning the custody of this child in Maine or another state.
(B) have/has information of a custody proceeding concerning this child pending in a court in
Maine or some other state.
GS-010, Rev. 10/16
Page 1 of 2
STATE OF MAINE
DISTRICT COURT
Location ________________
Docket No. ______________
In re the Guardianship of:
(Name of Minor)
CHILD CUSTODY
AFFIDAVIT IN SUPPORT
OF APPOINTMENT OF
GUARDIAN OF A MINOR
19-A M.R.S. § 1753
18-A M.R.S. § 5-204
I/We, ______________________________ and _______________________________________
am/are the petitioner(s) seeking to be appointed guardian(s) of the above-named child.
The Petition for Guardianship / Temporary Guardianship we filed recites that the child’s parents
are:___________________________________________________________________________
____________________________________________________________
The child’s present address is:
______________________________________________________________________________
During the past five (5) years, the child has lived at the following addresses with the following people:
Name of custodian
Address of custodian when
Date of child’s residence
child was present
with this custodian
The custodian(s) named above currently live at the following address(es):
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
We, or one of us (check as many as are true):
(A) have/has participated as a party, witness, or in some other capacity in other litigation
concerning the custody of this child in Maine or another state.
(B) have/has information of a custody proceeding concerning this child pending in a court in
Maine or some other state.
GS-010, Rev. 10/16
Page 1 of 2
(C) know(s) of a person, not a party to this case, who has physical custody of the child or claims to
have custody or visitation rights with respect to this child.
(D) allege(s) that a living situation has been created that is at least temporarily intolerable for the
minor and that we/I will provide a living situation that is in the best interest of the minor.
If A, B, C, and/or D has been checked, additional information concerning that issue is attached to this
affidavit.
Dated:
Petitioner
Dated:
Petitioner
STATE OF MAINE
COUNTY
Personally appeared the above-named
, and made oath that the
foregoing statements are true.
Before me,
Date:
____________________________________
Attorney at Law/Notary Public/Deputy Clerk
***************************************************************************
COUNTY
Personally appeared the above-named
, and made oath that the
foregoing statements are true.
Before me,
Date:
____________________________________
Attorney at Law/Notary Public/Deputy Clerk
GS-010, Rev. 10/16
Page 2 of 2
ADVERTISEMENT
Page of 2