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IN THE CIRCUIT COURT FOR
Clinton¹ COUNTY, INDIANA²

William Thomas Walker³	AFFIDAVIT OF PLAINTIFF IN SUPPORT OF TEMPORARY RELIEF
Petitioner,	AFFIDAVIT OF PLAINTIFF IN SUPPORT OF TEMPORARY RELIEF
vs.	COURT FILE NO.:125632⁵
Susan Elaine Walker⁴
Respondent.

William Thomas Walker⁶, Petitioner, being first duly sworn on oath, states as follows:

I am the Petitioner in this action, and I am making this Affidavit in support of my Motion for Temporary Relief.
It is in the best interest of our children that I be awarded temporary custody. I have been the primary parent for the children since they were born. (State other reasons):
I have been the parent primarily responsible for making sure the daily needs of the children are taken care of. Respondent works full time and her job requires frequent evening and weekend work.⁷
I am in need of financial assistance from Respondent to provide for the support of our children.
I am in need of temporary spousal maintenance from Respondent to provide support for me. (Give details regarding present financial circumstances):
Please see the Financial Statement for all details of our incomes and expenses. I will have a monthly short fall of $400 and need this amount from the Respondent as temporary spousal maintenance.⁸
I do not have adequate funds at my disposal to pay my own attorney fees and costs, and I need financial assistance from Respondent to allow me to proceed with this action.

Respondent and I have the following debts. (Present financial circumstances regarding debts and obligations):⁹

Sears	$2500
MasterCard	$1500
Visa	$2000

This is not a substitute for legal advice. An attorney must be consulted.
Copyright © 1994 - 2015 by LAWCHEK, LTD.

I am asking the Court to award to me the temporary exclusive occupancy of the homestead for the following reasons. (State present circumstances):
The children need to remain in their home to insure their stability and daily needs will be met. As their primary caretaker, I need to remain in the home with the children to continue caring for them.¹⁰
I am requesting temporary use and possession of the 1991 Dodge Caravan¹¹ automobile because I routinely use this care for myself and the children. Respondent routinely drives the Toyota.¹¹

Dated: February 14, 1996¹²	¹³
	Petitioner

Subscribed and sworn to before me this 14th day of February, 1996¹⁴.

	¹⁴
	Notary Public

The form above is an example of how a typical Affidavit of Petitioner for Temporary Relief may be completed.

The particular county in which the case has been filed.
The state in which the case has been filed.
The full name of the Petitioner.
The full name of the Respondent.
The file number assigned by the clerk of court.
The full name of the Petitioner.
A statement of the facts supporting the request that the court award temporary custody to the Petitioner.
A statement of facts supporting the request that the court award temporary spousal maintenance to the Petitioner.
A schedule of the debts of the parties.
A statement of reasons supporting the request for temporary exclusive occupancy of the home where the parties have been living.
A statement of reasons why the court should award temporary use of a particular vehicle to the Petitioner.
The date the Affidavit is signed by the petitioner.
The signature of the Petitioner.
The date and signature of the Notary Public.

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This is not a substitute for legal advice. An attorney must be consulted.