0% found this document useful (0 votes)
118 views5 pages

Document

The document is a custody affidavit filed by Robert B. Smith regarding his minor child, Cameron Jay Smith, in Escambia County, Florida. It provides details about the child's current and past addresses, previous custody proceedings, and the involvement of other parties, including the child's mother and grandmother. The petitioner asserts that he has not been given due process in the custody matter and has filed a petition for further explanation.

Uploaded by

rsmith10387
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
118 views5 pages

Document

The document is a custody affidavit filed by Robert B. Smith regarding his minor child, Cameron Jay Smith, in Escambia County, Florida. It provides details about the child's current and past addresses, previous custody proceedings, and the involvement of other parties, including the child's mother and grandmother. The petitioner asserts that he has not been given due process in the custody matter and has filed a petition for further explanation.

Uploaded by

rsmith10387
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 5

IN THE CIRCUIT COURT OF THE FIRST JUDICIAL CIRCUIT

IN AND FOR ESCAMBIA COUNTY, FLORIDA

Case No.: [Insert Case Number]

Division: Family Law

IN RE:

The matter of custody of minor:

CAMERON JAY SMITH, Minor

PETITIONER:

ROBERT B. SMITH, Father

---

UNIFORM CHILD CUSTODY JURISDICTION AND ENFORCEMENT ACT AFFIDAVIT

I, Robert B. Smith, the undersigned, being duly sworn, depose and state as
follows:

1. Minor Child Information

Name of Minor Child: Cameron Jay Smith

Date of Birth: 12/18/2024

Place of Birth: Pensacola, FL Escambia County

Gender: maile
2. Child's Current Address

The child is currently residing at:

Unknown

3. Past Addresses of Child (for the last 5 years)

Provide information about the child's past addresses and those they have
lived with during the last 5 years. If the child has lived in multiple places, list
the most recent first. If the child has lived in only one place for 5 years, state
"same as current address."

From 12/24/2024

Address: Southpointe place

Pensacola, FL 32514

Person(s) Child Lived With: Taylor Pacyga mother, Gail Arel GMA, Robert
Smith father

4. Participation in Other Custody Proceedings

I have [check one]:

☐ NOT participated as a party, witness, or in any other capacity in any other


litigation concerning the custody of, or visitation with, the minor child(ren) in
this or any other state.
x Participated in the following custody or visitation litigation concerning the
minor child(ren):

Court Name: Escambia County

Case Number:

Date: 10/01/2024

Type of Case: [Insert Type of Case]

Disposition/Status: Recently Custody was ordered back to family

5. Information About Custody Proceedings in Other States

I have [check one]:

☐ NO information of any custody or visitation proceedings in this or any


other state that are pending concerning the minor child(ren).

X☐ Information about the following pending custody or visitation proceedings


in this or another state concerning the minor child(ren):

Court Name: Escambia county 1st judicial circuit

Case Number: [Insert Case Number]

State: Florida

Date: 10/01/2024

Parties Involved: Minor Cameron Smith, Father Robert Smith, Mother Taylor
Pacyga
6. Persons Not a Party to This Case Who Have Physical custody:

Gail Arel grandmother as of 10/01/2024

The petitiner never provided this court with any evidence showing the father
wasn’t able to care for minor child, was not afforded due process as statutws
and guidelines clearly states, and Ive files. A petition about this for more
detailed explanation.

---

I declare under penalty of perjury under the laws of the State of Florida that
the foregoing is true and correct.

Executed this [Insert Day] day of [Insert Month], [Insert Year].

---

Robert B. Smith

Petitioner

3908 Boyd’s Creek Highway

Seveirville , TN 37876

Rsmith10387@gmail.com

Sworn to and subscribed before me this __10_ day of _______01__, 2024, by


Robert B. Smith, who is personally known to me or produced [Insert ID] as
identification.
---

Notary Public

My Commission Expires: ______________

You might also like