The defendant C.D., herein named, is a resident of (street), , (city) County, Georgia, and is subject to the jurisdiction of this court.
As of (date), Plaintiff can fully demonstrate to the court that he or she:
The facts of the case are:
1.2.3.4. Dated Pro Se Applicant Address Address (CERTIFICATE OF SERVICE)” “AFFIDAVIT OF PETITIONER STATE OF GEORGIA COUNTY OF Personally appeared before me, the undersigned officer duly authorized to administer oaths, , who, after having been sworn, deposes, and says as follows: That my name is: That my address is: These are the facts to support the existence of an equitable caregiver relationship with a child as set forth in subsection (c) of O.C.G.A. 19-7-3.1: Dated Pro Se Applicant Address Address Sworn to and subscribed before me this day of , . Notary public (SEAL) My commission expires: “
OCGA § 19-7-3.1