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Superior Court of Washington, County of Ie ne zZ
In re:

Petitioner/s (person/s who started this case): No. 25 “2- l l = 5
Meatew Rolidak_
Declaration of . .
(name): SE Ss ds Der
And Respondent/s (other party/parties): (DCLR)

in 72

Declaration of (name): Cossidg Deies

1. lam (age): j \ years old and | am the (check one): [_] Petitioner [X{ Respondent

Other (relationship to the people in this case):

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Declaration

Optional Form (05/2016)
p.1of__

FL All Family 135

A borotob are 1) Stan, and
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as he is a__(wnPractor, and

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Wath “wacludes Veronive, ae idan,

ana Vain.

 

 
 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Number any pages you attach to this Declaration. Page limits may apply.)

| declare under penalty of perjury under the laws of the state of Washington that the facts | have
provided on this form (and any attachments) are true. [Dt have attached (number): ___ pages.

Signed at (city and state): __ Date:

 

Sign here Print name

Warning! Documents filed with the court 2 are 3 available for anyone to. ‘see unless they are sealed. Financial,

medical, and confidential reports, as described in General Rule 22, must be sealed so they can only be seen by

the court, the other party, and the lawyers in your case. Seal those documents by filing them separately, using a
| Sealed cover sheet (form FL All Family 011, 012, or 013). You may ask for an order to seal other documents _

 

Optional Form (05/2016) Declaration
FL All Family 135 p.20f __

