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    Affidavit Overnight Access

    Uploaded by

    dealdon9999

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Affidavit Overnight Access

    Uploaded by

    dealdon9999
    1 views1 page

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    1 views1 page

    Affidavit Overnight Access

    Uploaded by

    dealdon9999

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    ONLY FOR USE IN THE ABSENCE OF COURT DOCUMENTS OR SEPARATION

    AGREEMENT, OR AS A VOLUNTARILY AGREED DECLARATION OF A VARIATION


    TO AN EXISTING COURT ORDER, IN THE MATTER OF AN APPLICATION FOR
    HOUSING TO DUBLIN CITY COUNCIL

    Affidavit to be accompanied by Birth Certs and PPS numbers for all children.

    AGREEMENT OF PARENTS OF _____ CHILD/REN, NAMED BELOW


    This agreement made the th day of , 20 , between
    __________________ d.o.b. / / , of ____________________________ and
    __________________ d.o.b. / / , of ____________________________, as
    follows -
    1. We are the lawful parents of ______________________ , d.o.b / /
    ______________________ , d.o.b / /
    ______________________ , d.o.b / /
    2. It is confirmed that we live separate and apart from each other.
    3. It is confirmed that the ____ child/ren reside on day-to-day basis with their mother/father.
    4. We confirm that we have agreed an Overnight Access Arrangement/ Full Time
    Residency Arrangement for the above named child/ren, with his/her/their mother and
    father/mother.
    Details of Overnight Access:_____________________________________________
    5. We confirm that there are either no Court Documents/Orders /rulings placing any
    conditions on the overnight access or if there is any such Order that the terms are
    voluntarily varied as between the parties to any such order (copy attached) and that each
    party has either taken legal advice or has declined to do so.
    6. In the event that this is an application for the Council’s Homeless list, we agree the
    arrangement as previously outlined will commence as and when the applicant gets his/her
    own accommodation, be it in private rented accommodation or otherwise.

    Signed by Signed by

    _________________ _________________
    Applicant Other Parent
    Witnessed by Witnessed by

    ______________ __________________
    Practising Solicitor Practising Solicitor

    Solicitor’s Stamp Solicitor’s Stamp


    Solicitors

    Solicitor Name: __________________ Solicitor Name: __________________

    Solicitor Address: __________________ Solicitor Address: ________________

    Solicitor Contact No. : ______________ Solicitor Contact No. : ____________

    ( at which may be contacted for confirmation)

    Should you decide to sign this document, please ensure that you are properly and
    independently advised as to the legal issues arising.

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