CUYAHOGA COUNTY DOMESTIC RELATIONS COURT CASE NO. DR: ______________________ PERSONAL JURISDICTION DETERMINATION 1. Does Defendant/Petitioner-02 have an out-of-state address? YES NO 2. Has the Defendant/Petitioner-02 ever lived in Ohio? YES NO If yes, for how long? _____ 3. Have the Parties lived in Ohio as a married couple? YES NO 4. Is Plaintiff/Petitioner-01 seeking child support or spousal support from Defendant/Petitioner-02? YES NO SUPPORT DETERMINATION 1. Is either spouse pregnant? YES NO 2. Are there minor child(ren) living in Ohio? YES NO 3. Is there a Temporary Domestic Relations Court Order for child/spousal support? YES NO 4. Is there a Juvenile Court Order for child support/custody? YES NO 5. Is there a CSEA Administrative Order for child support? YES NO 6. Is there a current case filed in Bankruptcy Court? YES NO If yes, provide Bankruptcy Court Case Number: ___________ Chapter 7 or Chapter 13