On August 10, 2022 a
Complaint,Petition
was filed
involving a dispute between
Dor Cse Central And Dta,
Gunn, Krystle Ann,
and
Rogers, Jr., David Eugene,
for Paternity Managed
in the District Court of Worcester County.
Preview
Commonwealth of Massachusetts
The Trial Court
Probate and Family Court Department
Division Worcester Docket No.
COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C
Massachusetts Department of Revenue
Child Support Enforcement Division
on behalf of
Krystle Ann Gunn , Plaintiff v. David Eugene Rogers JR , Defendant
Department of Transitional Assistance
1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this
complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above.
2. The child who is the subject of this complaint is:
DAVID EUGENE ROGERS III
3. The child was born on: 12/06/2012
4. The name of the child's custodian is:
KRYSTLE ANN GUNN
5. The child's custodian is the child's: Mother
6. The child resides with the custodian in Massachusetts in the County of: Worcester
7. The mother of the child named above is:
KRYSTLE ANN GUNN
45 MECHANIC ST
WARREN, MA 01083-7902
F70542 06/16 47603956 Page 1 of 2
8. The father of the child named above is:
DAVID EUGENE ROGERS JR
1434 ROOSEVELT AVE
SPRINGFIELD, MA 01109-2420
9. Paternity was established by:
judgment/order of:
entered on:
an Acknowledgment of Parentage which has the same force and effect as a judgment
pursuant to G. L. c. 209C, § 11(a).
10. The mother and father of the child are not married to each other.
11. No other parties need to be joined pursuant to G. L. c. 209C, § 6.
12. The Massachusetts Department of Revenue requests that the court:
order the mother / father to pay child support in an amount consistent with the child support
guidelines.
order the mother / father to provide private health care coverage that is reasonable in cost and
accessible to the child, or if private health care coverage is currently not reasonable in cost and
accessible to the child, order the mother / father to pay cash medical support until such private health
care coverage becomes available.
order the mother / father to pay reimbursement for past support provided to the child.
order the mother / father to pay the costs of the child's unreimbursed medical expenses.
order such other relief as the court deems appropriate.
Massachusetts Department of Revenue
Child Support Enforcement Division
By its attorney,
08/10/2022 /s/ KATIE PERRY
Date KATIE PERRY
Counsel
PO BOX 7057
BOSTON, MA 02204-7057
508-792-7300x22615
PERRYK@DOR.STATE.MA.US
BBO#: 673269
F70542 06/16 47603956 Page 2 of 2
Document Filed Date
August 10, 2022
Case Filing Date
August 10, 2022
Category
Paternity Managed
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Commonwealth of Massachusetts The Trial Court Probate and Family Court Department Division Worcester Docket No. COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c. 209C Massachusetts Department of Revenue Child Support Enforcement Division on behalf of Krystle Ann Gunn , Plaintiff v. David Eugene Rogers JR , Defendant Department of Transitional Assistance 1. The Child Support Enforcement Division of the Massachusetts Department of Revenue brings this complaint pursuant to G. L. c. 119A, § 3 and c. 209C on behalf of the plaintiff(s) noted above. 2. The child who is the subject of this complaint is: DAVID EUGENE ROGERS III 3. The child was born on: 12/06/2012 4. The name of the child's custodian is: KRYSTLE ANN GUNN 5. The child's custodian is the child's: Mother 6. The child resides with the custodian in Massachusetts in the County of: Worcester 7. The mother of the child named above is: KRYSTLE ANN GUNN 45 MECHANIC ST WARREN, MA 01083-7902 F70542 06/16 47603956 Page 1 of 2 8. The father of the child named above is: DAVID EUGENE ROGERS JR 1434 ROOSEVELT AVE SPRINGFIELD, MA 01109-2420 9. Paternity was established by: judgment/order of: entered on: an Acknowledgment of Parentage which has the same force and effect as a judgment pursuant to G. L. c. 209C, § 11(a). 10. The mother and father of the child are not married to each other. 11. No other parties need to be joined pursuant to G. L. c. 209C, § 6. 12. The Massachusetts Department of Revenue requests that the court: order the mother / father to pay child support in an amount consistent with the child support guidelines. order the mother / father to provide private health care coverage that is reasonable in cost and accessible to the child, or if private health care coverage is currently not reasonable in cost and accessible to the child, order the mother / father to pay cash medical support until such private health care coverage becomes available. order the mother / father to pay reimbursement for past support provided to the child. order the mother / father to pay the costs of the child's unreimbursed medical expenses. order such other relief as the court deems appropriate. Massachusetts Department of Revenue Child Support Enforcement Division By its attorney, 08/10/2022 /s/ KATIE PERRY Date KATIE PERRY Counsel PO BOX 7057 BOSTON, MA 02204-7057 508-792-7300x22615 PERRYK@DOR.STATE.MA.US BBO#: 673269 F70542 06/16 47603956 Page 2 of 2