On September 02, 2021 a
Complaint,Petition
was filed
involving a dispute between
Department Of Revenue,
Tucker, Cliffeth Lorraine,
and
Russell, Jerome Darren,
for Paternity Managed
in the District Court of Suffolk County.
Preview
ial
_.... Commonwealth of Massachusetts...
The Trial Court
Probate and Family Court Department
Division Suffolk Docket No.
LONG ARM COMPLAINT TO ESTABLISH SUPPORT PURSUANT TO G.L. c.209C
Massachusetts Department of Revenue
Child Support Enforcement Division
on behalf of
Cliffeth Lorraine Tucker » Plaintiff V. Jerome Darren Russell Defendant _
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 Massachusetts Department of Revenue states that the defendant is subject to the jurisdiction of this
Court pursuant to G. L. c. 223A and c. 209D, § 2-201.
3. The child who is the subject of this complaint is:
JANISA DANIELLE RUSSELL
4. The child was born on: 09/10/2013.
5. The name of the child's custodian is:
CLIFFETH TUCKER
6. The child's custodian is the child's: Mother
7. The child resides with the custodian in Massachusetts in the County of: Suffolk
8. The mother of the child named above is:
CLIFFETH LORRAINE TUCKER
9. The father of the child named above is:
JEROME DARREN RUSSELL
7960 HAMPTON BLVD
APT 417
NORTH LAUDERDALE, FL 33068-5691
~-——¥70581— 06/16 41291910
Page 10f 2 \ ©.10.
11.
12.
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08/31/2021
DR eel
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).
The mother and father of the child are not married to each other.
No other parties need to be joined pursuant to G. L. c. 209C, § 6.
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.
Rlorder 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.
Date
Massachusetts Department of Revenue
Child Support Enforcement Division
By its attorney, ~
/s/ SARAH DELOREY
SARAH DELOREY
Counsel
PO BOX 7057
BOSTON, MA 02204-7057
(617)626-2686
DELOREYS@DOR.STATE.MA.US
BBO#: 685807
Fyos81 06/16 412919 —————IHI INNO ED
~ Page 2 of 2
Document Filed Date
September 02, 2021
Case Filing Date
September 02, 2021
Category
Paternity Managed
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