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Case 18-2868, Document 283, 08/09/2019, 2628241, Page590 of 883 CASE HISTORY/ASSESSM ENT PLAN ta ow) rer ace 45 _ vce: BIB h wave wearta uss. FAMILY BACKGROUND/HISTORY SINGLE (Not in arclationship) _ SINGLE (In a relationship) - NAME . AGE Hew long Description of partner DF FACTO RELATIONSHIP « NAME, AGE How loay Deserioton of partner _ CHILDREN OF RELATIONSHIP: MARRIED: Name AoW ye 3 AGE: Howlong \ \4 _ Description of spouse : < X _ v nF \ we Deseription of shared relationship: « PREVIOUS MARRIAGES/SIGNIFICANT RELATIONSHIPS 1. NAME ___ HOW LONG Reason relationship Snished CHILDREN: ——_—---. REFERRAL SGURCE GIUFFRE005433 CONFIDENTIAL