Petition For Declaration Of Emancipation Of A Minor

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_________________________________
Name
_________________________________
Address
_________________________________
City
_________________________________
Telephone
______________________________________________________________________________
IN THE_________________DISTRICT JUVENILE COURT
FOR ____________________COUNTY
______________________________________________________________________________
IN THE INTEREST OF_________________, )
PETITION FOR DECLARATION
A MINOR.
)
OF EMANCIPATION OF A MINOR
)
JUVENILE NO.__________________
)
)
______________________________________________________________________________
1.
My name:____________________________________
2.
My address:______________________________________________________________
______________________________________________________________________________
3.
I am at least 16 years of age. My birthdate is:__________________
4.
I am/am not currently enrolled in school. My school is:
___________________________
5
I am capable of living separate and apart from my parents. I have been living apart from
them since (date):__________________________
6.
I am capable of managing my own financial affairs. I have completed and attached my
May 6, 2006

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