Petition For Declaration Of Emancipation Of A Minor Page 2
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3declaration of income and expenses.
7.
Please explain below why you want to be emancipated. Please also explain how you
believe that you will be able to live independently from your parents, guardian or custodian:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
5.
My mother’s name is:____________________________
Her address is:__________________________________________________________________
6.
My father’s name is:_____________________________
His address is:__________________________________________________________________
7.
I have a legal guardian. yes/no (circle one)
My guardian’s name is:_________________________________
My guardian’s address is:_________________________________________________________
8.
Other person entitled to notice.
This person’s name is:__________________________________
This person’s address is:__________________________________________________________
2
May 6, 2006
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