Guardianship Petition Application Page 2

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GUARDIANSHIP PETITION APPLICATION
A. PARENT INFORMATION
1. Mother’s Full Name _________________________________________________________
Street Address________________________________________ City________________
State___________________County_______________________ Zip code____________
U. S. Citizens _____ _____ If no, what Country_________________________________
YES
NO
Place of Employment_______________________________________________________
Home Phone__________________________________Work Phone__________________
Birth Date____________________________________Race________________________
2. Father’s Full Name___________________________________________________________
Street Address_________________________________________City________________
State____________________County_______________________Zipcode_____________
U.S. Citizens_____ _____ If no, what Country__________________________________
YES
NO
Place of Employment_______________________________________________________
Home Phone____________________________________Work Phone________________
Birth Date_______________________________________Race_____________________
3. Names and ages of other children in the family:
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
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