Declaration Of Emancipation Of A Minor
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1NO. _________________________
IN THE DISTRICT COURT
JUDICIAL DISTRICT
{COUNTY, STATE}
DECLARATION OF EMANCIPATION OF A MINOR
Legal Guardian 1:
Address:
Phone Number:
DOB:
Legal Guardian 2:
Address:
Phone Number:
DOB:
We, the legal guardians of
, a minor child born on
and of a legal age to pursue emancipation through the courts, hereby emancipate him/her from our rights
of parental custody.
We understand that by executing this declaration, we terminate all rights to the minor child’s earnings,
education, medical decisions, and legal actions. We understand that this waives all obligations, privileges,
duties, and rights, including care, support, inheritance, and custody.
Legal Guardian 1 Signature
Date
Legal Guardian 2 Signature
Date
Subscribed and sworn to before me this
day of
20
(Notary Public),
County.
My commission expires
20
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