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Application For Judgment Of Emancipation - Oregon
| Application For Judgment Of Emancipation Form. This is a Oregon form and can be used in Juvenile Circuit Court Marion Local County . |
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IN THE CIRCUIT COURT OF THE STATE OF OREGON THIRD JUDICIAL DISTRICT Juvenile Division In the Matter of the Emancipation of: ) ) No. ______________________________________ ) Applicant ) APPLICATION FOR JUDGMENT OF ) EMANCIPATION The Applicant states as follows: 1) I was born on the ______ day of ______________, 19___ and I am now _____ years of age. 2) I currently reside at __________________________________________, in the city of ________________, County of Marion, Oregon, and I intend that Marion C ounty be my place of residence for the indefinite f uture. 3) My custo dial parent (s) or guar dian( s) ___do ___do n ot con sen t to my emancipation. 4) I am s ubsta ntially able to be self-sufficient and self-supporting without parent al guidance and supervision. 5) I am sufficie ntly mature an d knowle dge ab le to manage my o wn affai rs without parental assistance. WHEREFORE, I request that the Court enter a Judgment as follows: 1) Declaring me to be an emancipated minor; 2) Advising me of my civil and criminal rights and liabilities; and 3) Instructing me to obt ain from the Oregon Mot or Division an Oregon drivers license or identification card with a notat ion thereon of my emancipat ed sta tus. Parents Name Applicant Street Address Street Address City, State, Zip Code City, State, Zip Code Phone Phone SUBSCRIBED and SWORN to before me Applicant Signature this day of , 20 . Notary Public for the State of Oregon My Commission Expires: JUV-PROBATION-010.app REV: 3-21-04
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