Nevada > County > Washoe > District Court > Family
Petition For Emancipation 3518 - Nevada
| Petition For Emancipation Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 CODE:3518 Name: 2 Address: 3 Telephone: Acting In Proper Person 4 5 IN THE FAMILY DIVISION 6 OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA 7 IN AND FOR THE COUNTY OF WASHOE 8 9 IN THE MATTER OF: 10 Case No. 11 Dept.No.. 12 A minor under the Age of 13 Eighteen Years 14 / 15 PETITION FOR EMANCIPATION 16 17 The minor, , hereby petitions this the Court for a18 (Your name) 19 Decree of Emancipation pursuant to N.R.S. 129.808 et seq. The Petitioner ,20 , states: (Your name) 21 1. He/She is years old and was born on , 20 .22 (must be at least 16 years old) 23 2. He/She is a resident of County and has been residing in 24 County since .25 3. His/Her current address is 26 , and Petitioner has lived continuously apart from his/her27 28 Ct.App. 3/20/00 1 <<<<<<<<<********>>>>>>>>>>>>> 2 1 parents (or legal guardian(s)) since . 2 4. Petitioner , pays $ 3 per month for rent at the above stated address. Such funds are derived from his or her employment. 4 or legal 5 guardian]. 6 with the consent and 7 acquiescence] [without the consent and acquiescence] of his/her parents [or legal guardian]. 8 7. Petitioners natural mother, , 9 resides at .10 8. Petitioners natural father, ,11 resides at .12 9. ,residing at 13 , is Petitioners legal guardian.14 15 Information requested for line 10 is to be filled in only if lines 7, 8, or 9 do not apply.16 17 10. Petitioners natural mother, natural father, or legal guardian cannot be found. The name of18 the minors nearest living relative in Nevada is 19 .20 11. Petitioner is a at (Class). 21 High School; is maintaining a grade point average of ,22 has an excellent attendance record; and will complete high school during the academic year of 23 24 Information for line 12 is to be filled in only if petitioner does not attend conventional school.25 26 12. That Petitioner has been excused from attending school pursuant to N.R.S. 392.040 to27 28 Ct.App. 3/20/00 2<<<<<<<<<********>>>>>>>>>>>>> 3 1 392.125, specifically 2 3 4 5 Information for line 13 is to be filled in only if petitioner has one or more stepparents 6 7 13. , Petitioners stepparent, is married to 8 , and resides at 9 10 [has] [has not] legally adopted Petitioner. 11 14. Petitioner is managing his or her own financial affairs. 12 The source of his or her income is not derived from any activity declared to be a crime by the laws13 of this State or the United States. He/She is employed by 14 , and has been so employed since 15 . His/Her gross monthly income from employment is $ 16 15. Petitioners estimated monthly expenses are: 17 Item Amount18 $ 19 $ 20 $ 21 $ 22 $ 23 Other: $ 24 Total Monthly Expenses: $ 25 16. Petitioner [has ] [does not have any] savings, checking or cre dit card accounts.26 27 28 Ct.App. 3/20/00 3 <<<<<<<<<********>>>>>>>>>>>>> 4 1 List all savings, checking, and credit card accounts below. 2 3 4 Account # Institution Amount Type 5 6 7 8 9 10 11 17. Petitioner [has] [does not have ] an automobile that is both registered and insured in his or12 her own name. 13 DATED this day of , .14 15 16 PETITIONER 17 18 STATE OF NEVADA ) ) ss. 19 COUNTY OF WASHOE ) 20 On this Day of , , personally appeared before me, the21 undersigned, a Notary Public in and for the County of Washoe, State of Nevada, 22 , personally known to me or proved to me, to be the23 person whose name is subscribed to the attached instrument who acknowledge that (she/he) 24 executed the attached instrument. 25 NOTARY PUBLIC 26 27 I HEREBY ACQUIESCE AND CONSENT TO THE FILING OF THIS PETITION 28 Ct.App. 3/20/00 4 <<<<<<<<<********>>>>>>>>>>>>> 5 1 AND GRANTING OF THE EMANCIPATION FOR THE MINOR. 2 3 4 , AS NATURAL PARENT OR LEGAL 5 GUARDIAN OF THE MINOR 6 STATE OF NEVADA ) 7 ) ss. COUNTY OF WASHOE ) 8 On this day of , ,personally appeared before me, the 9 undersigned, a Notary Public in and for the County of Washoe, State of Nevada, 10 , personally known to me or proved to me, to be the person whose name11 is subscribed to the attached instrument who acknowledged that (she/he) executed the attached12 instrument. 13 14 NOTARY PUBLIC15 16 17 18 19 20 21 22 23 24 25 26 27 28 Ct.App. 3/20/00 5 <<<<<<<<<********>>>>>>>>>>>>> 6 1 I HEREBY ACQUIESCE AND CONSENT TO THE FILING OF THIS PETITION AND 2 THE GRANTING OF THE EMANCIPATION FOR THE MINOR. 3 4 5 ,AS NATURAL PARENT OR LEGAL 6 GUARDIAN OF THE MINOR 7 STATE OF NEVADA ) 8 ) ss. COUNTY OF WASHOE ) 9 On this day of , ,personally appeared before me, the10 undersigned, a Notary Public in and for the County of Washoe, State of Nevada, 11 , personally known to me or proved to me, to be the person whose name12 is subscribed to the attached instrument who acknowledged that (she/he) executed the attached13 instrument. 14 15 NOTARY PUBLIC16 17 18 19 20 21 22 23 24 25 26 27 28 Ct.App. 3/20/00 6
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