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Natural Parents Affidavit Of Consent In Support Of Petition Or Guardianship And Waiver Of Service - Nevada
| Natural Parents Affidavit Of Consent In Support Of Petition Or Guardianship And Waiver Of Service Form. This is a Nevada form and can be used in Family District Court Washoe County . |
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1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Code: _______________ Name: ___________________________________ Address: _________________________________ _________________________________ Telephone No. ____________________________ Appearing in Proper Person IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE COUNTY In the Matter of the Guardianship of the Person, the Estate or the Person and Estate of: ________________________________________ Case No. ________________________ ________________________________________ Dept. No. ________________________ ________________________________________ A Minor Child/Minor Children. _____________________________________________/ NATURAL PARENT'S AFFIDAVIT OF CONSENT IN SUPPORT OF PETITION OR GUARDIANSHIP AND WAIVER OF SERVICE STATE OF NEVADA ) ss. COUNTY OF _______________________ ) I, _________________________________________, being first duly sworn under penalties (Parent's name) of perjury state: I am the natural ___________________ of the minor child(ren): (Mother or Father) 1. ______________________________________; whose date of birth is _______________ (Child's name) (Birth date) 2. ______________________________________; whose date of birth is _______________ 3. ______________________________________; whose date of birth is _______________ 4. ______________________________________; whose date of birth is _______________ 5 ______________________________________; whose date of birth is ______________ Revised 2005 1 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 The natural _______________of the minor child(ren) is _____________________________ (Other parent Father or Mother) (Name of other parent) who resides at ____________________________________________________________________ (Other parent's address. If not known, print "unknown") The minor child(ren) have been living with _______________________________________ (Name(s) of people the child has been living with) who reside at _____________________________________________________________________ (Address of where the children have been living) and the child(ren) have lived at that address since _______________________________________. (Date children went to live at that address) It is my desire that _________________________________ and ______________________ (Proposed guardian's name) (Second proposed __________________________ be appointed as guardian(s) of my minor child(ren) and I believe guardian's name, if applicable) it is in the best interests of my minor child(ren) to be in the care and custody of said guardian(s). I hereby waive service of the Citation to Appear and Show Cause pursuant to NRS 159.0475(3). DATED this _______ day of ________________________, 20______. ____________________________________________ (Your Signature) ____________________________________________ (Address) ____________________________________________ (City, State, Zip) ____________________________________________ (Telephone No.) SUBSCRIBED and SWORN to before me this _______ day of ________________________, 20______. ________________________________________ NOTARY PUBLIC Revised 2005 2 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 SECOND JUDICIAL DISTRICT COURT COUNTY OF WASHOE, STATE OF NEVADA AFFIRMATION Pursuant to NRS 239B.030 The undersigned does hereby affirm that the preceding document, (Title of Document) filed in case number: Document does not contain the social security number of any person 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 -ORDocument contains the social security number of a person as required by: A specific state or federal law, to wit: ______________________________________________________ (State specific state or federal law) -orFor the administration of a public program -orFor an application for a federal or state grant -orConfidential Family Court Information Sheet (NRS 125.130, NRS 125.230 and NRS 125B.055) Date: (Signature) (Print Name) 27 28 (Attorney for) Affirmation Revised December 15, 2006 American LegalNet, Inc. www.FormsWorkflow.com
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