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Attachment Declaration In Support Of Guardianship SUPCV 1077 - California
| Attachment Declaration In Support Of Guardianship Form. This is a California form and can be used in Probate Santa Cruz Local County . |
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Guardianship of (child/ren's name/s): Case Number: ATTACHMENT (Number): __________ 1 Page _____ of ______ (Add pages as required) (Month/Day/Year) I am the ___________________. I was born on _________________. (Relationship to minor) 2 The current state of my health is (please describe below): ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Continued on attached page 3 The specific reason the parents are unable to care for the minor is (please describe below): Mother is currently incarcerated, has passed away, is not mentally stable, is not financially stable, has never been in the child's life, wants me to have the child, Other: ________________________________ Please explain below: Father is currently incarcerated, has passed away, is not mentally stable, is not financially stable, hasn't seen the child in _____ years ____ months wants me to have the child, Other: ________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Continued on attached page 4 Check the box that bests describes the minor's needs: Does the minor have special emotional, psychological, educational, or personal needs? No If yes, please list the needs and how are you able to provide for them (please describe below): Yes ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ 5 Will the minor have his/her own room? Full Legal Name: Relation. to Minor (if any): Date of Birth: Yes No (if No, please list who he/she will be sharing with): Full Legal Name: Relation. to Minor (if any): Date of Birth: 6 I declare under penalty of perjury under California State law that the information in this form is true and correct, which means if I/we lie on this form I/we am guilty of a crime. Date: ________ ___________________ (Petitioner) Print Name Here ____________________ (Petitioner) Sign Name Here Santa Cruz Superior Court Adopted for Optional Use New January 1, 2009 Declaration In Support Of Guardianship (Probate) American LegalNet, Inc. www.FormsWorkflow.com Page 1of 1 SUP CV 1077
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