Withdrawal Of Consent Of Parent To Guardianship And Conservatorship

(1) Person Filing: Street Address: City, State, Zip Code: Phone Number: Representing Self SUPERIOR COURT OF ARIZONA, COUNTY OF COCONINO (2) In the Matter of the Guardianship Conservatorship of: Ward 1: Ward 2: Ward 3: A Minor (3) Case Number: GC WITHDRAWAL OF CONSENT OF PARENT TO: (4) [ ] GUARDIANSHIP ONLY [ ] CONSERVATORSHIP ONLY [ ] GUARDIANSHIP AND CONSERVATORSHIP (5) This withdrawal of consent concerns Ward: [ ] 1 [ ] 2 [ ] 3. (6) I am the ward's natural: [ ] mother [ ] father. My Name: Address: Phone Number: Birthdate: I gave the court my written consent to the ward's: [ ] guardianship [ ] conservatorship. Now I withdraw that consent. I have read this Withdrawal of Consent, and it is true and complete to the best of my knowledge. (7) State of Arizona County of Subscribed and sworn before me this date: Seal: Parent's Signature: ) ) ) by: Notary Public: Notary Expiration Date: American LegalNet, Inc. www.USCourtForms.com