Withdrawal Of Consent Of Parent To Guardianship And Conservatorship
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Withdrawal Of Consent Of Parent To Guardianship And Conservatorship Form. This is a Arizona form and can be use in Coconino Local County.
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Tags: Withdrawal Of Consent Of Parent To Guardianship And Conservatorship, Arizona Local County, Coconino
(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)
Parent’s Signature:
State of Arizona
County of
Subscribed and sworn before me this date:
Seal:
)
)
)
by:
Notary Public:
Notary Expiration Date:
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