SUPERIOR COURT OF ARIZONA IN MARICOPA COUNTYJUVENILE COURT FOR CLERK’S USE ONLY In the Matter of the Emancipation of: Case Number JE: ORDER FOR EMANCIPATION OF A MINOR A Minor A.R.S. §12-2454 The Court has considered the following factors: 1. The potential risks and consequences of emancipation and to what degree the Minor understands these risks and consequences. 2. The financial resources of the Minor including the Minor’s employment history. 3. The Minor’s ability to be financially self-sufficient. 4. The Minor’s level of education and the minor’s success in school. 5. Whether the Minor has a criminal record. 6. The opinions and recommendations of the Minor’s parent or legal guardian. 7. Whether child abuse or neglect has been present. 8. The wishes of the Minor. 9. The best interests of the Minor. In accordance with A.R.S. § 12-2451, based upon clear and convincing evidence, and the best interests of the minor, the Court finds as follows: 1. 2. 3. 4. The minor is at least sixteen years of age. The minor is a resident of this state. The minor is financially self-sufficient. The minor acknowledges in writing that the minor has read and understands information that is provided by the court and that explains the rights and obligations of an emancipated minor and the potential risks and consequences of emancipation. 5. The minor is not a ward of the court and is not in the care, custody and control of a state agency. IT IS ORDERED that: The Petition for Emancipation of the above-named minor is DENIED, OR The Petition for Emancipation of the above-named minor is GRANTED. If granted, this Order: 1. Is conclusive evidence that the Minor is emancipated. 2. Terminates a dependency action concerning the Minor by operation of law. ©Superior Court of Arizona in Maricopa County July 12, 2007 ALL RIGHTS RESERVED JE80f Page 1 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Case No. If granted, this Order issued pursuant to Section 12-2454 recognizes the Minor as an adult for the following purposes: 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. The right to enter into a binding contract. The ability to sue and be sued. The right to buy and sell real property. The right to establish a legal residence. The obligation to pay child support. The right to incur debts. The right to access medical treatment and records. The right to consent to medical, dental and psychiatric care without parental consent, knowledge or liability. The right to consent to medical, dental and psychiatric care for the emancipated minor's child. Eligibility for social services. The right to obtain a license to operate equipment or perform a service. The right to apply for enrollment in any school or college. The ability to apply for loans. If granted, this Order issued pursuant to Section 12-2454 terminates a parent's or legal guardian's: 1. 2. 3. 4. Right to the emancipated Minor's income. Future child support obligations relating to the emancipated Minor. Tort liability for the emancipated Minor's actions. Obligation to financially support the emancipated Minor after the first day of the month following entry of this order. 5. Obligation to provide medical support for the emancipated Minor. IT IS ORDERED that the record in this matter shall be destroyed once the minor reaches 24 years of age. IT IS ORDERED that any request for waiver of fees in this matter be Denied Granted Done in open court this Judge/Commissioner ©Superior Court of Arizona in Maricopa County July 12, 2007 ALL RIGHTS RESERVED JE80f Page 2 of 2 Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com