CONFIDENTIAL DECLARATION ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY Attorney for: SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk' Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353 IN THE GUARDIANSHIP OF: MINOR(S) CONFIDENTIAL DECLARATION IN SUPPORT OF TEMPORARY GUARDIANSHIP/CUSTODY ORDER Case No. Use this form to tell the Court why a temporary guardianship/custody order is needed to care for the child(ren). Include information about yourself, why you are the appropriate person(s) to care of the child(ren) and how you are related to the child(ren). SEE ATTACHED PAGE FOR ADDITIONAL INFORMATION I declare under penalty of perjury under the laws of the state of California that the foregoing is true and correct. DATE:___________________ ____________________________ PRINT NAME GR003 _____________________________ SIGNATURE Rev 12/05 American LegalNet, Inc. www.USCourtForms.com CONFIDENTIAL DECLARATION IN SUPPORT OF TEMPORARY GUARDIANSHIP/CUSTODY ORDER