Petition For Emancipation
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Petition For Emancipation Form. This is a Maine form and can be use in District Court Statewide.
Loading PDF...
Tags: Petition For Emancipation, FM-064, Maine Statewide, District Court
STATE OF MAINE
DISTRICT COURT
Location
Docket No.
In re:
PETITION FOR EMANCIPATION
Petitioner
1. The Petitioner,
born at
2. The Petitioner is
is
years of age, having been
on
male
.
female.
3. The Petitioner resides at
and her address is
4. The Petitioner’s mother is
5. The Petitioner’s father is
and his address is
6. The Petitioner’s guardian or other custodian is
whose address is
7. The Petitioner refuses to live in the home provided by
for the following reasons:
See attached.
8. The Petitioner has made reasonable provisions for room, board, health care and education,
vocational training or employment. The Petitioner is sufficiently mature to assume
responsibility for the petitioner’s own care and it is in the petitioner’s best interest to do so.
The Petitioner requests this court, after notice and hearing, to order the emancipation of the
Petitioner in accordance with 15 M.R.S.A. § 3506-A.
Date:
Attorney for Petitioner
FM-064, Rev. 09/97
Address
American LegalNet, Inc.
www.USCourtForms.com
