Request For Appointment Of Counsel For Emancipation Petition
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Request For Appointment Of Counsel For Emancipation Petition Form. This is a Maine form and can be use in District Court Statewide.
Loading PDF...
Tags: Request For Appointment Of Counsel For Emancipation Petition, FM-065, Maine Statewide, District Court
STATE OF MAINE
DISTRICT COURT
Location
Docket No.
In re:
Petitioner
REQUEST FOR ASSIGNMENT OF
COUNSEL FOR EMANCIPATION
PETITION
I,
age (must be at least 16 years of age). My date of birth is
, am
years of
.
The names and addresses of my parents, guardians or custodians are:
Name
Name
Address
Address
Relationship
Relationship
Telephone
Telephone
I desire to petition this court for an order of emancipation. I request this court to assign
an attorney to petition for my emancipation.
Date:
Petitioner
Address
Telephone
**********************************************************************************************
ORDER
The court assigns
to represent the Petitioner named above in an emancipation proceeding pursuant to 15 M.R.S.
ยง3506-A. Counsel shall file a Petition for Emancipation within thirty days of receiving notice of
this assignment, or the matter is subject to dismissal without further notice to counsel or the
juvenile and without prejudice. See Administrative Order JB-05-19.
Date:
Judge
FM-065, Rev. 06/10
American LegalNet, Inc.
www.FormsWorkFlow.com
