Temporary Delegation Of Parental Powers Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
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Date Signature Name Bar Number and Firm Name (attorneys only) Street Address/P.O. Box City/State/ZIP Code Phone E-mail Address (title or rank) State of ) ) ss. County of ) The foregoing instrument was acknowledged before me by , this Name of person certifying above day of , . Day Month Year Notary Public (signature of person taking acknowledgment) My commission expires: (serial number, if any) American LegalNet, Inc. www.FormsWorkFlow.com