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Motion To Modify The Guardianship Of A Minor Child Form. This is a Nevada form and can be use in Washoe County.
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Tags: Motion To Modify The Guardianship Of A Minor Child, 3645, Nevada County, Washoe
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Code: 3645
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Name: ___________________________________
Address: _________________________________
_________________________________
Telephone No. ____________________________
Appearing in Proper Person
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IN THE FAMILY DIVISION
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OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF Washoe County
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In the Matter of the Guardianship
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of the Person of:
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________________________________________
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________________________________________
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________________________________________
Minor child(ren), ward(s).
_____________________________________________/
Case No. ________________________
Dept. No. ________________________
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MOTION TO MODIFY THE GUARDIANSHIP OF A MINOR CHILD
Petitioner(s) _________________________________ and ___________________________
(Your name)
(If two people are requesting the
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_____________________________________, in proper person, move(s) the Court for an Order
modification, the second name is filled in here)
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modifying the guardianship which was entered on _________________________ of the following:
(Date guardianship was ordered)
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NAME
AGE
DATE OF BIRTH
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_______________________________________
___________
_______________________
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_______________________________________
___________
_______________________
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_______________________________________
___________
_______________________
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_______________________________________
___________
_______________________
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_______________________________________
___________
_______________________
Revised 2005
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This Motion is based upon the following facts:
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1.
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My relationship to the minor child(ren) is as follows:
________________________________________________________________________________
(State your relationship to the child(ren)
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________________________________________________________________________________
2.
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I (We) reside at:
____________________________________________________________________
(Address)
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____________________________________________________________________
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____________________________________________________________________
(Telephone number)
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3.
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The minor child(ren) presently live at:
____________________________________________________________________
(Address)
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____________________________________________________________________
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____________________________________________________________________
(Telephone number)
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4.
The names of the present guardian(s) of the minor child(ren) is/are ______________
___________________________________ who reside at _________________________________
(Name(s) of the present guardians)
(Address of the present guardians)
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______________________________________________.
5.
The guardianship should be modified and changed because:
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List the specific changes you want in the guardianship and
fully explain why the changes should be made.
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
Revised 2005
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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________________________________________________________________________________
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WHEREFORE, I (we) pray as follows:
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1.
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For this Court’s Order modifying the guardianship of the following child(ren):
NAME
AGE
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________________________________________________________
_________________
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________________________________________________________
_________________
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________________________________________________________
_________________
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________________________________________________________
_________________
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________________________________________________________
_________________
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as requested above.
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DATED: __________________________________________
________________________________________
(Print Name)
_____________________________________
(Print name of second person, if applicable)
________________________________________
(Signature)
_____________________________________
(Signature of second person, if applicable)
________________________________________
(Address)
_____________________________________
(Address)
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________________________________________
_____________________________________
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________________________________________
(Telephone number)
_____________________________________
(Telephone number)
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Revised 2005
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VERIFICATION
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STATE OF NEVADA
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COUNTY OF WASHOE
)
) ss.
)
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__________________________________________, being first duly sworn under penalties
of perjury, deposes and says:
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I have read the foregoing Motion to Modify Guardianship and am competent to testify of its
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contents of my own knowledge and the contents are true of my own knowledge except for those
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matters stated therein on information and belief, and as to those matters, I believe them to be true.
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____________________________________________
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ACKNOWLEDGMENT
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STATE OF NEVADA
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COUNTY OF WASHOE
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) ss.
)
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On this _____ day of _________________________, 20_____, personally appeared before
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me, the undersigned, a Notary Public in and for the County of Washoe, State of Nevada,
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__________________________________________, personally known to me or proved to me to be
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the person whose name is subscribed to the attached instrument who acknowledged that she/he
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executed the attached instrument.
____________________________________________
NOTARY PUBLIC
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Revised 2005
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FOR SECOND PETITIONER, IF APPLICABLE
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VERIFICATION
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STATE OF NEVADA
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COUNTY OF WASHOE
)
) ss.
)
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__________________________________________, being first duly sworn under penalties
of perjury, deposes and says:
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I have read the foregoing Motion to Modify Guardianship and am competent to testify of its
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contents of my own knowledge and the contents are true of my own knowledge except for those
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matters stated therein on information and belief, and as to those matters, I believe them to be true.
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____________________________________________
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ACKNOWLEDGMENT
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STATE OF NEVADA
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COUNTY OF WASHOE
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) ss.
)
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On this _____ day of _________________________, 20_____, personally appeared before
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me, the undersigned, a Notary Public in and for the County of Washoe, State of Nevada,
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__________________________________________, personally known to me or proved to me to be
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the person whose name is subscribed to the attached instrument who acknowledged that she/he
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executed the attached instrument.
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____________________________________________
NOTARY PUBLIC
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Revised 2005
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SECOND JUDICIAL DISTRICT COURT
COUNTY OF WASHOE, STATE OF NEVADA
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AFFIRMATION
Pursuant to NRS 239B.030
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The undersigned does hereby affirm that the preceding document,
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(Title of Document)
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filed in case number:
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Document does not contain the social security number of any person
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-OR-
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Document contains the social security number of a person as required by:
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A specific state or federal law, to wit:
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______________________________________________________
(State specific state or federal law)
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-or-
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For the administration of a public program
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-or-
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For an application for a federal or state grant
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-or-
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Confidential Family Court Information Sheet
(NRS 125.130, NRS 125.230 and NRS 125B.055)
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Date:
(Signature)
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(Print Name)
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(Attorney for)
Affirmation
Revised December 15, 2006
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