REV 11/2018 CJ PETITION FOR EMANCIPATION 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Your age) (Date of Birth) (Your address) (Name of Parent ) (Address of Parent) ( How long at address ) (Address of Parent) (Name of Parent) Code: 3518 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE In the Matter of Emancipation of: , (Name) A Minor. Case No. / Dept. No. PETITION FOR EMANCIPATION I petition this Court for a Decree of Emancipation pursuant to NRS 129.080. et seq. 1.I am years old and was born on . 2.I am a resident of Washoe County and have been living at for . 3.My MOTHER 226OR226 FATHER is and lives at . My MOTHER 226OR226 FATHER is and lives at . American LegalNet, Inc. www.FormsWorkFlow.com REV 11/2018 CJ PETITION FOR EMANCIPATION 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Name of Guardian) (Address of Guardian) (Relative222s name) (Address of Relative) (Date) (Name and address of employer) 4. I DO 226OR226 DO NOT have a legal guardian. If you have a legal guardian list their name and address below. My legal guardian is and lives at . 5. If my parent(s) or legal guardian(s) cannot be found, my nearest known relative living in the State of Nevada is and lives at . NOT APPLICABLE 6. I DO 226OR226 DO NOT willingly live apart from my parents or legal guardian(s) and they DO 226OR226 DO NOT consent and/or agree to my living apart from them. 7. I have lived apart from my parent(s) or guardian(s) for . 8. I am managing my financial affairs and the source of my income is not derived from any activity declared to be a crime by the laws of the State of Nevada or the United States. I am employed by . 9. I DO 226OR226 DO NOT have a savings, checking or credit/debit card account. Type of Account Where Account is Located Amount * Do not include full bank account numbers American LegalNet, Inc. www.FormsWorkFlow.com REV 11/2018 CJ PETITION FOR EMANCIPATION 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 (Name o f School) (City, State and Zip Code) (Current grade) (Current GPA) (Year of graduation) 10. I AM 226OR226 AM NOT attending school. If you are not in school and have been excused from attending school pursuant to NRS 392.040 through NRS 392.125, please explain. 11. I am attending School in and am in the grade. I am maintaining a grade point average of and will complete school in . NOT APPLICABLE 12. If you have an additional information that you would like the court to know please explain below. If more room is needed, attach additional sheets. This document does not contain the personal information of any person as defined by NRS 603A.040. Date: Your Signature: Print Your Name: American LegalNet, Inc. www.FormsWorkFlow.com REV 11/2018 CJ PETITION FOR EMANCIPATION 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 VERIFICATION I declare under penalty of perjury under the law of the State of Nevada that; I am the petitioner in the above-entitled action; that I have read the foregoing Petition for Emancipation and know the contents thereof; that the same is true of my knowledge except as those matters therein stated upon information and belief and as to those matters, I believe them to be true and correct. Date: Your Signature: Print Your Name: American LegalNet, Inc. www.FormsWorkFlow.com