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Addendum To Petition For Guardianship Of A Minor Requesting Immediate Temporary Guardianship Form. This is a Nevada form and can be use in District Court Statewide.
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Tags: Addendum To Petition For Guardianship Of A Minor Requesting Immediate Temporary Guardianship, I, Nevada Statewide, District Court
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Code:
(Your name)
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(Your address) __________________________
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__________________________
__________________________
(Telephone)
__________________________
In Proper Person
IN THE _____ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA
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IN AND FOR THE COUNTY OF _____________________
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In the Matter of the Guardianship of
the person
the estate
the person and estate
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______________________________,
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_______________________________, and
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______________________________
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Minor Children.
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________________________________________ )
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DEPT. NO.___________________
ADDENDUM TO PETITION FOR GUARDIANSHIP OF A MINOR
REQUESTING IMMEDIATE TEMPORARY GUARDIANSHIP
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CASE NO. ___________________
_________________________________and_____________________________________
(Name of Petitioner)
(Name of Co-Petitioner)
Petitioner(s) in this matter, state(s) as follows:
1.
A Verified Petition for Guardianship was filed herein on___________________
(Date Petition was filed)
by the above-named Petitioner(s) to be appointed guardians of the following minors(s):
Name
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Age
Date of Birth
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______________________________________________ ______
___________________
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______________________________________________ ______
___________________
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______________________________________________ ______
___________________
2. This Request For Immediate Temporary Guardianship is made for the following
Minor Addendum/Temporary
Minor Addendum to Petition
1 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
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reasons:
Check the boxes that apply. More than one box may be checked;
however, at least one must be checked to qualify for a temporary
guardianship. You must explain, in detail, each statement you
checked.
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The minor(s) face(s) a substantial and immediate risk of physical harm;
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The minor(s) need(s) immediate medical attention;
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The minor(s) face(s) a substantial and immediate risk of financial loss;
Explain in detail why:
_____________________________________________________________________________
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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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___________________________________________________________________________
(If you need more space, you may attach additional pages. Be sure the pages clearly indicate
they are a continuation of this portion of the document.)
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Minor Addendum/Temporary
Minor Addendum to Petition
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©2006 Nevada Supreme Court
Revised December 14, 2006
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Petitioner(s) (have or have not) ______________ tried in good faith to notify the
following people of this Request For Immediate Guardianship:
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Print “yes” or “no” to ALL of the following questions and fill in the information in the
appropriate spaces for those questions you answered with a “yes.”
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Paragraph 4 is to be answered regarding child #1 only.
4.
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________ Father of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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________ Maternal Grandparents of the minor child(ren) on __________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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________ Paternal Grandparents of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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_______ Current Legal Guardians of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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________ Brothers and/or Sisters of the minor child(ren) who are over the age of 14
(yes or no)
years on ___________________
(date contact was made)
In person By telephone
In writing
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________ Current Legal Guardians of any brothers and sisters of the minor child(ren)
(yes or no)
who are under the age of 14 years on ___________________
(date contact was made)
In person By telephone
In writing
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________ Mother of the minor child(ren) on __________________
(yes or no)
(date contact was made)
In person By telephone
In writing
Paragraph 5 is to be answered regarding child #2 only.
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5.
________ Mother of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
________ Father of the minor child(ren) on ___________________
Minor Addendum/Temporary
Minor Addendum to Petition
3 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
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(yes or no)
In person
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________ Maternal Grandparents of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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________ Paternal Grandparents of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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_______ Current Legal Guardians of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
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________ Brothers and/or Sisters of the minor child(ren) who are over the age of 14
(yes or no)
years on ___________________
(date contact was made)
In person By telephone
In writing
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________ Current Legal Guardians of any brothers and sisters of the minor child(ren)
(yes or no)
who are under the age of 14 years on ___________________
(date contact was made)
In person By telephone
In writing
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(date contact was made)
By telephone
In writing
Paragraph 6 is to be answered regarding child #3 only.
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________ Mother of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
________ Father of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
________ Maternal Grandparents of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
________ Paternal Grandparents of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
In person By telephone
In writing
_______ Current Legal Guardians of the minor child(ren) on ___________________
(yes or no)
(date contact was made)
Minor Addendum/Temporary
Minor Addendum to Petition
4 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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In person
By telephone
In writing
________ Brothers and/or Sisters of the minor child(ren) who are over the age of 14
(yes or no)
years on ___________________
(date contact was made)
In person By telephone
In writing
________ Current Legal Guardians of any brothers and sisters of the minor child(ren)
(yes or no)
who are under the age of 14 years on ___________________
(date contact was made)
In person By telephone
In writing
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If you answered “no” to any of the questions above, explain why those people
have not been contacted prior to the filing of this Request For Immediate
Temporary Guardianship.
____________________________________________________________________________
_____________________________________________________________________________
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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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_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Minor Addendum/Temporary
Minor Addendum to Petition
5 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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_____________________________________________________________________________
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(If you need more space, you may attach additional pages. Be sure the pages clearly indicate
they are a continuation of this portion of the pleading.)
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Dated ______________________________
Dated ______________________________
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____________________________________
(Signature of Petitioner)
___________________________________
(Signature of Co-Petitioner)
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Minor Addendum/Temporary
Minor Addendum to Petition
6 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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VERIFICATION OF PETITIONER
STATE OF NEVADA
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COUNTY OF __________________)
I, (your name) ______________________________________, being first duly sworn under
penalty of perjury, hereby depose and say:
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That I am the Petitioner in the within action; that I have read the foregoing Addendum to the
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Petition For Guardianship Requesting Immediate Temporary Guardianship and know the contents
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thereof; that the same is true of my knowledge except as to those matters therein stated upon
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information and belief and as to those matters, I believe them to be true.
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___________________________________
Petitioner
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SIGNED and SWORN to before me by (Petitioner’s name) _________________________
on the _____ day of ____________________, _____.
_________________________________
NOTARY PUBLIC
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ACKNOWLEDGMENT OF PETITIONER
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STATE OF NEVADA
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COUNTY OF __________________)
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On this ______day of ________________, _________, before me, the undersigned Notary
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Public in and for the said County and State, personally appeared (your name) _________________
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___________________________ known to me to be the person described in and who executed the
foregoing instrument, and who acknowledged to me that he/she did so freely and voluntarily and for
the purposes and uses and purposes therein mentioned.
WITNESS my hand and official seal.
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__________________________________
NOTARY PUBLIC
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Minor Addendum/Temporary
Minor Addendum to Petition
7 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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VERIFICATION OF CO-PETITIONER
STATE OF NEVADA
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COUNTY OF __________________)
I, (co-petitioner’s name) ______________________________________, being first duly
sworn under penalty of perjury, hereby depose and say:
That I am the Co-Petitioner in the within action; that I have read the foregoing Addendum to
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the Petition For Guardianship Requesting Immediate Temporary Guardianship and know the
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contents thereof; that the same is true of my knowledge except as to those matters therein stated
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upon information and belief and as to those matters, I believe them to be true.
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___________________________________
Co-Petitioner
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SIGNED and SWORN to before me by (Co-Petitioner’s name) _________________________
on the _____ day of ____________________, _____.
_________________________________
NOTARY PUBLIC
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ACKNOWLEDGMENT OF CO-PETITIONER
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STATE OF NEVADA
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COUNTY OF __________________)
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On this ______day of ________________, _________, before me, the undersigned Notary
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Public in and for the said County and State, personally appeared (co-petitioner’s name)
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_____________________________________ known to me to be the person described in and who
executed the foregoing instrument, and who acknowledged to me that he/she did so freely and
voluntarily and for the purposes and uses and purposes therein mentioned.
WITNESS my hand and official seal.
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__________________________________
NOTARY PUBLIC
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Minor Addendum/Temporary
Minor Addendum to Petition
8 of 8
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
