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Stipulation And Order Form. This is a Nevada form and can be use in District Court Statewide.
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Tags: Stipulation And Order, LL, Nevada Statewide, District Court
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Code:
(Your name) _______________________________
(Address)
_______________________________
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_______________________________
(Telephone)
_______________________________
In Proper Person
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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 of:
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_______________________________,
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A Minor.
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CASE NO. ____________
DEPT. NO. ____________
STIPULATION AND ORDER
COMES NOW the Co-Guardian(s), (names) __________________________________ and
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_____________________________________, both in Proper Person, and hereby stipulate and
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agree to the following.
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1.
That a guardianship over the minor ward (name) ____________________________
is no longer necessary because ______________________________________________________.
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2.
That the guardianship over the minor ward (name) __________________________
should be terminated.
3.
That (name of parent(s)) ________________________ will have physical custody
of the minor ward. Prior to the guardianship, (name of parent(s)) ________________________
had physical custody of the minor ward. By terminating this guardianship, (name of parent(s)
NOTE: must be same as the custody arrangement that was in effect immediately prior to the
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Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
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guardianship) ___________________________ knows that he/she/they will be responsible for the
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welfare and well-being of the ward. The minor ward will reside at (address of parent)
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______________________________________________________________________________.
4.
(CHECK ONLY ONE BOX)
That both of the minor ward’s parents will sign this stipulation and order.
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OR
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That (name of parent) ___________________________ will sign this stipulation
and order. The signature of the minor ward’s (mother/father) __________________ cannot be
obtained because ________________________________________________________________.
DATED this _________ day of (month) _____________, (year) ____________.
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(Signature)
______________________________
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(Name)
______________________________
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(Address)
______________________________
______________________________
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(Telephone)
______________________________
In Proper Person
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VERIFICATION OF FIRST PARENT
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STATE OF NEVADA
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COUNTY OF ______________
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I, (name of first parent)__________________________________, being first duly sworn
under penalty of perjury, hereby depose and say:
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Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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That I am the mother/ father of the minor ward in the within action; that I have read
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the foregoing Stipulation and Order and know the contents thereof; that the same is true of my
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knowledge except as to those matters therein stated upon information and belief and as to those
matters, I believe them to be true.
_____________________________________
(Signature)
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SIGNED and SWORN to before me by (name of first parent) ___________________________
on the _____ day of ____________________, _____.
____________________________________
NOTARY PUBLIC
OR
____________________________________
DEPUTY CLERK
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ACKNOWLEDGMENT OF FIRST PARENT
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STATE OF NEVADA
COUNTY OF ______________
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On this _____ day of ______________________, __________, before me, the undersigned
Notary Public in and for the said County and State, personally appeared (name of first parent)
____________________________ known to me to be the person described in and who executed
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the foregoing instrument, and who acknowledged to me that he/ she did so freely and
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3 of 9
Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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voluntarily and for the uses and purposes therein mentioned.
WITNESS my hand and official seal.
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___________________________________
NOTARY PUBLIC
OR
____________________________________
DEPUTY CLERK
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VERIFICATION OF SECOND PARENT
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STATE OF NEVADA
COUNTY OF ______________
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I, (name of second parent)__________________________________, being first duly sworn
under penalty of perjury, hereby depose and say:
That I am the mother/ father of the minor ward in the within action; that I have read
the foregoing Stipulation and Order and know the contents thereof; that the same is true of my
knowledge except as to those matters therein stated upon information and belief and as to those
matters, I believe them to be true.
_____________________________________
(Signature)
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SIGNED and SWORN to before me by (name of second parent) ___________________________
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on the _____ day of ____________________, _____.
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____________________________________
NOTARY PUBLIC
OR
____________________________________
DEPUTY CLERK
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4 of 9
Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
ACKNOWLEDGMENT OF SECOND PARENT
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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
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Notary Public in and for the said County and State, personally appeared (name of second parent)
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_____________________________________ known to me to be the person described in and who
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executed the foregoing instrument, and who acknowledged to me that he/ she did so freely
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and voluntarily and for the uses and purposes therein mentioned.
WITNESS my hand and official seal.
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_____________________________________
NOTARY PUBLIC
OR
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____________________________________
DEPUTY CLERK
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VERIFICATION OF FIRST GUARDIAN
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STATE OF NEVADA
COUNTY OF ______________
)
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I, (name of first guardian)__________________________________, being first duly sworn
under penalty of perjury, hereby depose and say:
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5 of 9
Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
1
That I am the guardian of the minor ward in the within action; that I have read the
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foregoing Stipulation and Order and know the contents thereof; that the same is true of my
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knowledge except as to those matters therein stated upon information and belief and as to those
matters, I believe them to be true.
_____________________________________
(Signature)
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SIGNED and SWORN to before me by (name of first guardian) ___________________________
on the _____ day of ____________________, _____.
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____________________________________
NOTARY PUBLIC
OR
____________________________________
DEPUTY CLERK
ACKNOWLEDGMENT OF FIRST GUARDIAN
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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
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Notary Public in and for the said County and State, personally appeared (name of first guardian)
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____________________________ known to me to be the person described in and who executed
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the foregoing instrument, and who acknowledged to me that he/ she did so freely and
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6 of 9
Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
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voluntarily and for the uses and purposes therein mentioned.
WITNESS my hand and official seal.
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_____________________________________
NOTARY PUBLIC
OR
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____________________________________
DEPUTY CLERK
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VERIFICATION OF SECOND GUARDIAN
(IF NOT APPLICABLE, WRITE “N/A”)
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STATE OF NEVADA
COUNTY OF ______________
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I, (name of second guardian)__________________________________, being first duly
sworn under penalty of perjury, hereby depose and say:
That I am the co-guardian _______________________________ in the within action; that I
have read the foregoing Stipulation and Order and know the contents thereof; that the same is true
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of my knowledge except as to those matters therein stated upon information and belief and as to
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those matters, I believe them to be true.
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_____________________________________
(Signature)
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SIGNED and SWORN to before me by (name of second guardian) _________________________
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on the _____ day of ____________________, _____.
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____________________________________
NOTARY PUBLIC
OR
____________________________________
DEPUTY CLERK
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Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
ACKNOWLEDGMENT OF SECOND GUARDIAN
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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
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Notary Public in and for the said County and State, personally appeared (name of second guardian)
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_____________________________________ known to me to be the person described in and who
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executed the foregoing instrument, and who acknowledged to me that he/ she did so freely
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and voluntarily and for the uses and purposes therein mentioned.
WITNESS my hand and official seal.
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_____________________________________
NOTARY PUBLIC
OR
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____________________________________
DEPUTY CLERK
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Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
ORDER
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UPON A READING of the foregoing Stipulation of the parties and good cause appearing,
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IT IS HEREBY ORDERED that the parties’ stipulation is adopted and made an Order of
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this Court.
IT IS FURTHER ORDERED that the guardianship over the person of the minor ward,
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(name) _______________________________, is terminated.
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DATED this _____ day of _________________, _______.
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_____________________________________
DISTRICT JUDGE
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Respectfully Submitted:
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(Your signature)________________________________
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(Your name) _________________________________
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(Address)
_________________________________
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_________________________________
(Telephone)
(circle one)
_________________________________
Plaintiff/Defendant In Proper Person
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///
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Stipulation to Terminate
Stipulation and Order
©2006 Nevada Supreme Court
Revised December 14, 2006
American LegalNet, Inc.
www.FormsWorkflow.com
