STATE OF NEW MEXICO COUNTY OF McKINLEY 11TH JUDICIAL DISTRICT COURT In re: Emancipation of _________________________, No D-1113-CV-_______________ a minor. DECLARATION OF EMANCIPATION THIS COURT, having examined the pleadings, heard the evidence, and being otherwise advised, FINDS: 1. The Petitioner, _________________________________(name), is a minor subject to the jurisdiction of the Court. 2. The Petitioner, who is sixteen (16) years of age or older, is entitled to a Declaration of Emancipation for the following reasons: [ ] is willingly living apart from his/her parents, guardian or custodian; [ ] is managing his/her financial affairs; [ ] is in the best interest of the minor. 3. The parent/guardian of Petitioner has consented or been contacted and has/has not not objected to the entry of this order. IT IS THEREFORE ORDERED, DECREED AND ADJUDGED that Petitioner, _______________________________, is declared to be an emancipated minor pursuant to §32A-21-1 to §32A-21-7 N.M.S.A 1978. The Petitioner is entitled to be considered as being over the age of majority for the following purposes: 1 May 2010 revision American LegalNet, Inc. www.FormsWorkFlow.com [ ] consenting to medical, dental or psychiatric care without parental consent, knowledge or liability. [ ] his/her capacity to enter into a binding contract. [ ] his/her capacity to sue and be sued in his/her own name. [ ] his/her right to support by his parents. [ ] the rights of his parents to his earnings and to control his/her. [ ] establishing his own residence. [ ] buying or selling real property. [ ] ending all vicarious liability of the minor’s parents, guardian or custodian, for this minor’s torts; provided that nothing in this section shall affect any liability of a parent, guardian, custodian , spouse or employer of a minor imposed by the Motor Vehicle Code or any vicarious liability that arises from an agency relationship. [ ] enrolling in any school or college. ____________________________________ District Judge 2 May 2010 revision American LegalNet, Inc. www.FormsWorkFlow.com