Petition - Unruly And Delinquent (Court Ward)
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Petition - Unruly And Delinquent (Court Ward) Form. This is a Tennessee form and can be use in Shelby Local County.
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Tags: Petition - Unruly And Delinquent (Court Ward), Tennessee Local County, Shelby
IN THE JUVENILE COURT OF MEMPHIS AND SHELBY COUNTY, TENNESSEE
IN THE MATTER OF
Docket Number ____________________________
A child under 18 years of age
PETITION
To the Honorable Kenneth A. Turner, Judge of the Juvenile Court of Memphis and Shelby County, Tennessee:
Your petitioner respectfully represents to the Court on information and belief that:
1. Said child is a ward of this Court in custody of the Tennessee Department of Children's Services. A home
placement of said child was made on or about ____________________, 20 ____, and said child has
violated the conditions of home placement in that said child did on or about ______________________,
20 ____, in Shelby County, Tennessee, commit ____________________ act, to wit,
2.
3.
4.
5.
6.
It is in the best interest of said child and the public that this proceeding be brought.
Said child is in need of further treatment or rehabilitation.
The father is ______________________________, residing at _________________________________.
The mother is _____________________________, residing at _________________________________.
The child is/has been in the care and control of _________________________________________,
residing at __________________________________________________________________________.
Premises considered, petitioner prays that the Court make inquiry into the allegations herein set forth and make
such orders as the Court may deem proper within its jurisdiction.
__________________________________________
Petitioner
__________________________________________
Address
AFFIDAVIT
STATE OF TENNESSEE
COUNTY OF SHELBY
Before me personally appeared the petitioner in the foregoing petition, who makes oath that the statements
therein are true to the best of his knowledge, information and belief.
___________________________________________
Petitioner
Sworn to and subscribed before me this __________ day of _________________________________, 20 _____
STEVE STAMSON, Clerk of Court
By __________________________________ D. C.
6/15/03
JC-1A
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