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Statement And Certification Of Proposed Guardian Form. This is a Washington form and can be use in Juvenile Court Statewide.
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Tags: Statement And Certification Of Proposed Guardian, JU 03.0710, Washington Statewide, Juvenile Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Index No.
:
:
Plaintiff(s)
-against-
Calendar No.
JUDICIAL SUBPOENA
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Defendant(s)
:
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SUPERIOR COURT OF WASHINGTON
COUNTY OF _______________________
THE PEOPLE OF THE STATE OF NEW YORK
JUVENILE COURT
TO
NO:
GUARDIANSHIP OF:
STATEMENT AND CERTIFICATION
OF PROPOSED GUARDIAN
(DCLR)
D.O.B.:
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
I. STATEMENT
,
the Honorable
at the
Court
located at
County of
The undersigned STATES that:
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
1.
I am proposed as guardian for ___________________________________________________.
or2.
adjourned date, to testify and give evidence as a witness in this action on the part of the
I am over twenty-one.
3.
4.
5.
I am of sound mind.
I have never been convicted of a felony or misdemeanor involving moral turpitude.
q I am a resident of the state of Washington.
Youram not a resident of thethis subpoena is punishable asappointed __________________ you liable to
q I failure to comply with state of Washington. I have a contempt of court and will make
the party on (Name) as resident agent to acceptissued for aprocess withpenalty of $50 and all damages sustained as a
whose behalf this subpoena was service of maximum respect to these proceedings.
result of your failure to comply.
Dated:___________________________
Witness, Honorable
Court in
County,
_____________________________________________
Signature
, one of the Justices of the
day of II. CERTIFICATION
, 20
I certify under penalty of perjury under the laws of the state of Washington that the foregoing statement
is true and correct.
(Attorney must sign above and type name below)
Dated at __________________________________(Place), Washington on _______________________(Date).
_____________________________________________
Signature
Attorney(s) for
_____________________________________________
Type or Print Name
_____________________________________________
Address
_____________________________________________
Office and P.O. Address
_____________________________________________
Telephone
Telephone No.:
STATEMENT AND CERTIFICATION OF PROPOSED GUARDIAN (DCLR) - Page 1 of 1
Facsimile No.:
WPF JU 03.0710 (9/2000) - RCW 13.34.236
E-Mail Address:
Mobile Tel. No.:
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