Warning has been given to the petitioner's that a court may rescind the declaration
of emancipation and the parents may become liable for the minor's support and medical coverage.
DECLARATION OF EMANCIPATION OF MINOR
AFTER HEARING
Form Adopted for Mandatory Use
Judicial Council of California
EM-130 [Rev. September 1, 2018]
Family Code, § 7000, et seq.
www.courts.ca.gov
Page 1 of 1
1.
2.
ATTORNEY OR PARTY WITHOUT ATTORNEY
STATE BAR NUMBER:
NAME:
FIRM NAME:
STREET ADDRESS:
CITY: STATE: ZIP CODE:
TELEPHONE NO.: FAX NO.:
E-MAIL ADDRESS:
ATTORNEY FOR (name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CODE:
BRANCH NAME:
Petitioner, a minor
IN THE MATTER OF (name):
DECLARATION OF EMANCIPATION OF MINOR AFTER HEARING
FOR COURT USE ONLY
CASE NUMBER:
EM-130
Date:
(JUDGE OF THE SUPERIOR COURT)
This proceeding came on for hearing as follows:
Date:
Time: Dept.: Room:
a.
Judge (name):
b.
c.
Present in court:
(name):
AttorneyPetitioner
(name):
AttorneyMother
(name):
AttorneyFather
(name):
Probation officer
(name and relationship to minor):
Other
(name):
District attorney
(name):
County counsel
(name):
Social worker
THE COURT FINDS THAT:
b.
a.
Notice was given as prescribed by the court.
Mother Father
The petitioner is a person described by Family Code section 7120.
c.
Emancipation is not contrary to the best interests of the petitioner.
d.
THE PETITION IS GRANTED. THE PETITIONER IS DECLARED TO BE EMANCIPATED FOR THE PURPOSES SET FORTH IN
FAMILY CODE SECTION 7050 ET SEQ.
3.
[SEAL]
CLERK'S CERTIFICATE
I certify that the foregoing is a true and correct copy of the original on file in my office.
Clerk, by , Deputy
Date:
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