EM-140
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:
IN THE MATTER OF (NAME):
EMANCIPATED MINOR'S APPLICATION TO CALIFORNIA
DEPARTMENT OF MOTOR VEHICLES
FOR COURT USE ONLY
CASE NUMBER:
I was declared to be emancipated for the purposes set forth in Family CodeOn
section 7050 et seq. by order of the Honorable
,
Judge of the Superior Court of County.
I apply to the California Department of Motor Vehicles for entry of identifying information in its law enforcement computer network and
for inclusion of the fact of my emancipation on any identification card issued to me by the Department. I have attached a certified copy
of the Declaration of Emancipation.
(SIGNATURE OF EMANCIPATED MINOR)
(DATE OF EMANCIPATION ORDER)
(NAME OF JUDICIAL OFFICER)
(NAME OF COUNTY)
Date:
EMANCIPATED MINOR'S APPLICATION TO CALIFORNIA
DEPARTMENT OF MOTOR VEHICLES
Family Code, § 7000 et
seq.www.courts.ca.gov
Form Approved for Optional Use
Judicial Council of California
EM-140 [Rev. September 1, 2018]
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