TELEPHONE NO.: FOR COURT USE ONLYATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address):
ATTORNEY FOR (Name):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:
MAILING ADDRESS:
CITY AND ZIP CITY:
BRANCH NAME:
IN THE MATTER OF (NAME):
Petitioner, a minor
CASE NUMBER:
PETITION FOR DECLARATION OF EMANCIPATION OF MINOR
ORDER PRESCRIBING NOTICE
DECLARATION OF EMANCIPATION
ORDER DENYING PETITION
My name:
My address:
I am a resident of or temporarily domiciled in this county.
I am at least 14 years of age and my date of birth is:
I am willingly living separate and apart from my parents or legal guardian, with the consent of my parents or legal guardian. I
have been living apart from them since (date):
No part of my income comes from any activity that is a crime under the laws of the State of California or of the United States.
My mother's name is:
Her address is:
Her consent to my emancipation is attached.
My father's name is:
His consent to my emancipation is attached.
6.
My guardian's consent to my emancipation is attached.
7. Other person entitled to notice.
This person's consent to my emancipation is attached.
8. I am a dependent child
County.
[probation] ward of the Juvenile Court of
Case number (if known):
social workerMy
probation officer is (name):
His / her consent is attached.
I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed at
(place):
, California,
on (date):
(SIGNATURE OF PETITIONER)
PETITION FOR DECLARATION OF EMANCIPATION OF MINOR,
ORDER PRESCRIBING NOTICE, DECLARATION OF
EMANCIPATION, AND ORDER DENYING PETITION
Form Adopted for Mandatory Use
Family Code § 7000, et seq.
www.courtinfo.ca.gov.
Judicial Council of California
MC-300 [Rev. January 1,2008]
1.
2.
3.
a.
I request that the court declare me to be emancipated.
b.
c.
d.
4.
His address is:
5.
My guardian's address is:
My guardian's name is:
Notice to her should not be required because (state reasons):
Notice to my guardian should not be required because
(state reasons):
This person's address is:
This person's name is:
Notice to this person should not be required because (state reasons):
Notice to him should not be required because (state reasons):
I have a legal guardian.
MC–300
Page 1 of 2
I am managing my own financial affairs. I have completed my declaration of income and expenses on form MC-306 and attached
it to this petition.
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