Petition For Emancipation {EM 01.0100}

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) -against: : : : Defendant(s) : ...................................................... SUPERIOR COURT OF WASHINGTON COUNTY THE STATE OF NEW YORK THE PEOPLE OFOF _______________________ In TO Re: NO: Index No. Calendar No. JUDICIAL SUBPOENA GREETINGS: D.O.B.: Petitioner. PETITION FOR EMANCIPATION (PTE) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court I. BASIS located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed The undersigned minor, who is sixteen years of age or older and action on resident of the state, petitions who is a the part of this or adjourned date, to testify and give evidence as a witness in this the court for a declaration of emancipation. 1.1 Petitioner's full name: ___________________________________________________ Petitioner's present address: this subpoena is punishable as a contempt of court and will make you liable to Your failure to comply with ___________________________________________________ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a ___________________________________________________ result of your failure to comply. Length at that address: ___________________________________________________ Witness, Honorable Petitioner's birthdate: Court in County, 1.2 1.3 day of ___________________________________________________ , one of the Justices of the , 20 State and county of petitioner's birth: _____________________________________________ (Attorney must sign above and type name below) A certified copy of the petitioner's birth certificate accompanies this petition. Name of the petitioner's parent or parents, guardian, or custodian: _____________________________________________________________________________ Last known address of the petitioner's parent or parents, guardian, or custodian: _____________________________________________________________________________ _____________________________________________________________________________ Attorney(s) for Office and P.O. Address PETITION FOR EMANCIPATION (PTE) - Page 1 of 2 WPF EM 01.0100 (9/2000) - RCW 13.64.010, .020 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : 1.4 Index No. Calendar No. The petitioner has the ability to manage his or her financial affairs. This declaration is based on : the following supporting information: JUDICIAL SUBPOENA Plaintiff(s) ____________________________________________________________________________________ -against: ____________________________________________________________________________________ : : : ____________________________________________________________________________________ ____________________________________________________________________________________ 1.5. . . . .The petitioner . . . .the. ability to . . . . . . . .his . . .her .personal, social, educational, and nonfinancial .. . . . . . . . . . . . has . . . . . . . . . manage . . or . . . . . . . . affairs. This declaration is based on the following supporting information: ____________________________________________________________________________________ Defendant(s) THE PEOPLE OF THE STATE OF NEW YORK ____________________________________________________________________________________ ____________________________________________________________________________________ TO ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before OTHER: , the Honorable at the Court located at County of ____________________________________________________________________________________ in room , on the day of , 20 , at o'clock in the noon, and at any recessed ____________________________________________________________________________________ or adjourned date, to testify and give evidence as a witness in this action on the part of the 1.6 ____________________________________________________________________________________ II. RELIEF REQUESTED Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to The party on whose behalf this subpoena was issued forof emancipation granting theand all damages sustained as a petitioner REQUESTS the court to enter a decree a maximum penalty of $50 petitioner the power the and capacity of an adult, except as provided in RCW 13.64.060(2). result of your failure to comply. Dated: ______________________________ Witness, Honorable _____________________________________________ , one of the Justices of the Signature of Petitioner Court in County, day of , 20 _____________________________________________ Print or Type Name I declare under penalty of perjury under the laws of the state of (Attorney must sign above foregoing is below) Washington that the and type name true and correct. Signed at _____________________________________, on ___________________________________. (Place) Attorney(s) for (Date) _____________________________________________ Signature of Petitioner Type or Print Name _____________________________________________ Office and P.O. Address PETITION FOR EMANCIPATION (PTE) - Page 2 of 2 WPF EM 01.0100 (9/2000) - RCW 13.64.010, .020 Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com