Petition For Visitation (Probate) {PB-4013}

COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : ATTORNEY OR PARTY WITHOUT AN ATTORNEY (Name, State bar number, and address) Index No. Calendar No. ATTACHMENT I FOR COURT USE ONLY Plaintiff(s) -againstTELEPHONE NO.: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SANTA CLARA PROBATE DIVISION Defendant(s) 191 NORTH FIRST STREET .... ...... SAN JOSE, .CA 95113 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GUARDIANSHIP OF: MINOR FAX NO.: : : : : : ...... JUDICIAL SUBPOENA PETITION FOR VISITATION TO 1. Petitioner (name): THE PEOPLE OF THE STATE OF NEW YORK CASE NUMBER requests the following specific visitation schedule for the minor (name): GREETINGS: 2. Petitioner is the minor's 3. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , 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 parent grandparent other: 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 for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. 4. Petitioner should be granted visitation for the reasons specified below specified in Attachment 4. Witness, Honorable Court in County, , one of the Justices of the day of , 20 Name(s): was appointed guardian of the PERSON on (date): (Attorney must sign above and type name below) 5. Notice to the persons identified in Attachment 5 should be dispensed with because they cannot with reasonable diligence be given notice (specify names and efforts to locate them in Attachment 5). other good cause exists to dispense with notice (specify names and reasons in Attachment 5). Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail PETITION FOR VISITATIONAddress: (PROBATE) Mobile Tel. No.: REV. 01/01/04 Page 1 of 2 PB-4013 American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : GUARDIANSHIP OF THE PERSON OF (Name): Index No. Calendar No. ATTACHMENT I Plaintiff(s) -against- : JUDICIAL SUBPOENA CASE NUMBER: : MINOR 6. The names and residence addresses of the guardian, minor, and minor's parents, brothers, sisters and : grandparents are as follows: a. Guardian: : f. Maternal grandfather: Defendant(s) : . . . b.. .Minor:. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . g.. .Maternal. grandmother: . .... . ...... .. c. Father: h. Paternal grandfather: i. Paternal grandmother: j. Additional names and addresses continued in Attachment 6. THE PEOPLE OF THE STATE OF NEW YORK d. Mother: TO e. Brother(s) or Sister(s): (12 years old or older) GREETINGS: 7. Number of pages attached: _____________ Date: the Honorable WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before ______________________________________________ , at the Court (SIGNATURE OF ATTORNEY) located at County of , on the , 20 at o'clock in foregoing is true and correct. noon, and at any recessed I in room under penalty of perjury day of the laws of the State, of California that the the declare under or adjourned date, to testify and give evidence as a witness in this action on the part of the Date: ......................................................... (TYPE OR PRINT NAME) ______________________________________________ (SIGNATURE Your failure to comply with this subpoena is punishableOF PETITIONER) of court and will make you liable to as a contempt 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. (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) Witness, Honorable , one of the Justices of the Court in County, day of , 20 Consent to Visitation and Waiver of Notice I consent to the attached visitation schedule and waive notice of the petition: (Attorney must sign above and type name below) ___________ (DATE) ............................................................ (TYPE OR PRINT NAME) ____________________________________ (SIGNATURE OF GUARDIAN) ___________ (DATE) ............................................................ (TYPE OR PRINT NAME) ____________________________________ Attorney(s) for (SIGNATURE OF GUARDIAN) I consent to attend orientation and mediation and waive notice of the petition: ___________ (DATE) ............................................................ (TYPE OR PRINT NAME) ____________________________________ Office and P.O. Address (SIGNATURE OF GUARDIAN) ___________ (DATE) ............................................................ (TYPE OR PRINT NAME) ____________________________________ (SIGNATURE OF GUARDIAN) Telephone No.: Facsimile No.: E-Mail PETITION FOR VISITATIONAddress: (PROBATE) Mobile Tel. No.: Page 2 of 2 PB-4013 REV. 01/01/04 American LegalNet, Inc. www.USCourtForms.com