Last updated: 5/2/2007
Stipulation And Order {LL}
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Description
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Code: (Your name) _______________________________ (Address) _______________________________ _______________________________ (Telephone) _______________________________ In Proper Person IN THE _______ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF _______________ In the Matter of the Guardianship of the Person of: _______________________________, A Minor. ) ) ) ) ) ) ) CASE NO. ____________ DEPT. NO. ____________ STIPULATION AND ORDER COMES NOW the Co-Guardian(s), (names) __________________________________ and _____________________________________, both in Proper Person, and hereby stipulate and agree to the following. 1. That a guardianship over the minor ward (name) ____________________________ is no longer necessary because ______________________________________________________. 2. That the guardianship over the minor ward (name) __________________________ should be terminated. 3. That (name of parent(s)) ________________________ will have physical custody of the minor ward. Prior to the guardianship, (name of parent(s)) ________________________ had physical custody of the minor ward. By terminating this guardianship, (name of parent(s) NOTE: must be same as the custody arrangement that was in effect immediately prior to the 1 of 9 Stipulation to Terminate Stipulation and Order ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 guardianship) ___________________________ knows that he/she/they will be responsible for the welfare and well-being of the ward. The minor ward will reside at (address of parent) ______________________________________________________________________________. 4. (CHECK ONLY ONE BOX) That both of the minor ward's parents will sign this stipulation and order. OR That (name of parent) ___________________________ will sign this stipulation and order. The signature of the minor ward's (mother/father) __________________ cannot be obtained because ________________________________________________________________. DATED this _________ day of (month) _____________, (year) ____________. (Signature) (Name) (Address) (Telephone) ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ In Proper Person VERIFICATION OF FIRST PARENT STATE OF NEVADA COUNTY OF ______________ ) ) ) I, (name of first parent)__________________________________, being first duly sworn under penalty of perjury, hereby depose and say: 2 of 9 Stipulation to Terminate Stipulation and Order ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 That I am the mother/ father of the minor ward in the within action; that I have read the foregoing Stipulation and Order and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. _____________________________________ (Signature) SIGNED and SWORN to before me by (name of first parent) ___________________________ on the _____ day of ____________________, _____. ____________________________________ NOTARY PUBLIC OR ____________________________________ DEPUTY CLERK ACKNOWLEDGMENT OF FIRST PARENT STATE OF NEVADA COUNTY OF ______________ ) ) ) On this _____ day of ______________________, __________, before me, the undersigned Notary Public in and for the said County and State, personally appeared (name of first parent) ____________________________ known to me to be the person described in and who executed the foregoing instrument, and who acknowledged to me that he/ she did so freely and 3 of 9 Stipulation to Terminate Stipulation and Order ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 voluntarily and for the uses and purposes therein mentioned. WITNESS my hand and official seal. ___________________________________ NOTARY PUBLIC OR ____________________________________ DEPUTY CLERK VERIFICATION OF SECOND PARENT STATE OF NEVADA COUNTY OF ______________ ) ) ) I, (name of second parent)__________________________________, being first duly sworn under penalty of perjury, hereby depose and say: That I am the mother/ father of the minor ward in the within action; that I have read the foregoing Stipulation and Order and know the contents thereof; that the same is true of my knowledge except as to those matters therein stated upon information and belief and as to those matters, I believe them to be true. _____________________________________ (Signature) SIGNED and SWORN to before me by (name of second parent) ___________________________ on the _____ day of ____________________, _____. ____________________________________ NOTARY PUBLIC OR ____________________________________ DEPUTY CLERK 4 of 9 Stipulation to Terminate Stipulation and Order ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 STATE OF NEVADA STATE OF NEVADA ACKNOWLEDGMENT OF SECOND PARENT ) ) ) COUNTY OF ______________ On this _____ day of ______________________, __________, before me, the undersigned Notary Public in and for the said County and State, personally appeared (name of second parent) _____________________________________ known to me to be the person described in and who executed the foregoing instrument, and who acknowledged to me that he/ she did so freely and voluntarily and for the uses and purposes therein mentioned. WITNESS my hand and official seal. _____________________________________ NOTARY PUBLIC OR ____________________________________ DEPUTY CLERK VERIFICATION OF FIRST GUARDIAN ) ) ) COUNTY OF ______________ I, (name of first guardian)__________________________________, being first duly sworn under penalty of perjury, hereby depose and say: 5 of 9 Stipulation to Terminate Stipulation and Order ©2006 Nevada Supreme Court Revised December 14, 2006 American LegalNet, Inc. www.FormsWorkflow.com 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 That I a
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