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Fill and Sign the Emancipation Forms Ampamp Instructionsnebraska Judicial Branch

Fill and Sign the Emancipation Forms Ampamp Instructionsnebraska Judicial Branch

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Nebraska State Court Form CERTIFICATE OF MAILING DC 6:16.7 New 06/19 (EMANCIPATION) Neb. Rev. Stat. § 43-4801 et seq. IN THE DISTRICT COURT OF (county where action filed) COUNTY, NEBRASKA IN RE EMANCIPATION OF: Case No. (your name) Petitioner , I certify that on (case number assigned by clerk of court) CERTIFICATE OF MAILING , I served a copy of the Notice of Filing, the Summons, and a copy of the Petition for Judgment of Emancipation upon the following persons at the following addresses, by certified mail, return receipt requested, showing to whom and where delivered and the date of delivery. I have attached the signed receipts. To: Name Signature Name Address: Date Street Address/P.O. Box City/State/ZIP Code Phone Page 1 of 1 Certificate of Service (Emancipation) DC 6:16.7 New 06/19 E-mail Address

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