Fill and Sign the Emancipation of Minor Income and Expense Declaration Form

––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– ––––– –– ––––– –– ––––– ––––– –– ––––– ––––– ––––– ––––– –– ––––– ––––– –– –– ––––– –– ––ATTORNEY OR PARTY WITHOUT ATTORNEY (Name and Address): TELEPHONE NO. FORCOURTUSEONLY ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF STREET ADDRESS MAILING ADDRESS CITY AND ZIP CODE BRANCH NAME IN THE MATTER OF (NAME): Petitioner, a minor CASE NUMBER EMANCIPATION OF MINOR INCOME AND EXPENSE DECLARATION 1. My name and address are: My telephone number is: I have been living at this address since: I live there with (name and relationship of all persons, including children): 2. My date of birth is: 3. a. I am attending school (name of school and grade): b . I am not attending school. The highest year of education I have completed is: 4. My occupation is: 5. a. I am employed. My place of employment is (name and address): b . I started work there on (date): I am not employed at the present time. I last worked from (starting month and year): to (ending month and year): My gross monthly earnings were: $ 6. a. b . c . d . I am not receiving welfare or AFDC and I do not intend to apply for welfare or AFDC. I am receiving welfare or AFDC. Monthly amount received: $ I have applied for welfare or AFDC. I intend to apply for welfare or AFDC. (Continued on reverse) Form Adopted for Mandatory Use Judicial Council of California EMANCIPATION OF MINOR INCOME AND EXPENSE DECLARATION Family Code, § 7000 et seq. MC-306 [Rev. January 1, 2007] electronic form ã 1999- 2007 WWW.LawCA.com Law Publishers MC-306 ––––– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– –– –– ––––– –– ––––– –– ––––– –– ––––– –– ––––– ––––– ––––– –––––IN THE MATTER OF (NAME): C A S E N UMB E R 7. The average of my gross monthly earnings is: Amoun t a . Salary and wages, including bonuses and overtime $ b . Money received from parents or other adults assisting me $ (name and relationship): C . Other (specify source and amount) $ 8. 1 have the following assets: Valu e a . Ca sh $ b . Checking account $ C . Savings account $ d . Stocks, bonds $ e . Vehicle (year, make, model) $ f . Other (specify) $ 9. My monthly expenses are: Amoun t a . Rent or Mortga ge $ b . Foo d $ C . Clothi ng $ d . Phone and utilities $ e . Vehicl e (1) Loan payments $ (2) Maintenance $ I declare under penalty of perjury that the foregoing is true and correct. Dat e: (TYPE OR PRINT NAME) (SIGNATURE OF PETITIONER) MC-306 (Rule 1285.5011) [Rev. January 1, 1995] EMANCIPATION OF MINOR INCOME AND EXPENSE DECLARATION Page twoelectronic form ã 1999 WWW.LawCA.co m Law Publishers MC-306