Fill and Sign the How to File a Complaint Department of Justice Form

EMANCIPATION : STATE OF LOUISIANA OF ________________ : PARISH OF _______ BY ________________ AND : DOCKET NO. _______ ________________ EMANCIPATION BY NOTARIAL ACT BEFORE ME, the undersigned Notary Public, and in the presence of the undersigned competent witnesses, personally appeared: ________________ and ________________, whose address is __________________________, and who are domiciled in the Parish of _______, Louisiana, who declared their intention to emancipate their child, ________________, who was born on _______ ___, 20___, and confer unto their child the full power of administration of the child=s estate, including the power to pass all acts which are confined to such administration, and further to have all the rights and benefits of an emancipated minor as allowed by law. THUS DONE AND PASSED, on the _____ day of ___________________, 20___, in the presence of the undersigned competent witnesses, who have signed their names with appearers and me, Notary Public, after reading of the whole. WITNESSES: ______________________________ ______________________________ ________________ _______________________________ ______________________________ ________________ _______________________________ NOTARY PUBLIC
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