Fill and Sign the Kevin Jursinski Litigation Attorney Fort Myers Fl Real Form

                         F J-2 00ATTO RNEY O R P AR TY W IT H O UT A TTO RNEY ( N am e, s ta te b ar n um ber, a nd a ddre ss) o r GO VER NM EN TA L A G EN C Y:FO R C O URT U SE O NLYT E LE PH O NE N O . ( O ptio nal) :F A X N O . ( O ptio nal) :E -M AIL A D DR ESS ( O ptio nal) :A TTO RNEY F O R ( N am e):S U PER IO R C O URT O F C ALIF O RNIA , C O UNTY O FSTR EET A D DR ESS:M AIL IN G A D D RESS:C IT Y A N D Z IP C O DE:BR AN CH N AM E:C HIL D 'S N AM E:PETIT IO NER :RESPO NDEN T:O TH ER P AR EN T: A PPLIC ATIO N A ND O RDER F O R A PPO IN TM EN T O F GUARDIA N A D L IT E M O F M IN O R-F A M IL Y L A W /J U VEN IL E CASE N UM BER S:JU VEN IL E :E X P A RTEFA M IL Y :N O TE : T his f o rm i s f o r u se i n j u ve n ile p ro ceed in gs a n d f a m ily l a w p ro ceed in gs w it h t h e e xcep tio n o f d is so lu tio n pro ceed in gs. F or a p poin tm en t o f a g uard ia n a d l it e m i n c iv il p ro ceed in gs, u se F orm 9 82(a )(2 7). F or a p poin tm en t o f a gu ard ia n a d l it e m i n p ro bate p ro ceed in gs, u se F orm D E-3 50, G C-1 00.1. 1 ( n am e):a m t h ea.a tto rn ey f o r:(1 )th e m in o r.(2 )p are nt o f t h e m in or.(3 )oth er in te re ste d p ers o n ( s p ecif y n am e a nd r e la tio nsh ip ):b .p are nt o f t h e m in or.C .o th er in te re ste d p e rs o n.d.m in or ( a nsw er a ll t h at a pply t o y o u): (1 ) M y d a te o f b ir th is ( s p ecif y ):(2 ) 1 liv e w it h m ymoth erfa th erle gal g uard ia n(3 ) M y m oth er's n a m e is ( s p ecif y ):o th er ( s p ecif y n am e a nd r e la tio nsh ip ): , a nd h er a ddre ss is :(4 ) M y f a th er's n a m e is ( s p ecif y ):, a nd h is a ddre ss is :(5 )I h ave a le gal g uard ia n. M y le gal g u ard ia n's n am e is ( s p ecif y ):, a nd h iso r h er a d dre ss is :T he g uard ia nsh ip w as e sta blis h ed in : I a m a d ependen t c h ild o f t h e ju ve nile c o urt o f: I a m a w ard o f t h e ju ve nile c o urt o f:C ounty , c a se n o. ( if k n ow n):(6 )C ounty , c a se n o. ( if k n ow n):(7 )C ounty , c a se n o. ( if k n ow n):2 . I a sk t h e c o urt t o a ppoin t t h e f o ll o w in g p ers o n a s g uard ia n a d lit e rn f o r t h e m in or ( s ta te n am e, a ddre ss, a nd t e le phone n o.) :3 . T he r e la tio nsh ip o f t h e p ers o n lis te d in it e m 2 t o t h e m in or isa .p are ntb.o th er ( s p ecif y ):4 . A ppoin tm ent o f a g uard ia n a d lit e rn is n ece ssa ry b eca use ( s p ecif y ):A tta ch m ent 4 ( D escrib e in d eta il, a tta ch a ddit io nal p ages if n ece ssa ry ). (C ontin ued o n r e ve rs e )Form A ppro ve d fo r O ptio nal U se Ju d ic ia l C ouncil o f C alif o rn ia FJ -2 00 [N ew J a nuary 1 , 2 001] A PPLIC ATIO N A ND O RDER F O R A PPO IN TM EN T O F GUARDIA N A D L IT E M O F M IN O R-F A M IL Y L A W /J U VEN IL E (Fam ily L aw -J u ven ile -D om estic V io le n ce P re ven tio n- Unif o rm P are n ta g e-G overn m en ta l) C iv il P ro ce dure C ode § 3 73W elf a re a nd In stit u tio ns C ode, § 3 56.5F am ily C ode § 7 635electronic form 2000 WWW.LawCA.com Law Publishers      C HIL D 'S N AM E:CASE N UM BER S:P ETIT IO NER :JU VEN IL E :R ESPO NDEN T:FA M IL Y :O TH ER P AR EN T:5 . T he p ro pose d g uard ia n a d lit e m is f u lly c o m pete nt t o u nders ta nd a nd p ro te ct t h e r ig hts o f t h e m in or a nd h as n o in te re st c o nflic tin g wit h t h at o f t h e m in or.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE O F A PPLIC AN T)C O NSEN T T O A C T A S G UAR DIA N A D L IT E MI c o nse nt t o t h e a ppoin tm ent a s g u ard ia n a d lit e m , a nd a gre e t o a ssu m e t h e r e sp onsib ilit ie s.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE O F P R O PO SED G UAR DIA N )C O NSEN T T O G UAR DIA N B Y M IN O R 1 4 Y EAR S O F A G E O R O LD ER1, ( n am e):y e ars o f a ge a nd h ere by n om in ate( n am e): , am (specify age): to b e m y g uard ia n a d lit e m t o r e pre se nt m y in te re sts f o r t h e re aso ns s e t f o rth in it e m s 4 a nd 5 o f t h is a pplic a tio n.D ate :(T Y PE O R P R IN T N AM E)(S IG NATU RE O F P ETIT IO NER )O RDERTH E C O URT F IN DS It is r e aso nable a nd n ece ssa ry t o a p poin t a g uard ia n a d lit e m f o r t h e p ers o n(s ) n am ed in t h e a pplic a tio n, a s r e queste d a bove .T H E C O URT O RDER S t h at ( n am e):lit e m o f ( n am e):is h ere by a ppoin te d g uard ia n a d for t h e p urp ose s h e re in above s e tfo rth in it e m 4 o f t h e p etit io n.A pplic a tio n f o r a n A ppoin tm ent o f G uard ia n a d L it e m f ile d ( d ate ):a .is d enie d.b.is g ra nte d.c.is s e t f o r h earin g o n ( d ate ):a t ( tim e):D ate :JU DIC IA L O FFIC ERSIG NATU RE F O LLO W S L A ST A TTA C HM EN TFJ-2 00 [N ew J a nuary 1 , 2 001] A PPLIC ATIO N A ND O RDER F O R A PPO IN TM EN T O F GUARDIA N A D L IT E M O F M IN O R-F A M IL Y L A W /J U VEN IL E (Fam ily L aw -J u ven ile ) Page tw oelectronic form 2000 WWW.LawCA.com Law Publishers