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Fill and Sign the Wa Emancipation Form

Fill and Sign the Wa Emancipation Form

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SUPERIOR COURT OF WASHINGTON COUNTY OF _______________________ In Re: Petitioner. D.O.B.: NO: PETITION FOR EMANCIPATION (PTE) PETITION FOR EMANCIPATION (PTE) - Page 1 of 2 WPF EM 01.0100 (9/2000) - RCW 13.64.010, .020 I. BASIS The undersigned minor, who is sixteen years of age or older and who is a resident of this state, petitions the court for a declaration of emancipation. 1.1 Petitioner's full name: ___________________________________________________ Petitioner's present address: ___________________________________________________ ___________________________________________________ Length at that address: ___________________________________________________ Petitioner's birthdate: ___________________________________________________ State and county of petitioner's birth: _____________________________________________ 1.2 A certified copy of the petitioner's birth certificate accompanies this petition. 1.3 Name of the petitioner's parent or parents, guardian, or custodian: _____________________________________________________________________________ Last known address of the petitioner's parent or parents, guardian, or custodian: _____________________________________________________________________________ _____________________________________________________________________________ 1.4 The petitioner has the ability to manage his or her financial affairs. This declaration is based on the following supporting information: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 1.5 The petitioner has the ability to manage his or her personal, social, educational, and nonfinancial affairs. This declaration is based on the following supporting information: ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ ____________________________________________________________________________________ 1.6 OTHER: ____________________________________________________________________________________ ____________________________________________________________________________________ PETITION FOR EMANCIPATION (PTE) - Page 2 of 2 WPF EM 01.0100 (9/2000) - RCW 13.64.010, .020 ____________________________________________________________________________________ II. RELIEF REQUESTED The petitioner REQUESTS the court to enter a decree of emancipation granting the petitioner the power and capacity of an adult, except as provided in RCW 13.64.060(2). Dated: ______________________________ _____________________________________________ Signature of Petitioner _____________________________________________ Print or Type Name I declare under penalty of perjury under the laws of the state of Washington that the foregoing is true and correct. Signed at _____________________________________, on ___________________________________. (Place) (Date) _____________________________________________ Signature of Petitioner _____________________________________________ Type or Print Name PETITION FOR EMANCIPATION (PTE) - Page 3 of 2 WPF EM 01.0100 (9/2000) - RCW 13.64.010, .020

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