Free Petition for Guardianship of Minor (Person Only) - New Hampshire


File Size: 121.0 kB
Pages: 4
Date: December 30, 2008
File Format: PDF
State: New Hampshire
Category: Court Forms - State
Author: NHJB
Word Count: 912 Words, 5,690 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.nh.us/forms/nhjb-2024-f.pdf

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THE STATE OF NEW HAMPSHIRE
JUDICIAL BRANCH
http://www.courts.state.nh.us

Court Name: Case Name: Case Number:
(if known)

Guardianship of

PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY)
(pursuant to RSA 490-D:2, VIII) The petitioner states the following: 1. 2. Petition is made for guardianship over the minor's person: Petitioner name Mailing address Petitioner name Mailing address 3. Attorney for petitioner Mailing address 4. under The minor is: Minor's legal name Mailing address Alternate names Alternate addresses 5. Name of minor's natural parents. If both parents are deceased, attach a list of the names and addresses of the minor's grandparents, adult siblings, aunts and uncles. (Attach copy of death certificate of deceased parent(s), if applicable.) Date of birth Father name Mailing address Residence address (if different from above) Mother name Mailing address Residence address (if different from above) 6. Proposed guardian name Relationship to minor Mailing address Date of birth Occupation Telephone Date of birth Telephone Telephone OR over the age of fourteen. (Attach copy of birth certificate.) Date of birth Telephone Relationship to minor Telephone Relationship to minor Telephone Telephone

NHJB-2024-F (12/07/2006) (formerly AOC-105-003)

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Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY)

Proposed guardian name Relationship to minor Mailing address 7.

Date of birth Occupation Telephone

List the names and addresses of any persons having the principal care and custody of the minor during the 60 days preceding the filing of this petition. Name Relationship to minor Address Telephone

8.

List names and addresses of any person(s) nominated as guardian(s) of the person in the will of a deceased parent. Name Relationship to minor Address Telephone

9.

Are there any pending adoption, juvenile, domestic violence, marriage dissolution, domestic relations, paternity, legitimation, custody or other proceedings affecting minor or parents of this minor? Yes No If yes, attach a separate sheet identifying and explaining each. Is an adoption of the minor by the proposed guardian(s) contemplated? Is the minor entitled to receive local, state or federal benefits and/or entitlements? Is there an existing child support order for this child? If yes, is support collected by the Division of Child Support Services? If no, are you seeking a child support order as part of this guardianship? Is there an existing court visitation order for this child? If yes, attach a copy of that order to this petition. Is there any reason that this child should not visit with his/her parents? If yes, state clearly and specifically any reason(s). Yes Yes Yes Yes Yes Yes No No No No No No

10. 11. 12.

13.

14.

Yes

No

15. 16.

Is this guardianship being sought by the Department of Health and Human Services as part of a permanency plan pursuant to the Adoption and Safe Families Act of 1997? Yes No Is the child an American Indian child as defined by the Indian Child Welfare Act? Yes No If yes, the name and address of the tribe are: Is the tribe recognized by the federal government as eligible for federal services or certain Alaskan native corporations as defined in 43 U.S.C. ยง1602(c)? Yes

No

17.

Is this petition filed in conjunction with a settlement of minor's action, per RSA 464-A:42? Yes No If yes, attach a copy of the petition or proposed petition seeking approval and all supplemental documentation to be filed with the Superior or District Court.

NHJB-2024-F (12/07/2006) (formerly AOC-105-003)

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Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY)

18.

State specific facts which are claimed to demonstrate that the appointment of a guardian is in the best interests of the minor. (Attach additional pages as needed. Make each allegation a separate paragraph and number each paragraph.)

REQUEST FOR TEMPORARY ORDERS and/or PERMANENT ORDERS The petitioner(s) request(s) that the following relief be granted in the best interests of the minor, after a hearing on the merits. (State clearly, and number separately, your requests to the court.)

19.

FOR EX PARTE RELIEF ONLY. State additional facts or attach an affidavit (statement under oath) alleging facts involving the circumstances of the minor which establish that unless the ex parte relief is granted, the minor will, or is likely to, suffer immediate or irreparable harm or injury.

REQUEST FOR EX PARTE ORDERS The petitioner(s) request(s) that the following ex parte (emergency) relief be granted. (State clearly, and number separately, your requests to the court.)

Date Date

Petitioner Signature Petitioner Signature

State of This instrument was acknowledged before me on My Commission Expires Affix Seal, if any

, County of by
Signature of Notarial Officer / Title

NHJB-2024-F (12/07/2006) (formerly AOC-105-003)

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Case Name: Case Number: PETITION FOR GUARDIANSHIP OF MINOR (PERSON ONLY)

FOR COURT USE ONLY. The following consents, if required, will be obtained by the judge at the time of the hearing. We hereby voluntarily and knowingly give consent to the appointment of as guardian(s).

Date Date Date Date Date

Parent Signature Parent Signature Minor Signature Guardian Signature Guardian Signature

ORDER Upon consideration of this petition, it is decreed that the petition be granted on a TEMPORARY or PERMANENT basis, and letters of guardianship be issued.

Recommended:
Date Signature of Marital Master

Printed Name of Marital Master

So Ordered:
Date Signature of Judge

Printed Name of Judge

NHJB-2024-F (12/07/2006) (formerly AOC-105-003)

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