MINOR GUARDIANSHIP SUPPLEMENTAL PACKET MINOR S CONSENT IN SUPPORT OF PETITION FOR GUARDIANSHIP

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Mandatory Electronic Filing Starting on October 18th, 2018 Please disregard the filing instructions in this packet. You will need to sign up for an eflex account at www.washoecourts.com. Contact the Law Library, Self Help Center, or Filing Office for more information. MINOR GUARDIANSHIP SUPPLEMENTAL PACKET MINOR S CONSENT IN SUPPORT OF PETITION FOR GUARDIANSHIP G-5 The District Court Filing Office is located on the first floor at: 75 Court Street Reno, NV 89501 www.washoecourts.com

Do Not Copy Or File This Page MINOR S CONSENT IN SUPPORT OF PETITION FOR GUARDIANSHIP PACKET G-5 USE THIS PETITION PACKET ONLY IF ALL OF THE FOLLOWING REQUIREMENTS HAVE BEEN MET: You are the minor. You agree with the Petition for Full Guardianship of a Minor. INSTRUCTIONS FOR COMPLETING FORMS CAREFULLY READ ALL INSTRUCTIONS BEFORE STARTING TO FILL OUT ANY OF THE FORMS. Use black or blue ink only. Neatly print the information requested. Do not use correction fluid/tape on the forms. This packet contains the following form: 1. Minor s Declaration of Consent The penalty for willfully making a false statement under penalty of perjury is a minimum of 1 year, and a maximum of 4 years in prison, in addition to a fine of not more than $5,000.00. N.R.S. 199.145. G5 VISUAL INSTRUCTIONS

INSTRUCTIONS: STEP 1 Do Not Copy Or File This Page Complete the Declaration as Shown: 1) Print the name, address, telephone number, and email of the Petitioner. 2) Print the name of the minor. Check one of the three boxes depending on the type of guardianship that has been requested. You will be assigned a Case No. and Department No. when the Petition is filed with the court. STOP HERE 3) The consenting minor must complete pages 1 2, following the instructions on each page. 4) The minor must date and sign page 2. G5 VISUAL INSTRUCTIONS

1 2 3 4 5 6 7 8 9 Code: 1030 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA IN AND FOR THE COUNTY OF WASHOE 10 11 12 13 14 15 In the Matter of the Guardianship of The Person only The Estate only The Person and the Estate, (Print Name of Minor) A Minor. / Case No. Dept. No. 16 17 18 19 20 MINOR S DECLARATION OF CONSENT I declare that I am the above-named minor. My date of birth is. I currently reside at (Street Address, City, State, Zip Code) (Date of Birth). 21 22 23 24 I have been living with since. (Date you went to live at that address) (Name(s) of adult(s) with whom you reside), 25 26 27 28 I consent for to be appointed as my guardian(s). and, (Name(s) of guardian(s) you consent to have appointed) 1 Consent of Minor

1 2 3 4 5 6 7 8 9 10 11 I believe it is in my best interest to be in the care and custody of the above named guardian(s). To my knowledge, the following person(s), agency or institution has been awarded custody of me by a Court of competent jurisdiction: (Please print the name(s) of who was awarded custody of you). This document does not contain the Social Security Number of any person. I declare, under penalty of perjury under the law of the State of Nevada, that I have read the foregoing document and am competent to testify of its contents of my own knowledge and the contents are true of my own knowledge except for those matters stated therein on information and belief, and, as to those matters, I believe them to be true. 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Date: Signature: Print Your Name: 2 Consent of Minor

INSTRUCTIONS: STEP 2 Do Not Copy Or File This Page Copying and Filing Documents Make two (2) copies of the Minor s Declaration of Consent. Take the original and the copies to the Filing Office. The Filing Office is located on the first floor of the courthouse at 75 Court Street, Reno, NV. A copy machine is available at the Law Library located on the first floor of the courthouse at 75 Court Street, Reno, NV (to the left of the Filing Office). There is a per page charge to use the copy machine. The Filing Office will file and keep the original Minor s Declaration of Consent and return file-stamped copies to you. Please make sure to provide one file stamped copy to the consenting parent and keep one copy for your personal records. Legal Assistance The information in this packet is provided as a courtesy only. This packet is not a substitute for the advice of an attorney. Counsel is always recommended for legal matters. If you do not have an attorney, you are encouraged to seek the advice of a licensed attorney or visit the Family Court Self Help Center which is located at One South Sierra Street, Reno, NV. The Self Help Center cannot give legal advice but can give information regarding court procedures. You may also wish to speak with a family law lawyer at no cost through the Law Library s Lawyer in the Library program, or to seek assistance from other free or reduced-cost legal resources in the area, to include: LAWYER IN THE LIBRARY First Floor (to the left of the filing office) of the courthouse located at: 75 Court Street, Reno, NV. (775) 328-3250 www.washoecourts.com/lawlib Tuesday Evenings - Arrive by 4:25 p.m. *Please Note* The program is limited to 10 participants each evening. NEVADA LEGAL SERVICES 204 Marsh Avenue Reno, NV 89509 (775) 284-3491 x 237 leave message if necessary http://www.nlslaw.net WASHOE LEGAL SERVICES 299 S. Arlington Avenue Reno, NV 89501 (775) 329-2727 leave message if necessary http://www.washoelegalservices.org G5 VISUAL INSTRUCTIONS