EMANCIPATION. Self Help Center 1 South Sierra Street, First Floor Reno, NV

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EMANCIPATION EM Self Help Center 1 South Sierra Street, First Floor Reno, NV 89501 775-325-6731 www.washoecourts.com

Do Not Copy Or File This Page IMPORTANT Emancipation is a serious legal step that changes your legal status. If you are emancipated your parent(s) or your guardian(s) will no longer be responsible for you and you will no longer be responsible to them. Emancipation does not mean that you become a legal adult for all purposes. For instance, even if emancipated, a minor cannot quit school prior to being 17 years old; cannot gamble; cannot get married without a parent s consent; cannot work in a casino; cannot buy liquor, wine or cigarettes or take part in anything that, by statute, requires someone to be a certain age. Once emancipated you can legally enter into contracts such as an apartment lease, however, many landlords and other businesses will still not enter into contracts with anyone under the age of 18 years. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

Do Not Copy Or File This Page EMANCIPATION (PACKET EM) USE THIS PACKET ONLY IF THE FOLLOWING STATEMENTS ARE TRUE: You are 16 years or 17 years old. You are married or living apart from your parents or legal guardians. You are a resident of Washoe County. 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 or type the information requested. This packet contains the following forms: Do not use correction fluid/tape on the forms. 1. efile User Agreement (Standard) 2. Emancipation Checklist 3. Petition for Emancipation 4. Consent for Emancipation 5. General Financial Disclosure 6. Notice 7. Declaration of Personal Service 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. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

INSTRUCTIONS: STEP 1 Do Not Copy Or File This Page eflex Account and efile User Agreement: To file your documents, you will need to sign up for an eflex account and have a valid email address. There is no fee to sign up for a standard eflex account. If you already have an eflex account for a different case, you do not need to create another account and can skip this step. To sign up: 1) Carefully read and complete the efile User Agreement (Standard) by filling in as much information as possible, signing, and dating page two; 2) Return the efile User Agreement (Standard) to the Second Judicial District Court, or email it to eflexsupport@washoecourts.us; and 3) Request an account at https://wceflex.washoecourts.com/. If you need further assistance signing up for an account, please visit the Second Judicial District Court at 75 Court Street, Reno, Nevada, or at 1 S. Sierra Street, Reno, Nevada. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

SECOND JUDICIAL DISTRICT COURT WASHOE COUNTY STATE OF NEVADA EFILE USER AGREEMENT (Standard) This serves as your efile User Agreement with the Second Judicial District Court for the purpose of registering an account to permit efiling of court case documents using the eflex Electronic Filing System ( eflex account ). Currently, this account will be subject to a $0.00 fee per transaction. This agreement will expire at the end of two years unless the account is renewed. Accounts may be renewed online at www.washoecourts.com. By registering for an eflex account I agree and consent to the following: I will submit court filings electronically through eflex on court cases for which I am an active party or attorney of record, or an officer of the Court filing documents in my official capacity. As a registered eflex account holder, I cannot deactivate my email address without filing a Written Notice of Intent to change my email address with the District Court. This Written Notice of Intent must include my name, bar number and a list of all pending court matters. Also included must be an acknowledgment that all parties and attorneys of record on those pending matters have been notified of my new email address. I understand that it is my responsibility to keep my email address updated on my eflex account profile. I understand that once my eflex account is inactivated, I will no longer be able to electronically efile or view any documents using my account nor will I receive eflex electronic service. Furthermore, I will no longer have access to court records through my eflex account. Electronic signatures (e.g. /s/) are permissible on electronically filed documents submitted from the e-filer s E-Flex account. (See Nevada Electronic Filing and Conversion Rules, Rule 11). I will accept eflex electronic notices sent to my email on file with eflex as valid and effective service for all efiled documents replacing the need for paper service. Electronic service of documents is limited to those documents permitted to be served by mail, express mail, overnight delivery, or facsimile transmission. A complaint, petition or other document that must be served with a summons, and summons or a subpoena cannot be served electronically. I agree to the terms of the license agreement as stated by Tybera on the court s eflex website under terms of use and privacy policy when registering for an eflex account and pressing the submit button. I understand that email addresses supplied by the registered user via the username/password accessed through eflex Account supersede the court s case management system for the purpose of determining valid and effective service of efiled documents. I understand that it is my responsibility to keep my email address updated on my eflex account profile. I agree to file the proper motion to withdraw/notice of change/substitution of counsel/notice of termination of employment (whatever applies) into each of my cases whenever I depart from an agency, office, or law firm, or cease to represent a party in any case, or cease to be an eflex user within 10 days of any such change. If known, I will designate the new attorney and/or e-filer contact on each case. Further, I will separately notify the Clerk of Court of any employment change which will globally affect all or a majority of my cases. Revised September 26, 2018

I Acknowledge receipt, understanding and agree to follow the Nevada Electronic Filing and Conversion Rules (EFCR). I understand if a party submits a proposed Order and the Order is efiled by the Court, ONLY eflex account holders will be served by the Court. I understand all other parties must be served by the party who submitted the proposed Order by other means. I understand as a registered eflex account holder, I will only have access to documents in court cases for which I am an active party or attorney of record. In the event that I inadvertently obtain access to unauthorized information on any case, I will immediately notify the Court Administrator/Clerk of Court, presiding judicial officer and all active attorneys on that specific case. I will take every precaution to shield myself and all members of my firm from viewing, downloading or disseminating any unauthorized information. I will delete and destroy immediately any unauthorized information that I inadvertently obtain. I understand any violation of the terms of this agreement may result in sanctions imposed by the Court. Attorney or Person Name: If an attorney, Bar ID: Law Firm: If not an attorney, DOB: Interpreter needed: Yes or No Language: If not an attorney, Case number(s): eflex Email Address: 1 st Alternate eflex Email Address: 2 nd Alternate eflex Email Address: Mailing Address: City: State: Zip Code: Phone Number: Fax Number: Designated eflex contact person: I hereby certify that I have read the above information and agree to abide by the requirements and terms as stated in this agreement. Date: Signature of Attorney/Person Agency Signatory: Check one: Renewal of Standard Account (follow online instructions at http://www.washoecourts.com/index.cfm?page=eflex) New Standard Account To become a registered eflex account holder, you must request an account online at https://wceflex.washoecourts.com and click on the Request an Account button. Next, print out this form, complete and sign it and deliver the ink-signed copy to the Second Judicial District Court Filing Office, 75 Court Street, Reno, NV 89501. Upon completion of your account request AND receipt of the signed efile User Agreement, your electronic request for a user account will be approved. You will be notified by email and be able to login with your user name and requested password within three (3) working days. Translated/Interpreted by (if applicable): Print Name Signature Revised September 26, 2018

Do Not Copy Or File This Page INSTRUCTIONS: STEP 2 Complete the Emancipation Checklist as Shown: This document is not filed with the court. 1) Review the Emancipation Checklist and answer all the questions. 2) Review your answers and follow the instructions. If you qualify for emancipation, continue to the petition. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

EMANCIPATION CHECKLIST A. YES OR NO I am at least 16 or 17 years of age. B. YES OR NO I am currently attending school or I have been excused from attending High School pursuant to NRS 392.040 through NRS 392.125. C. YES OR NO I am managing my own financial affairs and can provide a budget and receipts to show how I manage my finances. D. YES OR NO I am married. E. YES OR NO My parents or my legal guardian(s) allow me to live apart from them. F. YES OR NO I am presently living apart from my parent(s) or legal guardian(s). G. YES OR NO I do not have any income from criminal activities. If question A is answered No, judicial emancipation is not possible in Nevada. If A is answered Yes, but one or more of the remaining questions are answered No, then you should seek the assistance of a private attorney or attend the Family Law Lawyer in the Library Program. The Family law Lawyer in the Library program is on Tuesday evenings in the Law Library at 75 Court Street. Please arrive by 4:25 p.m. to participate. The program is limited to 10 participants each evening.

INSTRUCTIONS: STEP 3 Do Not Copy Or File This Page Complete the Petition for Emancipation as Shown: 1) Print your name, address, telephone number and email address. 2) Print your name. When you file your petition you will receive a Case No. and Dept. No. 3) Complete pages 1-4 following the instructions on each page. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

1 2 3 4 5 6 7 8 9 10 11 12 13 Code: 3518 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. / Dept. No. 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 PETITION FOR EMANCIPATION I petition this Court for a Decree of Emancipation pursuant to NRS 129.080. et seq. 1. I am years old and was born on. (Your age) (Address of Parent) (Address of Parent) (Date of Birth) 2. I am a resident of Washoe County and have been living at (Name of Parent) (Name of Parent) (Your address) for. (How long at address) 3. My MOTHER OR FATHER is and lives at. My MOTHER OR FATHER is and lives at. REV 11/2018 CJ 1 PETITION FOR EMANCIPATION

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 4. I DO OR DO NOT have a legal guardian. If you have a legal guardian list their name and address below. My legal guardian is (Relative s name) (Name of Guardian) and lives at. (Address of Guardian) 5. If my parent(s) or legal guardian(s) cannot be found, my nearest known relative living in the State of Nevada is and lives at (Name and address of employer) (Address of Relative). NOT APPLICABLE 6. I DO OR DO NOT willingly live apart from my parents or legal guardian(s) and they DO OR DO NOT consent and/or agree to my living apart from them. 7. I have lived apart from my parent(s) or guardian(s) for. (Date) 8. I am managing my financial affairs and the source of my income is not derived from any activity declared to be a crime by the laws of the State of Nevada or the United States. I am employed by. 9. I DO OR DO NOT have a savings, checking or credit/debit card account. Type of Account Where Account is Located Amount * Do not include full bank account numbers 28 REV 11/2018 CJ 2 PETITION FOR EMANCIPATION

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 10. I AM OR AM NOT attending school. If you are not in school and have been excused from attending school pursuant to NRS 392.040 through NRS 392.125, please explain. 11. I am attending School in (Current GPA) (Name of School) (Current grade) (City, State and Zip Code) and am in the grade. I am maintaining a grade point average of and will complete school in. (Year of graduation) NOT APPLICABLE 12. If you have an additional information that you would like the court to know please explain below. If more room is needed, attach additional sheets. This document does not contain the personal information of any person as defined by NRS 603A.040. 26 27 28 Date: Your Signature: Print Your Name: REV 11/2018 CJ 3 PETITION FOR EMANCIPATION

1 2 3 4 5 6 VERIFICATION I declare under penalty of perjury under the law of the State of Nevada that; I am the petitioner in the above-entitled action; that I have read the foregoing Petition for Emancipation and know the contents thereof; that the same is true of my knowledge except as those matters therein stated upon information and belief and as to those matters, I believe them to be true and correct. 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Date: Your Signature: Print Your Name: REV 11/2018 CJ 4 PETITION FOR EMANCIPATION

INSTRUCTIONS: STEP 4 Do Not Copy Or File This Page Complete this step only if your Mother, Father, or Legal Guardian is in agreement with the emancipation. If you are the Mother, Father, or Legal Guardian you must fill out the Consent for Emancipation. If this does not apply, skip to Step 6. Complete the Consent for Emancipation as Shown: 1) If you are the Mother, Father, or Legal Guardian, print your name, address, telephone number and email address. 2) Print the minor s name. Print the Case No. and the Department No. just as they appear on all other forms in this case. 3) Check the boxes that apply to you. 4) Print the date, sign and print your name. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 Code: 1475 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. / Dept. No. CONSENT TO EMANCIPATION I am the Petitioner s MOTHER OR FATHER OR LEGAL GUARDIAN and do hereby give my full and free consent to the emancipation of the Petitioner. I request this Court grant the relief requested in the Petition for Emancipation. This document does not contain the personal information of any person as defined by NRS 603A.040. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. Date: Your Signature: Print Your Name: 28 REV 11/2018 CJ 1 CONSENT FOR EMANCIPATION

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Code: 1475 Name: Address: Telephone: Email: Self-Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. / Dept. No. CONSENT TO EMANCIPATION I am the Petitioner s MOTHER OR FATHER OR LEGAL GUARDIAN and do hereby give my full and free consent to the emancipation of the Petitioner. I request this Court grant the relief requested in the Petition for Emancipation. This document does not contain the personal information of any person as defined by NRS 603A.040. I declare under penalty of perjury under the law of the State of Nevada that the foregoing is true and correct. Date: Your Signature: Print Your Name: 27 28 REV 11/2018 CJ 2 CONSENT FOR EMANCIPATION

INSTRUCTIONS: STEP 5 Do Not Copy Or File This Page Complete the General Financial Disclosure as Shown: 1) Print your name, address, telephone number and email address. 2) Print your name. Print the Case No. and the Department No. just as they appear on all other forms in this case. 3) Answer all of the questions on each page of the form. There are a total of seven pages that need to be completed. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

MISC Name: Address: Phone: Email: Second Judicial District Court Washoe County, Nevada In the Matter of Emancipation:, (Name) A Minor. / Case No. Dept. No. GENERAL FINANCIAL DISCLOSURE FORM A. Personal Information: 1. What is your full name? (first, middle, last) 2. How old are you? 3. What is your date of birth? 4. What is your highest level of education? B. Employment Information: 1. Are you currently employed/ self-employed? ( check one) No Yes If yes, complete the table below. Attached an additional page if needed. Date of Hire Employer Name Job Title Work Schedule (days) Work Schedule (shift times) 2. Are you disabled? ( check one) No Yes If yes, what is your level of disability? What agency certified you disabled? What is the nature of your disability? C. Prior Employment: If you are unemployed or have been working at your current job for less than 2 years, complete the following information. Prior Employer: Date of Hire: Date of Termination: Reason for Leaving: Page 1 of 7

Monthly Personal Income Schedule A. Year-to-date Income. As of the pay period ending my gross year to date pay is. B. Determine your Gross Monthly Income. Hourly Wage Hourly Wage = 52 Number of hours worked per week Weekly Income Weeks = 12 Annual Incom Months = Gross Monthly Income Annual Salary Annual Incom 12 Months = Gross Monthly Income C. Other Sources of Income. Source of Income Frequency Amount 12 Month Average Annuity or Trust Income Bonuses Car, Housing, or Other allowance: Commissions or Tips: Net Rental Income: Overtime Pay Pension/Retirement: Social Security Income (SSI): Social Security Disability (SSD): Spousal Support Child Support Workman s Compensation Other: Total Average Other Income Received Page 2 of 7

D. Monthly Deductions Type of Deduction 1. Court Ordered Child Support (automatically deducted frompaycheck) 2. Federal Health Savings Plan 3. Federal Income Tax 4. Health Insurance Amount for you: For Opposing Party: For your Child(ren): 5. Life, Disability, or Other Insurance Premiums 6. Medicare 7. Retirement, Pension, IRA, or 401(k) 8. Savings 9. Social Security 10. Union Dues 11. Other: (Type of Deduction) Total Monthly Deductions (Lines 1-11) Amount Business/Self-Employment Income & Expense Schedule A. Business Income: What is your average gross (pre-tax) monthly income/revenue from self-employment or businesses? $ B. Business Expenses: Attach an additional page if needed. Advertising Type of Business Expense Frequency Amount 12 Month Average Car and truck used for business Commissions, wages or fees Business Entertainment/Travel Insurance Legal and professional Mortgage or Rent Pension and profit-sharing plans Repairs and maintenance Supplies Taxes and licenses (include est. tax payments) Utilities Other: Total Average Business Expenses Page 3 of 7

Personal Expense Schedule (Monthly) A. Fill in the table with the amount of money you spend each month on the following expenses and check whether you pay the expense for you, for the other party, or for both of you. Expense Alimony/Spousal Support Monthly Amount I Pay For Me Other Party For Both Auto Insurance Car Loan/Lease Payment Cell Phone Child Support (not deducted from pay) Clothing, Shoes, Etc Credit Card Payments (minimum due) Dry Cleaning Electric Food (groceries & restaurants) Fuel Gas (for home) Health Insurance (not deducted from pay) HOA Home Insurance (if not included in mortgage) Home Phone Internet/Cable Lawn Care Membership Fees Mortgage/Rent/Lease Pest Control Pets Pool Service Property Taxes (if not included in mortgage) Security Sewer Student Loans Unreimbursed Medical Expense Water Other: Total Monthly Expenses Page 4 of 7

Household Information A. Fill in the table below with the name and date of birth of each child, the person the child is living with, and whether the child is from this relationship. Attached a separate sheet if needed. 1 st Child s Name Child s DOB Whom is this child living with? Is this child from this relationshi Has this child been certified as special needs/disabled? 2 nd 3 rd 4 th B. Fill in the table below with the amount of money you spend each month on the following expenses for each child. Type of Expense 1 st Child 2 nd Child 3 rd Child 4 th Child Cellular Phone Child Care Clothing Education Entertainment Extracurricular & Sports Health Insurance (if not deducted from pay) Summer Camp/Programs Transportation Costs for Visitation Unreimbursed Medical Expenses Vehicle Other: Total Monthly Expenses C. Fill in the table below with the names, ages, and the amount of money contributed by all persons living in the home over the age of eighteen. If more than 4 adult household members attached a separate sheet. Name Age Person s Relationship to You (i.e. sister, friend, cousin, etc ) Monthly Contribution Page 5 of 7

Personal Asset and Debt Chart A. Complete this chart by listing all of your assets, the value of each, the amount owed on each, and whose name the asset or debt is under. If more than 15 assets, attach a separate sheet. Line Description of Asset and Debt Thereon Gross Value Total Amount Owed 1. $ - $ = $ 2. $ - $ = $ 3. $ - $ = $ 4. $ - $ = $ 5. $ - $ = $ 6. $ - $ = $ 7. $ - $ = $ 8. $ - $ = $ 9. $ - $ = $ 10. $ - $ = $ 11. $ - $ = $ 12. $ - $ = $ 13. $ - $ = $ 14. $ - $ = $ 15. $ - $ = $ Total Value of Assets (add lines 1-15) $ - $ = $ Net Value Whose Name is on the Account? You, Your Spouse/Domestic Partner or Both B. Complete this chart by listing all of your unsecured debt, the amount owed on each account, and whose name the debt is under. If more than 5 unsecured debts, attach a separate sheet. Line # Description of Credit Card or Other Unsecured Debt Total Amount owed Whose Name is on the Account? You, Your Spouse/Domestic Partner or Both 1. $ 2. $ 3. $ 4. $ 5. $ 6. $ Total Unsecured Debt (add lines 1-6) $ Page 6 of 7

CERTIFICATION Attorney Information: Complete the following sentences: 1. I (have/have not) retained an attorney for this case. 2. As of the date of today, the attorney has been paid a total of $ on my behalf. 3. I have a credit with my attorney in the amount of $. 4. I currently owe my attorney at total of $. 5. I owe my prior attorney at total of $. IMPORTANT: Read the following paragraphs carefully and initial each one if applicable. This document does not contain the personal information of any person as defined by NRS 603A.040. I swear or affirm under penalty of perjury that I have read and followed all instructions in completing this Financial Disclosure Form. I understand that, by my signature, I guarantee the truthfulness of the information on this Form. I also understand that if I knowingly make false statements I may be subject to punishment, including contempt of court. I have attached a copy of my 3 most recent pay stubs to this form. I have attached a copy of my most recent YTD income statement/p&l statement to this form, if self-employed. I have not attached a copy of my pay stubs to this form because I am currently unemployed. Signature Date Page 7 of 7

INSTRUCTIONS: STEP 6 Do Not Copy Or File This Page Electronically Filing the Documents You will need to upload the original documents to eflex. EFlex is available online at https://wceflex.washoecourts.com/, or at the Second Judicial District Court. If you have not done so, you will need to sign up for an eflex account and turn in the EFile User Agreement (see INSTRUCTIONS: STEP 1), to the Filing Office or the Law Library located at 75 Court Street, or to the Self Help Center and Protection Self Help Center at 1. South Sierra Street or email to eflexsupport@washoecourts.us. Sign into your eflex account using the username and password you created and electronically file the: Petition for Emancipation; Consent for Emancipation; and General Financial Disclosure form. Make sure to keep the original documents you file for your personal records. File-stamped copies of your documents are available through your eflex account. Scanners are available at the Second Judicial District Court. There may be a filing fee charged when documents are filed. Fee information is available at the Filing Office and online at: www.washoecourts.com. FILING FEE WAIVERS If you cannot afford the filing fee, you may apply to have your filing fee waived. To apply, you must fill out and file the application found in the Application for Waiver of Fees and Costs packet, which may be obtained at the following locations: Family Division Self Help Center or the Protection Self Help Center, 1 South Sierra Street, Reno, NV, First Floor Law Library or Filing Office, 75 Court Street, Reno, NV, First Floor Online at: www.washoecourts.com (select the Forms & Packets tab on the top right hand side of the home screen) REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

Do Not Copy Or File This Page INSTRUCTIONS: STEP 7 Complete the Notice as Shown: Take this notice to the third floor window at 1 South Sierra Street, Reno, Nevada, 89501. Court staff will assist you with issuing the notice. You must provide a copy of the petition and notice to everyone listed on the notice. 1) Print your name, address, telephone number and email address. 2) Print your name. Print the Case No. and the Department No. just as they appear on all other forms in this case. 3) Print the following names if applicable: Your parent(s); Your legal custodian ; Your legal guardian(s) If you cannot find your parent(s)/legal guardian(s), your nearest known living relative residing within Nevada; and If you are on probation or parole, the officer assigned to your case. 4) Leave page 2 (not shown) blank. A court employee will fill it out. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Code: 2550 Name: Address: Telephone: Email: Self Represented Litigant IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. NOTICE / Dept. No. TO: Parent of the Minor: // // // Parent of the Minor: Washoe County District Attorney s Office The following must be filled in only if appropriate in your particular case. If the information is not appropriate in your circumstances, print N/A in the spaces. Legal Custodian(s) of the Minor: Legal Guardian(s) of the Minor: Nearest Known Relative in Nevada: Probation or Parole Officer of the Minor: REV 11/2018 CJ 1 NOTICE OF HEARING

1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 YOU ARE HEREBY NOTIFIED that there has been filed in the above-entitled court a Petition for Emancipation of the above-named minor person, and that the petition has been set for hearing before the Family Division of the Second Judicial District Court, in Washoe County in Department, at One South Sierra Street, Reno, Nevada, on the day of the month of the year 20 at o clock.m., at which time and place you are required to be present if you desire to oppose the petition. This document does not contain the personal information number of any person as defined by NRS 603A.040. Dated this day of, 20. JACQUELINE BRYANT CLERK OF THE COURT By: Deputy Clerk 16 17 18 19 20 21 22 23 24 25 26 27 28 REV 11/2018 CJ 2 NOTICE OF HEARING

Do Not Copy Or File This Page INSTRUCTIONS: STEP 8 Serving the Documents: Everyone listed on the notice must be personally served with the documents. PERSONAL SERVICE CANNOT BE COMPLETED BY YOU. The Declaration of Personal Service must be completed by the person who served the documents and the Declaration of Personal Service must be filed electronically in this case (see INSTRUCTIONS: STEP 9). If you cannot locate any of the people listed on the Notice, please contact the Self Help Center at 775-325-6731 for further information. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

INSTRUCTIONS: STEP 9 Do Not Copy Or File This Page Complete the Declaration of Personal Service as Shown: The person who completes service must fill out the declaration and sign it. It is your responsibility to file the original declaration of personal service with the court after service is completed. A separate Declaration of Personal Service has to be filled out for each person served with the Petition of Emancipation and Notice of Hearing. Two forms are provided for you in this packet. 1) Print your name, address, telephone number and e-mail address. 2) Print the minor s name. Print the Case No. and the Department No. just as they appear on all other forms in this case. 3) Check the correct box(es) to indicate who served the document(s), how the document(s) were served, which document(s) were served, and where and when the document(s) were served. 4) The person who Completed service must sign and date this document. REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7

1 2 3 4 Code: 1520 Name: Address: Telephone: Email: Self-Represented Litigant 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. / Dept. No. DECLARATION OF PERSONAL SERVICE (To be filled out and signed by the person who served the Defendant or Respondent.) I,, declare: (Name of person who completed service) 1. I am not a party to this action and am over 18 years of age. 2. I am not a licensed process server; I am a natural person serving legal process without compensation, not more than three times per year, on behalf of a litigant who is a natural person, and therefore I am not required to be licensed pursuant to NRS 648.063(2). 3. I was able to complete service. 4. I personally delivered and left the document(s) with: The person to the case. I served the document(s) on the party at the location below. (Name of person served) (Street Address, City, State, and Zip Code of where served) 28 REV 6/2018 JCB 1 DECLARATION OF PERSONAL SERVICE

1 2 3 4 5 6 7 8 9 10 11 A person who lives with the person to the case. I served the document(s) on a person of suitable age and discretion who lives with the party at the location below. (Name of person served) (Street Address, City, State, and Zip Code of where served) 5. I served the following document(s): (check all that apply) Petition for Emancipation; Notice; Other:. Other:. 12 13 6. Service was completed on / /, at the hour of A.M. OR P.M. 14 15 16 17 18 This document does not contain the personal information of any person as defined by NRS 603A.040. I declare under penalty of perjury under the law of the State of Nevada that the foregoing statements are true and correct. * 19 20 21 22 23 24 25 Date: Signature: (Signature of person who completed service) Printed Name: (Name of person who completed service) 26 27 * 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. 28 REV 6/2018 JCB 2 DECLARATION OF PERSONAL SERVICE

1 2 3 4 Code: 1520 Name: Address: Telephone: Email: Self-Represented Litigant 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 IN THE FAMILY DIVISION OF THE SECOND JUDICIAL DISTRICT COURT OF THE STATE OF NEVADA In the Matter of Emancipation of: IN AND FOR THE COUNTY OF WASHOE, (Name) A Minor. Case No. / Dept. No. DECLARATION OF PERSONAL SERVICE (To be filled out and signed by the person who served the Defendant or Respondent.) I,, declare: (Name of person who completed service) 1. I am not a party to this action and am over 18 years of age. 2. I am not a licensed process server; I am a natural person serving legal process without compensation, not more than three times per year, on behalf of a litigant who is a natural person, and therefore I am not required to be licensed pursuant to NRS 648.063(2). 3. I was able to complete service. 4. I personally delivered and left the document(s) with: The person to the case. I served the document(s) on the party at the location below. (Name of person served) (Street Address, City, State, and Zip Code of where served) 28 REV 6/2018 JCB 1 DECLARATION OF PERSONAL SERVICE

1 2 3 4 5 6 7 8 9 10 11 A person who lives with the person to the case. I served the document(s) on a person of suitable age and discretion who lives with the party at the location below. (Name of person served) (Street Address, City, State, and Zip Code of where served) 5. I served the following document(s): (check all that apply) Petition for Emancipation; Notice; Other:. Other:. 12 13 6. Service was completed on / /, at the hour of A.M. OR P.M. 14 15 16 17 18 This document does not contain the personal information of any person as defined by NRS 603A.040. I declare under penalty of perjury under the law of the State of Nevada that the foregoing statements are true and correct. * 19 20 21 22 23 24 25 Date: Signature: (Signature of person who completed service) Printed Name: (Name of person who completed service) 26 27 * 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. 28 REV 6/2018 JCB 2 DECLARATION OF PERSONAL SERVICE

INSTRUCTIONS: STEP 10 Do Not Copy Or File This Page The Hearing: Arrive approximately 15 minutes prior to your scheduled time for your hearing. Go to the third floor and check in with the clerk at the front counter. When you case is called, enter the courtroom and take a seat at the table on your right. The judge will have questions for you. If the emancipation is granted, the judge will issue an order granting the emancipation. 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 Division 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 leave message if necessary http://nlslaw.net WASHOE LEGAL SERVICES 299 S. Arlington Avenue Reno, NV 89501 (775) 329-2727 leave message if necessary http://www.washoelegalservices.org REV 12/2018 CJ Self Help Center 775-328-6731 EM VISUAL INSTRUCTIONS Law Library 775-325-3250 Filing Office 775-328-3110 x 7