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Show details Hide detailsIn Court, Case Number assigned to Judge , and 3. I am at least 16 years of age. I was born on County, , was remains is no longer pending. in Date . A certified copy of my birth certificate is attached to this petition. State 4. The name(s) and last known address(es) of my parents, guardian, or custodian are: NAME RELATIONSHIP ADDRESS Father Mother Guardian Custodian 5. I presently reside within this county at City, state, zip Street address and I have lived there continuously.
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