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IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON<br />

IN AND FOR THE COUNTY OF KITSAP<br />

In re <strong>the</strong> Emancipation <strong>of</strong>:<br />

No.<br />

PETITION FOR EMANCIPATION<br />

(PTE)<br />

I. BASIS<br />

The undersigned m<strong>in</strong>or, who is sixteen years <strong>of</strong> age or older and who is a resident <strong>of</strong> <strong>the</strong> State <strong>of</strong><br />

Wash<strong>in</strong>gton, petitions <strong>the</strong> <strong>court</strong> for a Declaration <strong>of</strong> Emancipation.<br />

1.1 Petitioner’s full name:<br />

Petitioner’s present address<br />

& phone number:<br />

Length <strong>of</strong> time at that address:<br />

Petitioner’s birth date:<br />

<strong>County</strong> and State <strong>of</strong> Petitioner’s birth:<br />

1.2 A certified copy <strong>of</strong> <strong>the</strong> Petitioner’s birth certificate accompanies this petition.<br />

1.3 Name <strong>of</strong> <strong>the</strong> Petitioner’s parent or parents, guardian, or custodian:<br />

Last known address <strong>of</strong> <strong>the</strong> Petitioner’s parent or parents, guardian, or custodian:<br />

PETITION FOR EMANCIPATION (PTE)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 1 <strong>of</strong> 3


1.4 The Petitioner has <strong>the</strong> ability to manage his or her f<strong>in</strong>ancial affairs. This declaration is<br />

based on <strong>the</strong> follow<strong>in</strong>g support<strong>in</strong>g <strong>in</strong>formation:<br />

1.5 The Petitioner has <strong>the</strong> ability to manage his or her personal, social, educational, and<br />

nonf<strong>in</strong>ancial affairs. This declaration is based on <strong>the</strong> follow<strong>in</strong>g support<strong>in</strong>g <strong>in</strong>formation:<br />

PETITION FOR EMANCIPATION (PTE)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 2 <strong>of</strong> 3


1.6 O<strong>the</strong>r:<br />

II. RELIEF REQUESTED<br />

The Petitioners REQUESTS <strong>the</strong> <strong>court</strong> to enter a Decree <strong>of</strong> Emancipation grant<strong>in</strong>g <strong>the</strong> Petitioner <strong>the</strong><br />

power and capacity <strong>of</strong> an adult, except as provided <strong>in</strong> RCW 134.64.060(2).<br />

Dated:<br />

Signature <strong>of</strong> Petitioner<br />

Pr<strong>in</strong>t or Type Name<br />

I declare under penalty <strong>of</strong> perjury under <strong>the</strong> laws <strong>of</strong> <strong>the</strong> State <strong>of</strong> Wash<strong>in</strong>gton that <strong>the</strong> forego<strong>in</strong>g is<br />

true and correct.<br />

Signed at ,(City and State) on .(Date)<br />

Signature <strong>of</strong> Petitioner<br />

Pr<strong>in</strong>t or Type Name<br />

PETITION FOR EMANCIPATION (PTE)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 3 <strong>of</strong> 3


Superior Court <strong>of</strong> Wash<strong>in</strong>gton<br />

<strong>County</strong> <strong>of</strong> <strong>Kitsap</strong><br />

In Re <strong>the</strong> Emancipation <strong>of</strong>:<br />

______________________________<br />

Petitioner<br />

No.<br />

Order Appo<strong>in</strong>t<strong>in</strong>g Guardian ad<br />

Litem<br />

(ORAPGL)<br />

A Petition for Emancipation hav<strong>in</strong>g been filed here<strong>in</strong> and <strong>the</strong> Court f<strong>in</strong>d<strong>in</strong>g that a<br />

Guardian Ad Litem should be appo<strong>in</strong>ted to <strong>in</strong>vestigate <strong>the</strong> basis and allegations <strong>of</strong> <strong>the</strong><br />

Petition and to file a written report with this <strong>court</strong>; and <strong>the</strong> Court be<strong>in</strong>g fully advised <strong>in</strong> <strong>the</strong><br />

premises, now , <strong>the</strong>refore, it is hereby<br />

Ordered that <strong>the</strong> Juvenile Department <strong>of</strong> <strong>Kitsap</strong> county <strong>superior</strong> Court is hereby<br />

appo<strong>in</strong>ted as Guardian Ad Litem to <strong>in</strong>vestigate <strong>the</strong> basis and allegations <strong>of</strong> <strong>the</strong> Petition<br />

here<strong>in</strong> and to file a written report with this <strong>court</strong> on or before ______________________,<br />

and it is fur<strong>the</strong>r<br />

Ordered that <strong>the</strong> above-named Petitioner shall forthwith personally contact <strong>the</strong><br />

Juvenile Department <strong>of</strong> this <strong>court</strong> (360-337-5480) and shall assist and cooperate with said<br />

Department <strong>in</strong> its <strong>in</strong>vestigation here<strong>in</strong>; and it is fur<strong>the</strong>r<br />

Ordered that <strong>the</strong> Clerk <strong>of</strong> <strong>the</strong> <strong>court</strong> shall forthwith forward a copy <strong>of</strong> this Order to<br />

<strong>the</strong> Juvenile Department <strong>of</strong> this Court.<br />

Dated:<br />

Judge/Commissioner<br />

Presented by:<br />

Signature<br />

Pr<strong>in</strong>t or Type Name<br />

ORDER APPOINTING GUARDIAN AD LITEM<br />

EMANCIPATION, RCW 13.64.010; .020<br />

Emancipation forms packet 01/03/2008 Page 1 <strong>of</strong> 1


IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON<br />

IN AND FOR THE COUNTY OF KITSAP<br />

In re <strong>the</strong> Emancipation <strong>of</strong>:<br />

No.<br />

NOTICE OF HEARING<br />

(NTHG)<br />

TO:<br />

You are hereby NOTIFIED:<br />

1. A Petition for Emancipation, a copy <strong>of</strong> which is attached, has been filed.<br />

2 A hear<strong>in</strong>g date has been set:<br />

On: Tuesday, at 3 PM<br />

(date)<br />

(time)<br />

At: <strong>Kitsap</strong> <strong>County</strong> Superior Court<br />

Youth Services Center<br />

1338 SW Old Clifton Road<br />

Port Orchard, WA 98367<br />

3. The purpose <strong>of</strong> <strong>the</strong> hear<strong>in</strong>g is to determ<strong>in</strong>e whe<strong>the</strong>r <strong>the</strong> relief requested <strong>in</strong> <strong>the</strong><br />

Petition for Emancipation should be granted.<br />

Dated:<br />

Signature <strong>of</strong> Petitioner or Petitioner’s Attorney<br />

Pr<strong>in</strong>t or type name<br />

NOTICE OF HEARING (NTHG)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 1 <strong>of</strong> 1


IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON<br />

IN AND FOR THE COUNTY OF KITSAP<br />

In re <strong>the</strong> Emancipation <strong>of</strong>:<br />

No.<br />

DECREE OF EMANCIPATION<br />

(DCE)<br />

I. BASIS<br />

A hear<strong>in</strong>g on a Petition for Emancipation has been held <strong>in</strong> this <strong>court</strong>.<br />

II. FINDINGS<br />

The <strong>court</strong> FINDS that <strong>the</strong> Petition for Emancipation should be granted and a Decree entered<br />

because:<br />

[ ] The petitioner has proved <strong>the</strong> follow<strong>in</strong>g facts by clear and conv<strong>in</strong>c<strong>in</strong>g evidence:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

<strong>the</strong> petitioner is sixteen years <strong>of</strong> age or older;<br />

<strong>the</strong> petitioner is a resident <strong>of</strong> <strong>the</strong> State <strong>of</strong> Wash<strong>in</strong>gton;<br />

<strong>the</strong> petitioner has <strong>the</strong> ability to manage his or her f<strong>in</strong>ancial affairs; and<br />

<strong>the</strong> petitioner has <strong>the</strong> ability to manage his or her personal, social, educational, and<br />

nonf<strong>in</strong>ancial affairs.<br />

[ ] There is clear and conv<strong>in</strong>c<strong>in</strong>g evidence that denial <strong>of</strong> <strong>the</strong> grant <strong>of</strong> emancipation would be<br />

detrimental to <strong>the</strong> <strong>in</strong>terests <strong>of</strong> <strong>the</strong> m<strong>in</strong>or (to be checked only if a parent, guardian, custodian,<br />

or <strong>the</strong> department opposes <strong>the</strong> petition for emancipation).<br />

III. DECREE<br />

3.1 The Petition for Emancipation is granted.<br />

3.2 The petitioner shall obta<strong>in</strong> a Wash<strong>in</strong>gton driver’s license or a Wash<strong>in</strong>gton identification card.<br />

The Department <strong>of</strong> Licens<strong>in</strong>g shall make a notation <strong>of</strong> <strong>the</strong> emancipated status on <strong>the</strong><br />

license or identification card.<br />

DECREE OF EMANCIPATION (DCE)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 1 <strong>of</strong> 2


3.3 The petitioner shall be considered to have <strong>the</strong> power and capacity <strong>of</strong> an adult, except as<br />

provided <strong>in</strong> paragraph 3.4 below. The petitioner shall be considered emancipated for <strong>the</strong><br />

purposes <strong>of</strong>, but not limited to:<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

(e)<br />

(f)<br />

(g)<br />

(h)<br />

The term<strong>in</strong>ation <strong>of</strong> parental obligations <strong>of</strong> f<strong>in</strong>ancial support, care, supervision, and<br />

any o<strong>the</strong>r obligation <strong>the</strong> parent may have by virtue <strong>of</strong> <strong>the</strong> parent-child relationship,<br />

<strong>in</strong>clud<strong>in</strong>g obligations imposed because <strong>of</strong> marital dissolution;<br />

The right to sue or be sued <strong>in</strong> his or her own name;<br />

The right to reta<strong>in</strong> his or her own earn<strong>in</strong>gs;<br />

The right to establish a separate residence or domicile;<br />

The right to enter <strong>in</strong>to nonvoidable contracts;<br />

The right to act autonomously, and with <strong>the</strong> power and capacity <strong>of</strong> an adult, <strong>in</strong> all<br />

bus<strong>in</strong>ess relationships, <strong>in</strong>clud<strong>in</strong>g but not limited to property transactions;<br />

The right to work, and earn a liv<strong>in</strong>g, subject only to <strong>the</strong> health and safety regulations<br />

designed to protect those under age <strong>of</strong> majority regardless <strong>of</strong> <strong>the</strong>ir legal status; and<br />

The right to give <strong>in</strong>formed consent for receiv<strong>in</strong>g health care services.<br />

3.4 The petitioner shall not be considered an adult for:<br />

(a)<br />

(b)<br />

(c)<br />

The purposes <strong>of</strong> <strong>the</strong> adult crim<strong>in</strong>al laws <strong>of</strong> <strong>the</strong> <strong>state</strong> unless <strong>the</strong> decl<strong>in</strong>e <strong>of</strong> jurisdiction<br />

procedures conta<strong>in</strong>ed <strong>in</strong> RCW 13.40.110 are used;<br />

The crim<strong>in</strong>al laws <strong>of</strong> <strong>the</strong> <strong>state</strong> when <strong>the</strong> emancipated m<strong>in</strong>or is a victim and <strong>the</strong> age<br />

<strong>of</strong> <strong>the</strong> victim is an element <strong>of</strong> <strong>the</strong> <strong>of</strong>fense; or<br />

Those specific constitutional and statutory age requirements regard<strong>in</strong>g vot<strong>in</strong>g, use <strong>of</strong><br />

alcoholic beverages, and o<strong>the</strong>r health and safety regulations relevant to <strong>the</strong> m<strong>in</strong>or<br />

because <strong>of</strong> <strong>the</strong> m<strong>in</strong>or’s age.<br />

[ ] O<strong>the</strong>r:<br />

Dated:<br />

Judge/Court Commissioner<br />

DECREE OF EMANCIPATION (DCE)<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 2 <strong>of</strong> 2


IN THE SUPERIOR COURT OF THE STATE OF WASHINGTON<br />

IN AND FOR THE COUNTY OF KITSAP<br />

In re <strong>the</strong> Emancipation <strong>of</strong>:<br />

No.<br />

ORDER DENYING PETITION<br />

FOR EMANCIPATION (ORDYMT)<br />

ORDER DISMISSING PETITION<br />

FOR EMANCIPATION (ORDSM)<br />

I. BASIS<br />

A hear<strong>in</strong>g on a petition for emancipation has been held <strong>in</strong> this <strong>court</strong>.<br />

II. FINDINGS<br />

The <strong>court</strong> FINDS that <strong>the</strong> petition for emancipation should be denied for <strong>the</strong> reasons that follow.<br />

The petitioner has not proved by clear and conv<strong>in</strong>c<strong>in</strong>g evidence that:<br />

<strong>the</strong> petitioner is sixteen years <strong>of</strong> age or older.<br />

<strong>the</strong> petitioner is a resident <strong>of</strong> <strong>the</strong> <strong>state</strong>.<br />

<strong>the</strong> petitioner has <strong>the</strong> ability to manage his or her f<strong>in</strong>ancial affairs.<br />

<strong>the</strong> petitioner has <strong>the</strong> ability to manage his or her personal, social, educational and<br />

nonf<strong>in</strong>ancial affairs.<br />

There is not clear and conv<strong>in</strong>c<strong>in</strong>g evidence that denial <strong>of</strong> <strong>the</strong> grant <strong>of</strong> emancipation would be<br />

detrimental to <strong>the</strong> <strong>in</strong>terests <strong>of</strong> <strong>the</strong> m<strong>in</strong>or. (To be checked only when a parent, guardian, custodian, or<br />

<strong>the</strong> department, opposes <strong>the</strong> petition for emancipation.)<br />

The petition for emancipation is denied.<br />

III. ORDER<br />

The petition for emancipation is dismissed for failure <strong>of</strong> petitioner to appear.<br />

Dated:<br />

Judge/Court Commissioner<br />

ORDER DENYING/DISMISSING PETITION<br />

EMANCIPATION, RCW 13.64.010; .020<br />

0198 01/03/2008 Page 1 <strong>of</strong> 1

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