Stipulation and Order - Supreme Court of Nevada Law Library

12345678910111213141516171819202122232425262728Code:(Your name) _______________________________(Address)(Telephone)_____________________________________________________________________________________________In Proper PersonIN THE _______ JUDICIAL DISTRICT COURT OF THE STATE OF NEVADAIN AND FOR THE COUNTY OF _______________In the Matter of the Guardianship )of the Person of: ))_______________________________, ) CASE NO. ____________)A Minor. ) DEPT. NO. ____________)STIPULATION AND ORDERCOMES NOW the Co-Guardian(s), (names) __________________________________ and_____________________________________, both in Proper Person, and hereby stipulate andagree to the following.1. That a guardianship over the minor ward (name) ____________________________is no longer necessary because ______________________________________________________.2. That the guardianship over the minor ward (name) __________________________should be terminated.3. That (name of parent(s)) ________________________ will have physical custodyof the minor ward. Prior to the guardianship, (name of parent(s)) ________________________had physical custody of the minor ward. By terminating this guardianship, (name of parent(s)NOTE: must be same as the custody arrangement that was in effect immediately prior to the1 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728guardianship) ___________________________ knows that he/she/they will be responsible for thewelfare and well-being of the ward. The minor ward will reside at (address of parent)______________________________________________________________________________.4. (CHECK ONLY ONE BOX) That both of the minor ward’s parents will sign this stipulation and order.OR That (name of parent) ___________________________ will sign this stipulationand order. The signature of the minor ward’s (mother/father) __________________ cannot beobtained because ________________________________________________________________.(Signature)(Name)(Address)(Telephone)DATED this _________ day of (month) _____________, (year) ____________.______________________________________________________________________________________________________________________________________________________In Proper PersonSTATE OF NEVADA ))COUNTY OF ______________ )VERIFICATION OF FIRST PARENTI, (name of first parent)__________________________________, being first duly swornunder penalty of perjury, hereby depose and say:2 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728That I am the  mother/  father of the minor ward in the within action; that I have readthe foregoing Stipulation and Order and know the contents thereof; that the same is true of myknowledge except as to those matters therein stated upon information and belief and as to thosematters, I believe them to be true._____________________________________(Signature)SIGNED and SWORN to before me by (name of first parent) ___________________________on the _____ day of ____________________, _____.____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERKSTATE OF NEVADA ))COUNTY OF ______________ )ACKNOWLEDGMENT OF FIRST PARENTOn this _____ day of ______________________, __________, before me, the undersignedNotary Public in and for the said County and State, personally appeared (name of first parent)____________________________ known to me to be the person described in and who executedthe foregoing instrument, and who acknowledged to me that  he/  she did so freely and3 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728voluntarily and for the uses and purposes therein mentioned.WITNESS my hand and official seal.STATE OF NEVADA ))COUNTY OF ______________ )___________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERKVERIFICATION OF SECOND PARENTI, (name of second parent)__________________________________, being first duly swornunder penalty of perjury, hereby depose and say:That I am the  mother/  father of the minor ward in the within action; that I have readthe foregoing Stipulation and Order and know the contents thereof; that the same is true of myknowledge except as to those matters therein stated upon information and belief and as to thosematters, I believe them to be true._____________________________________(Signature)SIGNED and SWORN to before me by (name of second parent) ___________________________on the _____ day of ____________________, _____.____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERK4 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728STATE OF NEVADA ))COUNTY OF ______________ )ACKNOWLEDGMENT OF SECOND PARENTOn this _____ day of ______________________, __________, before me, the undersignedNotary Public in and for the said County and State, personally appeared (name of second parent)_____________________________________ known to me to be the person described in and whoexecuted the foregoing instrument, and who acknowledged to me that  he/  she did so freelyand voluntarily and for the uses and purposes therein mentioned.WITNESS my hand and official seal.STATE OF NEVADA ))COUNTY OF ______________ )VERIFICATION OF FIRST GUARDIAN_____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERKI, (name of first guardian)__________________________________, being first duly swornunder penalty of perjury, hereby depose and say:5 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728That I am the guardian of the minor ward in the within action; that I have read theforegoing Stipulation and Order and know the contents thereof; that the same is true of myknowledge except as to those matters therein stated upon information and belief and as to thosematters, I believe them to be true._____________________________________(Signature)SIGNED and SWORN to before me by (name of first guardian) ___________________________on the _____ day of ____________________, _____.____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERKSTATE OF NEVADA ))COUNTY OF ______________ )ACKNOWLEDGMENT OF FIRST GUARDIANOn this _____ day of ______________________, __________, before me, the undersignedNotary Public in and for the said County and State, personally appeared (name of first guardian)____________________________ known to me to be the person described in and who executedthe foregoing instrument, and who acknowledged to me that  he/  she did so freely and6 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728voluntarily and for the uses and purposes therein mentioned.WITNESS my hand and official seal.STATE OF NEVADA ))COUNTY OF ______________ )VERIFICATION OF SECOND GUARDIAN(IF NOT APPLICABLE, WRITE “N/A”)_____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERKI, (name of second guardian)__________________________________, being first dulysworn under penalty of perjury, hereby depose and say:That I am the co-guardian _______________________________ in the within action; that Ihave read the foregoing Stipulation and Order and know the contents thereof; that the same is trueof my knowledge except as to those matters therein stated upon information and belief and as tothose matters, I believe them to be true._____________________________________(Signature)SIGNED and SWORN to before me by (name of second guardian) _________________________on the _____ day of ____________________, _____.____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERK7 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728STATE OF NEVADA ))COUNTY OF ______________ )ACKNOWLEDGMENT OF SECOND GUARDIANOn this _____ day of ______________________, __________, before me, the undersignedNotary Public in and for the said County and State, personally appeared (name of second guardian)_____________________________________ known to me to be the person described in and whoexecuted the foregoing instrument, and who acknowledged to me that  he/  she did so freelyand voluntarily and for the uses and purposes therein mentioned.WITNESS my hand and official seal._____________________________________NOTARY PUBLICOR____________________________________DEPUTY CLERK8 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006

12345678910111213141516171819202122232425262728this Court.ORDERUPON A READING of the foregoing Stipulation of the parties and good cause appearing,IT IS HEREBY ORDERED that the parties’ stipulation is adopted and made an Order ofIT IS FURTHER ORDERED that the guardianship over the person of the minor ward,(name) _______________________________, is terminated.DATED this _____ day of _________________, _______.Respectfully Submitted:(Your signature)________________________________(Your name) _________________________________(Address) __________________________________________________________________(Telephone) _________________________________(circle one) Plaintiff/Defendant In Proper Person///////////////////////////_____________________________________DISTRICT JUDGE9 of 9Stipulation to Terminate©2006 Nevada Supreme CourtStipulation and Order Revised December 14, 2006