Minor Child's Waiver and Request

STATE OF INDIANA

COUNTY OF DELAWARE

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) SS:
)

IN THE DELAWARE CIRCUIT COURT NO. ____

IN RE THE GUARDIANSHIP OF:

CAUSE NO: 18C0__________________________

MINOR CHILD’S WAIVER AND REQUEST

(Minor Child Over Age Fourteen)

I hereby state:

I am a Minor Child, age Fourteen (14) Years or older, birth date: _________________.

I have received and read a copy of the PETITION FOR APPOINTMENT OF A GUARDIAN (“Petition”) seeking the appointment of

____________________________________ as Guardian.

I enter my general appearance with respect to the Petition.

I waive the issuance and service of notice of hearing upon the Petition.

I request the Court enter an Order granting the Petition because I believe it is in my best interest.

I affirm under the penalties for perjury that the foregoing representations are true.

Dated this _______ day of __________________, 20 ____.

Signature of Minor Child

Printed Name of Minor Child

Address

City, State, Zip