Stanislaus — 1. I am/We are the proposed guardian(s) in

Stanislaus — Download¶

Source: https://www.stanislaus.courts.ca.gov/system/files/disclosure_by_guardian.pdf

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ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME, ADDRESS, PHONE) FOR COURT USE ONLY

Attorney for:

SUPERIOR COURT OF CALIFORNIA, COUNTY OF STANISLAUS Street Address: 800 11th Street, Modesto, CA 95354 Civil Clerk’ Office: 1100 I Street, P.O. Box 1098, Modesto, CA 95353

IN THE GUARDIANSHIP OF:

MINOR(S)

DISCLOSURE BY PROPOSED GUARDIAN(S) Case No.

I am/We are the proposed guardian(s) in this proceeding.
I/We have made the parent(s) no promises about this guardianship, except as follows: (List promises given about visitation (if other than requested in item number 3), place of residence, religion, education, support money, and so forth).
I/We ask the court to order the following visitation plan for the minor(s): (As appropriate, list the frequency and duration, whether supervised and by whom, transportation arrangements, etc.)

a. For father:

b. For father’s parents:

c. For mother:

d. For mother’s parents:

e. For the brothers and sisters of minor(s):
The child(ren) will live with □ the guardian(s), or □ (list name, relationship and address):___________________________________________________________________

(continued on reverse)

GR005 (Mandatory Form) Rev 06/11

Exceptions & meaning →

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List persons who will provide non-licensed day care for the child(ren):__________________

List persons who live in the home full or part time and their ages:______________________

Each child will: □ have his/her own bedroom, or □ share a bedroom or other room with the following person:

child____________________with _______________________________

child____________________with________________________________

Each child will: □ have his/her own bed, or □ sleep on a sofa or share a bed with the following persons:

child____________________with________________________________

The child(ren) will attend the following school(s) (list child, his/her school and the distance from their proposed home):_____________________________________________________________________
I will support the child with: □ My income □ AFDC (Aid for Dependent Children) □ Social Security □ Voluntary support paid by the parent(s) (Explain) _________________________________ □ The child(ren)’s money (Explain)

I/WE DECLARE UNDER PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF CALIFORNIA THAT THE FOREGOING IS TRUE AND CORRECT.

Date: _________________

PRINT NAME SIGNATURE

GR005 (Mandatory Form) Rev 06/11

Exceptions & meaning →