STATE OF NEW MEXICO
COUNTY OF _______________
________________ JUDICIAL DISTRICT
_______________________________, Petitioner(s)
No. __________
IN THE MATTER OF THE KINSHIP GUARDIANSHIP OF
____________________________ , (a) Child(ren) (use initials only)), and concerning ____________________________, Respondent #1, ____________________________, Respondent #2.
Enter the initials of each child listed in the Petition to Appoint Kinship Guardian.
PARENTAL CONSENT TO APPOINTMENT OF KINSHIP GUARDIAN
1. I, ___________________________ (name of parent), am the adoptive or biological parent of ______________________ (name(s) of child(ren)). I do hereby knowingly and voluntarily consent to the following: (select all that apply)[] The appointment of Petitioner(s) as TEMPORARY kinship guardian(s) for no more than one hundred eighty (180) days.
[] The appointment of Petitioner(s) as PERMANENT kinship guardian(s).
As used in this form, a permanent kinship guardian is a guardian whose appointment continues until the child's eighteenth birthday or until the guardianship is revoked based on proof that the circumstances justifying the appointment have changed and that revocation is in the child(ren)'s best interests.
____________________ (Petitioner(s)).
3. I agree that it is in the child(ren)'s best interests that Petitioner(s) be named as the child(ren)'s Kinship Guardian(s).4. I understand that while the guardianship is in effect, Petitioner(s) will have the right to make all decisions about visitation and the health, education, and welfare of the child(ren) unless otherwise ordered by the court.5. I understand that I might not have visitation and it may be up to Petitioner(s) if I have visitation with my child(ren).6. I request to be notified of hearings in this case at the address listed below. I understand that I must notify the court of any changes in my address.7. I understand that the court may require me to pay child support.8. I understand that I do not have to sign this consent form, and that I have the right to appear in court to contest the guardianship.9. I understand that I may withdraw this consent before the court enters an order granting the guardianship. I also understand that to withdraw my consent I must notify the court in writing.10. I understand that if I desire at a later date to revoke the guardianship, I will have to petition the court using Form 4A-512 NMRA and will have to prove that the circumstances have changed and that revocation is in the child(ren)'s best interests. ___________________________________
Signature of Respondent-parent
___________________________________
___________________________________
Address
___________________________________
Telephone number and email address
STATE OF NEW MEXICO
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COUNTY OF
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ss
_________________
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Acknowledged, subscribed and sworn to before me this _____ day of _____________, _____ by _________________, Respondent-parent.
____________________________________
Notary Public
My commission expires: ________________
Provisionally approved, effective 8/15/2003 until8/31/2004; approved, effective 1/20/2005; 4-985 recompiled and amended as 4A-505 by Supreme Court Order No. 16-8300-020, effective for all pleadings and papers filed on or after12/31/2016; as amended by Supreme Court Order No. 22-8300-020, effective for all pleadings and papers filed on or after 12/31/2022; as amended by Supreme Court Order No. S-1-RCR-2023-00052, effective for all cases pending or filed on or after 12/31/2024. ANNOTATIONS The 2016 amendment, approved by Supreme Court Order No. 16-8300-020, effective December 31, 2016, rewrote the form and Use Note. Recompilations. - Pursuant to Supreme Court Order No. 16-8300-020, former 4-985 NMRA was recompiled and amended as 4A-505 NMRA, effective for all pleadings and papers filed on or after December 31, 2016.