KINSHIP GUARDIANSHIP INFORMATION SHEET.
NOTE TO CLERK: DO NOT FILE THE INFORMATION SHEET
Type or print responses. Use only for kinship guardianship cases.
Petitioner's name:________________________________________________
Attorney's name:________________________________________________
Attorney's address:______________________________________________
City:_________________________________________________________
State:__________________________________________________________
Zip code:_____________________________________________________
Telephone:___________________________________________________
Email address:_________________________________________________
Petitioner 1 | Petitioner 2 (if applicable) |
Name: _______________________ (Last name, first, middle) Other names (e.g., maiden name): | Name:________________________________ (Last name, first, middle) Other names (e.g., maiden name): |
Address:______________________ | Address:_________________________ |
City: ________________________ State: ________________________ | City:____________________________ State:____________________________ |
Zip code: ____________________ Email address:_________________ | Zip code:_________________________ Email address:_____________________ |
Date of birth: _________________ | Date of birth:______________________ |
Social Security number: ________ | Social Security number:______________ |
Respondent 1 | Respondent 2 |
Name: _______________________ (Last name, first, middle) Other names (e.g., maiden name): | Name:____________________________ (Last name, first, middle) Other names (e.g., maiden name): |
Address:______________________ | Address:_________________________ |
City: State: ________________________ | City: __________________________ State: __________________________ |
Zip code: ____________________ | Zip code: _______________________ |
Email address:_________________ | Email address:_____________________ |
Date of birth: _________________ | Date of birth:___________________________ |
Social Security number: ________ | Social Security number:______________ |
Respondent 3 (if applicable) | Respondent 4 (if applicable) |
Name: ______________________ (Last name, first, middle) Other names (e.g., maiden name): | Name: _______________________________ (Last name, first, middle) Other names (e.g., maiden name): |
Address:______________________ | Address:_________________________ |
City: ________________________ State: ________________________ | City:__________________________________ State:__________________________________ |
Zip code: ____________________ Email address:_________________ | Zip code:_______________________________ Email address:__________________________ |
Date of birth: _________________ | Date of birth:___________________________ |
Social Security number: ________ | Social Security number:______________ |
Name: ______________________ (Last name, first, middle) | Name:_____________________________ (Last name, first, middle) |
Date of birth: ________________ | Date of birth: _________________________ |
Social Security number: _________ | Social Security number:_______________ |
Name: ______________________ (Last name, first, middle) | Name:_____________________________ (Last name, first, middle) |
Date of birth: ________________ | Date of birth: _________________________ |
Social Security number:__________ | Social Security number:_______________ |
Name: ______________________ (Last name, first, middle) | Name:_____________________________ (Last name, first, middle) |
Date of birth: ________________ | Date of birth: _________________________ |
Social Security number:__________ | Social Security number:_______________ |
N.M. Dom. Rel. Forms. 4A-517