Consent To Change Of Name Of Minor

alabama alaska arizona arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas

Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina

North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Louisiana-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Louisiana County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Kentucky-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

Commonwealth of Kentucky County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Kansas-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

Iowa-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Iowa County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Indiana-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Indiana County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Illinois-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Illinois County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Idaho-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Idaho County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Hawaii-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Hawaii County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Georgia-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Georgia County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Florida-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Florida County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Columbia-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Columbia County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Delaware-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

District of Delaware County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Connecticut-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Colorado County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

From: _____________________________________ To: _______________________________________

Colorado-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Colorado County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

California-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of California County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Arkansas-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Arkansas County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Arizona-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Arizona County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

Alaska-- Consent To Change of Name of Minor

About this Form: The following consent form may accompany the Petition for "Change of Name of Minor" if required by State law. Please make contact with the court clerk in your county (in which the minor lives) to find out whether or not this particular "Consent To Change of Name of Minor" is needed.

State of Alaska County of _____________	Court ______________________ Docket No. _________________
Name of Petitioner(s):	In re:  Change of Name of Minor
_____________________________	From: _____________________________ To: _____________________________

I make the following declaration:

1. Name:  My name is _________________________, and as of the date of the signing of this Consent, I have always been known by that name, with the following exceptions, if any:
_____________________________________________________
_____________________________________________________
_____________________________________________________

2. Residence:  I reside at _________________________ [insert the residential address] and have lived at this address for _______ [insert length of time in months or years at this address].

3. Consent to Change of Name of Minor:  I am fully informed of the legal consequences and effects, and I give my consent to the request of the Petitioner(s) to change the name of said minor child as follows:

From: _____________________________________ To: _______________________________________

Verification

I, ___________________________ [name of individual granting his or her consent], affirm under penalty of perjury that all statements in this Consent to Change of Name of Minor are accurate to the best of my knowledge.

Transfer Of Property To One Spouse

As a result of the cessation of the separation proceedings, initiated by ___________, and as a result of the withdrawal of application for alimony and reimbursement of attorney fees, the spouse of the above-stated individual agrees to state him/her as the sole owner of the property described as ________________
_______________
________________

The spouse agrees to have no claims to this property, in accordance with the

Surrogate Release And Hold Harmless Agreement

I, [Surrogate's name], referred to as "Surrogate"), and [Surrogate's Husband's name], her Husband, (referred to as "Husband"), have applied to _________, attorney at law, to be considered as a surrogate to bear a child for [Natural Father's name]. It is my desire to enter into the preceding fee paid Surrogate Parenting Agreement where I will be artificially inseminated by a physician for the purpose of becoming pregnant. Upon birth, we as Surrogate and Husband will surrender our custody rights to the child in favor of [Natural Father's name], the child's natural and biological father; and where necessary and permitted by law, terminate all parental rights to the child.

Special Power Of Attorney

FOR THE __________ DISTRICT OF __________

To _________________ of _______________ (mailing address), and ____________ of _____________ (mailing address):

The undersigned claimant hereby authorizes you, or any one of you, as attorney in fact for the undersigned (if desired: and with full power of substitution,) to attend the meeting of creditors of the debtor or any adjournment of the meeting, and to vote in my behalf on any question that may be lawfully submitted to creditors at such meeting or adjourned meeting, and for a trustee or trustees of the estate of the debtor.

Revolving Multiple Support Agreement

AGREEMENT made [date] by and between [name], residing at [address], [name], residing at [address], and [name], residing at [address].

WHEREAS, each of the parties is a child [or, a niece or nephew; or, an aunt or uncle; or, a child or grandchild] of [name] (Dependent) who resides at [address]; and

Revocation Of Will

1. Revocation. I, [name], residing at [address], hereby revoke the Will duly executed by me on [date]. I hereby direct that it shall be null and void and not admitted to probate.

Revocation Of Power Of Attorney

1. Description of Power of Attorney. KNOW ALL MEN BY THESE PRESENTS, that I, [name], residing at [address], did by an instrument dated [date] constitute and appoint [name], residing at [address], my true and lawful Attorney-in-Fact for me to do any and all acts that I could do if personally present.

Remarriage Agreement

(Should be used if parties who have a prior divorce decree or property settlement remarry to handle the issues which are caused by the remarriage.)

REMARRIAGE AGREEMENT

[NAME] HUSBAND, referred to as HUSBAND, and [NAME] WIFE, referred to as WIFE, agree:

The parties were married on [Date], and were divorced at _________________, City, ______ State on [Date]. The divorce became absolute and final, and the parties thereupon returned to the status of single and unmarried persons.

The parties have remarried on [Date] and now are husband and wife.

The parties entered into a comprehensive property settlement contract on [Date].

Pursuant to the prior agreements, court orders or both, certain property transactions have occurred. These transactions shall remain final and are not affected by the parties' remarriage.

Ratification Of Marriage

(This form is used when there may be a legal question concerning a marriage, for example, if there is a question about the license etc. After the execution of this agreement, the irregularities are waived.)

Power Of Attorney To Settle Estate

1. Appointment of Attorney. KNOW ALL MEN BY THESE PRESENTS, that we, [names], residing at [address], the legal heirs of [name] (Decedent), make, constitute, and appoint [name] of [address] to be our lawful Attorney-in-Fact for us and to do any and all acts that we could do if personally present.

Power Of Attorney For Minor Children

[NAME], the "parent" of [NAME], herewith appoints [NAME] of ____, as their attorney in fact, to act in the place and stead and with the same authority as Principal would have to do the following acts:

Power of Attorney by Husband & Wife

We, _________ and _________, husband and wife, who reside at _____________________, in the city of _________, county of _________, state of _________ do constitute and appoint _________, who resides at _____________________, in the city of _________, county of _________, state of _________, our true and lawful attorney in fact, for us in our name, place, and stead to do all or any of the following:

Option To Purchase Personal Property

1. Introduction. Agreement made [date] between [name], residing at [address] (Seller), and [name], residing at [address] (Buyer).

2. Grant of Option. In consideration of the sum of ---------- dollars ($----------), receipt of which is acknowledged by Seller, Seller grants to Buyer the option to purchase the following goods and chattels: [description].

New Spouse Codicil

CODICIL

WHEREAS, on ________, 20 __, I, _______________________, executed my last will and testament, and;

WHEREAS, I made various instructions and bequests, and,

WHEREAS , I desire to add an additional provision to the will;

I NOW PUBLISH THIS CODICIL to my last will and testament of :

I reaffirm all parts and exhibits of said will, except that, I:

have since the execution of the will married __________________, and direct that my spouse shall receive the following:

Medical Records Release Form

(This form is used for a patient to authorize payment of the release of their records for particular purposes.)

AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION

TO WHOM IT MAY CONCERN

Husband And Wife Termination By Divorce

As a legally binding addendum and amendment to our partnership agreement dated _______, 20 __.

We, ________________ and ___________________ submit the following:

This agreement is effective and shall continue until such time that the husband and wife, (named partners ) are separated or divorced by law. In the event partners are separated or divorced, this agreement will be terminated and any and all assets will be divided equally and any rights to property will also be divided equally.

Forgive Debt Cancel Debt Codicil

CODICIL

WHEREAS, on ___________, 20 __, I, ___________, executed my last will and testament, and;

WHEREAS, I made various instructions and bequests, and,

WHEREAS , I desire to add an additional provision to the will;

I NOW PUBLISH THIS CODICIL to my last will and testament of :

I reaffirm all parts and exhibits of said will, except that, I:

Forgive the following debts:

I direct that the executors of my estate deliver acquittances of the debt.

Divorce Agreement

(Although persons who are divorcing have proved that they are not compatible, sometimes they can agree on some issues and agree to fight on others. This form prepares a pre-divorce agreement which can contain agreements regarding inheritance, child visitation, division of debts, item by item.)

Divorce Agreement Comprehensive

[Marital Dissolution]

THIS AGREEMENT entered into this ________ day of ________ 20___, by and between [name], hereinafter referred to as "Husband", and [name], hereinafter referred to as "Wife":

WITNESSETH:

WHEREAS, certain differences have arisen between the parties which appear to be irreconcilable and there is now pending in the _________________ [court] case number _____ , a suit for divorce between the parties being [name] vs. [name] and;

Disclaimer Of Interest Under Will

WHEREAS, I, of [ADDRESS], declare that I am a beneficiary under the Last Will and Testament (hereinafter the "Will") of [NAME OF DECEDENT] dated [DATE]; and

WHEREAS, on [DATE], the said [NAME OF DECEDENT] died; and

WHEREAS, on the [DATE], the Will was admitted to probate in the District of .............; and

Custody Of Child

[Name] is the father of the child [Name] born on the _________ day of _________, 20__. [Name] has for most of the time resided with her [his] grandparents. [Name], the mother of [Name], is now seriously ill and may not recover and it has been agreed that in the event of death the grandparents shall assume the care and maintenance of [Name] and take over custody, to which [Name] has agreed.

In consideration of the premises and one dollar paid by grandparents to [Name], [Name] grants and assigns to grandparents all rights to the possession, custody, control, and care of [Name] and all the right and advantage to be derived from the custody and possession of the child until she [he] attains majority or marries under that age.

Consent Of Parent Surgery For Minor

I, _________________________________, declare that:

1. I am the _______________ (Father/Mother) of _________________________, a minor, age __________ (___), born ____________ (Date), and I have full custody and control of the minor.

Consent: Temporary Guardianship Of Child

AUTHORIZATION & CONSENT OF PARENT(S) OR LEGAL GUARDIAN(S):

1. I hereby declare that I have legal custody of the above named child.

2. I hereby grant my full permission and consent for the temporary guardian to establish a place of residence for my child, and for my child to reside and travel with said temporary guardian.

Child Support Temporary Suspension

(Agreement for child support to be halted for a period of time. Provides options for repayment in the future, or, forgiveness.)

AGREEMENT FOR TEMPORARY SUSPENSION OF CHILD SUPPORT PAYMENTS

[NAME] THE HUSBAND, referred to as HUSBAND, and [NAME] THE WIFE, referred to as WIFE, agree:

HUSBAND is obligated to pay child support to WIFE, for the care of __________, ___________ AND _________, their children. The present payment for such child support equals $------ (dollars) paid weekly. Due to FLOODING, the parties agree that payment of support shall be suspended beginning on [Date] until [Date].

No future repayment of the amount of child support not paid shall be required.

Child Support Temporary Reduction

(Agreement for temporary reduction of child support. Provides that the support may be increased in the future or reduction may be adjusted.)

AGREEMENT FOR TEMPORARY REDUCTION OF CHILD SUPPORT

[NAME] THE HUSBAND, referred to as HUSBAND, and [NAME] THE WIFE, referred to as WIFE, agree:

WIFE is obligated to pay child support to HUSBAND, for the care of _________, __________ AND ___________, their children.

The present payment for such child support equals $------ (dollars) paid weekly.

Due to LAYOFF OF WIFE, the parties agree that the amount of the support shall be reduced beginning on [Date] to $------ (dollars) to be paid weekly, until [Date].

On [Date], the amount of support shall return to $------ (dollars)

No future repayment of the reduced amount of child support shall be required.

Child Custody & Visitation Agreement

_______________ ("Custodian") shall have custody of ________________ ("Child"), and control and supervision of _________ [his or her] upbringing, subject to the following:

1. ________________________ ("Non-Custodial Parent") shall have the right to visit the Child once each week, on either of the following days, between the following hours, respectively:

(A) on _________ [day of the week] between ___________ [starting hour] and __________ [ending hour] or _________ [alternate starting hour] and _________ [alternate ending hour]; or (B) on _________ [day of the week] between __________ [starting hour] and _________ [ending hour] or __________ [alternate starting hour] and _________ [alternate ending hour].

It is agreed that the Non-Custodial Parent will notify the Custodian on or before ________ [day of the week and time of day] whether the Non-Custodial Parent intends to visit the Child and on which of the designated days and times. If the day or hour selected is inconvenient, the Custodian will notify the Non-Custodial Parent no later than _________ [day of the week and time of day], and the Non-Custodial Parent shall be permitted to visit the Child the alternate day or during the alternate hours.

2. Nothing contained in this agreement shall be construed as an obligation or a duty on the part of the Non-Custodial Parent to accept custody of the Child at the time or for the periods indicated. The intention of the parties is that the Non-Custodial Parent's right of visitation shall be entirely optional to Non-Custodial Parent, and should the Non-Custodial Parent so desire, Non-Custodial Parent may waive the privilege of visitation on any occasion and for any reason, without waiving Non-Custodial Parent's right to future visits.

3. _____ Not applicable, or _____ Due to the present immaturity of the Child, the Non-Custodial Parent shall not at the present time be entitled to take the Child away from the Custodian's home for any period of time. However, if at a later date, when the Child becomes older, the Child personally expresses a wish or desire to accompany his/her Non-Custodial Parent and spend with that parent a period of time other than the periods set forth in this agreement, the Custodian will consent to such partial custody at that time and for such period.

4. The Custodian shall promptly notify the Non-Custodial Parent in the event of illness of the Child. The word "illness" shall be deemed to mean any illness, other than any illness from which the Child is now suffering, which shall confine the Child to bed for more than two days.

5. On all matters of importance relating to the Child's health and education, the Custodian shall consult and confer with the Non-Custodial Parent, with a view to adopting and following a harmonious policy.

Change Of Beneficiary Notice

Date: ______________________

To: _______________________

Dear ______________________,

BE IT ACKNOWLEDGED, that _________ of ______________, is hereby designated beneficiary in and to a certain life insurance policy numbered _______ and issued by _______. Said policy is dated _______, 20__, the present death benefit payable is in the amount of $ _____ on the life of the undersigned. This change of beneficiary acknowledgment terminates all prior designations of beneficiary heretofore made. Please forward any necessary change of beneficiary forms.

Signed under seal this _____ day of ________, 20 __.

______________________

Insured

______________________

Address

STATE OF ____________

COUNTY OF __________

On ____________ before me, _____________, personally appeared, personally known to me (or proved to me on the basis of satisfactory evidence) to be the person(s) whose name(s) is/are subscribed to the within instrument and acknowledged to me that he/she/they executed the same in his/her/their authorized capacity(ies), and that by his/her/their signature(s) on the instrument the person(s), or the entity upon behalf of which the person(s) acted, executed the instrument.

Change Of Beneficiary

Date: ____________________

To: _____________________

Autopsy Authorization

As codicil and amendment to my will, dated __________________, and witnessed by ____________, ______________, and ______________, I, ________________ declare the following:

Should the cause of my death be in question, my executor shall permit a physician to perform an autopsy in accordance with the laws and regulations of the state of _____.

Date: _____________.

Authorization: For Minor's Medical Treatment

AUTHORIZATION & CONSENT OF PARENT(S) OR LEGAL GUARDIAN(S)

I do hereby solemnly swear that I have legal custody of the aforementioned minor child.

I grant my authorization and consent for _________ (hereafter “Supervising Adult”) to administer general first aid treatment for any minor injuries or illnesses experienced by the minor. If the injury or illness is life threatening or in need of emergency treatment, I authorize the Supervising Adult to summon any and all professional emergency personnel to attend, transport, and treat the participant and to issue consent for any X-ray, anesthetic, blood transfusion, medication, or other medical diagnosis, treatment, or hospital care deemed advisable by, and to be rendered under the general supervision of, any licensed physician, surgeon, dentist, hospital, or other medical professional or institution duly licensed to practice in the state in which such treatment is to occur.