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  • Guardianship of TAGE LOZANO Print Guardianship of Person Only  document preview
  • Guardianship of TAGE LOZANO Print Guardianship of Person Only  document preview
  • Guardianship of TAGE LOZANO Print Guardianship of Person Only  document preview
  • Guardianship of TAGE LOZANO Print Guardianship of Person Only  document preview
						
                                

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‘ SUPERIORFCJUIR'T op CA FORN'A Gc_21 O(CA) Guardianship PetitionfiWfimo ease Number; Attachment (hlurdiunship of (all children 's names): MAY I 8 2023 rhiscnnavmem. r MM; TAM Loam) »r_fi_ar/ y F Fill out a separate copy 0fthis form for each child for whom‘ydli ’wkmthyéb—nfi tgépfidint a guardian. This form is attached to the Petition. D item 2 of form KTGC-ZIO, D item 8 of form KTGC-210(P). The Petition asks for the appoimment ofa gMdian ofthis child's (specifir): D person D estate D person and estate Q) Ten the court about this chi: a . Child s tun legal name Date ofbmh Q2 Zfl Zé5H Firs! MonIh/Day/Yoar d/e/L) L831, Child‘s currentaddrgg g I I Fde H/TE 573163101213 (:4. @2311 (Answer the questions in item c only ifrhe Petition m which thisfarm is attached asksfor the appointment ofa guardian ofthis child's person or this child's person and estate.) (l) Is this child a mcmbcr of, 0r cligiblc for membership in, an Indian tribc recognized by the fcdcral government? Z’No D Not sure D Yes, (specifiz tribe): ls this child married? D Yes WNO D Never married Ifyou checked “No," was this child formerly married but the marriage was dissolved or cndcd in divorce? D ch Z/No (The court cannot appoint a guardian ()fthe persun/br a minor child who is married 0r whose marriage was dissolved 0r ended in divorce.) ls this child receiving public assistance? 2/ch D No D Unknown (Ifyou checked "Yes. "fill out below.) Type of Aid Monthly Benefit Type of Aid Monthly Benefit Z71 Ob TANF (Temporary Asst. for Needy Families) 5 7¥/. D Other (explain): S D Social Security D Other (explain): $ D Dept. Veterans Affairs Benefits 5 | ’ ‘. Name and address ofthc persoRwithicgal custo ol this child: // 3 f LUHIIE 33’ 66/66/04) 4% - 9 2?” “W" ”WOW" Guardianship Petition—Child Information Attachment KTGC-210(CA). Page 1 0” www karuk us RIVIsod 911/1 0 (Probate—Guardianships and Conservatorships) a ’s ca" Numb": Guardianship of (all children names): MKSISZIM 375 This child’s name: ’I/figg LDZA‘AJ'D Tell the court about this child (continued) G) g- D (Check (his box andfil! out below iflhe person (he child lives with is no! (he person with legal custody.) Name and address ofthc person this child lives with (has thc care ofthc child): h. D (Check this box iftlu's child has been involved in an adoption, juvenile court, marriage dissolution (divorce), domestic relations. custody, or other similar court case.) Describe the coun case below: Type of Case Coun District or County and State Case Number (if known) i. D (Check this box (/‘this or on Ieavefrom an institution supervised by (he California Department of child is in Developmental Services or the California Department ofMental Health.) Write thc namc of the institution hcrc: ® List the Relationship names and addresses of this child’s relatives Name and other persons shown below: Home Address (Street. City, Slate, Zip) Father MI/MEL §HA AE gm Mom) f/Zt/AAH' ‘ Mother {IyNT/f/fl “47/403 llAlKA‘DU)” AA! 26AM Grandfather bfl “E SJ/HAE p MK mermb, ' D. I020 CA. 723627 waher'sramen jflflk— P p D fi‘x ID 20 Grandmother éLDRIA - (Father’s mother) I D . Grandfather alt’x $132 2 [2 Ag ‘ fit, f (Mother‘s father) Grandmother [>510 Kg; “((571,— /l 3 E Lc/‘éfll’g $7 . (Mother‘s mother) Brothcr/Sistcr TAT/j/fl “Agghlfl \v‘ IQ'LKWLLE. CA‘ €7.37 Brothcr/Sister TA! AEA} LAP” I \/;CTD&/lLLE/.fi 9‘23012. Brothcr/Sistcr KTGC-210(CA), Page 2 014 Ruvnsed 9/ 0 Guardianship Petition—Child Information Attachment 9 1 / 1 (Probate—Guardianships and Conservatorships)