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Vernon's Texas Rules Annotated - VTRA TX R PARENT NOT Form 2B . CONFIDENTIAL APPLICATION FOR WAIVER OF PARENTAL NOTIFICATION AND CONSENT: VERIFICATION PAGE

Current as of January 01, 2024 | Updated by Findlaw Staff

CAUSE NO.

(Do not fill in the blank above. Court staff will fill in the blank.)

Confidential Application for Waiver of Parental

Notification and Consent: Verification Page (Form 2B)

As prescribed by the Clerk of the Supreme Court of Texas pursuant to Tex. Fam. Code § 33.003(m)

Important: Your Application has two parts: (1) the cover sheet (Form 2A), which asks for basic information about your application; and (2) this verification page (Form 2B), which asks for information about you and for you to swear to the truth of everything you say in the cover sheet and verification page. You must complete both of these forms.

1.

Please provide the following information.

Your full name: ____________________________________________________________________________

Your date of birth: ________________________________________________________________________

Your address (if the place you receive mail is different than the place you actually live, list both addresses):

Your telephone number: _____________________________________________________________________

2.

If you are requesting the court to appoint someone you know as your guardian ad litem (see Question 5 on the Cover Sheet, Form 2A), please identify them:

Name: ______________________________________________________________________________________

Relationship: ______________________________________________________________________________

Address: ___________________________________________________________________________________

Phone: _____________________________________________________________________________________

3.

If you do not have a lawyer, please complete the two blanks below. Tell us how the court, the lawyer appointed by the court, and the guardian ad litem appointed by the court can quickly contact you. If you cannot be contacted, your application will be denied. You can choose to be contacted by telephone or any other method by which you can be contacted immediately and confidentially. If you share a telephone number with another person, or there is another reason why you do not want to be contacted at the telephone number you provided above, you can have us contact someone else who helps you.

Person to be contacted (you or another person): ____________________________________________

Phone number or other contact information: _________________________________________________

Another person to be contacted (optional): _________________________________________________

Phone number or other contact information: _________________________________________________

: Please complete either Option 1 or Option 2 below. You do not have to complete both. If you complete Option 1, you must sign your name before a notary public, court clerk, or another person authorized to give oaths. If you complete Option 2, you do not have to sign your name before a notary public or any other person, but you must swear that the information in your Application is true “under penalty of perjury.” “Perjury” means lying to a judge, and it is a crime. If you swear that a statement is true “under penalty of perjury,” and you make the statement knowing that it is false, you could be prosecuted in criminal court.

Option 1

I swear or affirm that the information in my Application (both the Cover Sheet and this Verification Page) is true and correct.

_________________________________________________

_________________________________________________

Signature of minor

_________________________________________________

_________________________________________________

Name of minor printed or typed

Minor's date of birth

Sworn to or affirmed in my presence this ___ day of __________, 20 ___.

Signature of notary public, clerk, or other person authorized to give oaths

Option 2

My name is __________ (First) __________ (Middle) __________ (Last), my date of birth is __________, and my address is __________ (Street), __________ (City), __________ (State), __________ (Zip Code), and __________ (Country). I declare under penalty of perjury that the information in my Application (both the Cover Sheet and the Verification Page) is true and correct.

Executed in __________ (County), State of __________, on the __________ day of __________ (Month), __________ (Year).

Signature of minor
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Cite this article: FindLaw.com - Vernon's Texas Rules Annotated - VTRA TX R PARENT NOT Form 2B . CONFIDENTIAL APPLICATION FOR WAIVER OF PARENTAL NOTIFICATION AND CONSENT: VERIFICATION PAGE - last updated January 01, 2024 | https://codes.findlaw.com/tx/vernon-s-texas-rules-annotated/vtratx-r-parent-not-form-2b/

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