Form 4A-517. Kinship guardianship information sheet.

KINSHIP GUARDIANSHIP INFORMATION SHEET. NOTE TO CLERK: DO NOT FILE THE INFORMATION SHEET Type or print responses. Use only for kinship guardianship cases. 1. Petitioner’s attorney information. (Complete only if Petitioner has an attorney.) Petitioner’s name: ________________________________________________________ Attorney’s name: ________________________________________________________ Attorney’s address: ________________________________________________________ City: ________________________________________________________ State: ________________________________________________________ Zip code: ________________________________________________________ Telephone: ________________________________________________________ Email address: ________________________________________________________ 2. Information regarding Petitioner(s) and Respondent(s). There may be multiple petitioners and respondents. Fill out the information for each petitioner and respondent. (Do not use an attorney’s mailing address. Use a separate sheet if necessary.) Petitioner 1 Petitioner 2 (if applicable) Name: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Other names (e.g., maiden name): Other names (e.g., maiden name): _______________________________________ _______ ______________________________________ _____ Address: ______________________________ Address: ______________________________ City: ____________________________ City: ____________________________ State: ___________________________ State: ___________________________ Zip code: ________ Zip code: ________ Email address: _________________________ Email address: _________________________ Date of birth: ______________________ Date of birth: ______________________ Social Security number: ____________ Social Security number: _____________ Respondent 1 Respondent 2 Name: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Other names (e.g., maiden name): Other names (e.g., maiden name): _______________________________________ _______ _______________________________________ _______ Address: ______________________________ Address: ______________________________ City: ____________________________ City: ____________________________ State: ___________________________ 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: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Other names (e.g., maiden name): Other names (e.g., maiden name): _______________________________________ _______ _______________________________________ _______ Address: ______________________________ Address: ______________________________ City: ____________________________ City: ____________________________ State: ___________________________ State: ___________________________ Zip code: ________ Zip code: ________ Email address: _________________________ Email address: _________________________ Date of birth: ______________________ Date of birth: ______________________ Social Security number: ____________ Social Security number: _____________ 3. Minor children. (Provide the date of birth and social security number for each minor child. Use a separate sheet if necessary.) Name: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Date of birth: ______________________ Date of birth: ______________________ Social Security number: ____________ Social Security number: _____________ Name: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Date of birth: ______________________ Date of birth: ______________________ Social Security number: ____________ Social Security number: _____________ Name: _______________________________ Name: _______________________________ (Last name, first, middle) (Last name, first, middle) Date of birth: ______________________ Date of birth: ______________________ Social Security number: ____________ Social Security number: _____________