4-983.

[Section 40-10B-8 NMSA 1978]

STATE OF NEW MEXICO

COUNTY OF ________________________

_______________ JUDICIAL DISTRICT

_____________________________________

[Petitioner] [Petitioners]

v.                                                                                             No. ____________

________________________________

[Respondent] [Respondents]

IN THE MATTER OF THE GUARDIANSHIP

OF ________________________________

NOMINATION OF KINSHIP GUARDIAN

I, ____________________________ (list child's name), was born on _______________________ and I am fourteen (14) years old or older.

I request the court to appoint ______________________ (name of guardian) [and ______________________________ (name of guardian)] as my kinship [guardian] [guardians].

I state upon my oath or affirmation that this document and the statements in it are true and correct to the best of my information and belief.

__________________________________________

Child's signature

Address:                     ________________________________

                                    ________________________________

                                    ________________________________

Telephone:                  ______________________

STATE OF NEW MEXICO                          )

                                                                        ) ss

COUNTY OF _____________________      )

Acknowledged, subscribed and sworn to before me this _____ day of ____________, _____ by _________________, the above-named child.

My commission expires:        ________________________________

_____________________.     Notary Public

USE NOTE

1.         Section 40-10B-11 NMSA 1978 of the Kinship Guardianship Act provides that "the court shall appoint a person nominated by a child who has reached his fourteenth birthday unless the court finds the nomination contrary to the best interests of the child". If a child is fourteen (14) years of age or older, this form is to be signed by the child prior to the filing of the petition and shall be attached to and served with the petition.

[Provisionally approved, effective August 15, 2003 until August 31, 2004; approved, October 14, 2004.]