The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02

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Here is the text we could read:

ATTORNEY OR PARTY WITHOUT ATTORNEY

STATE BAR NUMBER:

FOR COURT USE ONLY

EM-115

NAME:

FIRM NAME:

STREET ADDRESS:

CITY:

TELEPHONE NO.:

E-MAIL ADDRESS:

ATTORNEY FOR (name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF
STREET ADDRESS:

MAILING ADDRESS:

CITY AND ZIP CODE:

BRANCH NAME:

IN THE MATTER OF (name):

STATE:

FAX NO.:

ZIP CODE:

EMANCIPATION OF MINOR INCOME AND 
EXPENSE DECLARATION

Petitioner, a minor

CASE NUMBER:

1.   My name and address are:

My telephone number is:

I have been living at this address since:

I live there with (name and relationship of all persons, including children):

2.   My date of birth is:

3.   

a.

I am attending school (name of school and grade):

b.

I am not attending school. The highest year of education I have completed is:

4.   

My occupation is:

5.   

a.

I am employed. My place of employment is (name and address):

I started work there on (date): 

b.

I am not employed at the present time. I last worked from (starting month and year):

to (ending month and year):

My gross monthly earnings were: $

6.   

a.

I am not receiving welfare or AFDC and I do not intend to apply for welfare or AFDC.

I am receiving welfare or AFDC. Monthly amount received: $ 

b.

c.

d.

I have applied for welfare or AFDC.

I intend to apply for welfare or AFDC.

Form Adopted for Mandatory Use 
Judicial Council of California 
EM-115 [Rev. September 1, 2018]

EMANCIPATION OF MINOR INCOME 
AND EXPENSE DECLARATION

Page 1 of 2

Family Code, § 7000, et seq. 
www.courts.ca.gov

IN THE MATTER OF (name):

CASE NUMBER:

EM-115

7.

The average of my gross monthly earnings is:

Amount

Salary and wages, including bonuses and overtime

Money received from parents or other adults assisting me  

(name and relationship):

Other 

(specify source and amount):

8.

I have the following assets:

Value

a.

b.

c.

a.

b.

c.

d.

e.

f.

a. 

b.

c.

d.

e.

Date:

Cash

Checking account

Savings account

Stocks, bonds

Vehicle

(year, make, model):

Other

(specify):

Mortgage

Rent or

Food

Clothing

Vehicle

Phone and utilities

(1)

Loan payments

(2)  Maintenance

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

 $

9.

My monthly expenses are:

Amount

I declare under penalty of perjury that the foregoing is true and correct.

(TYPE OR PRINT NAME)

(SIGNATURE OF PETITIONER)

 EM-115 [Rev. September 1, 2018]

Page 2 of 2

EMANCIPATION OF MINOR INCOME 
AND EXPENSE DECLARATION

Emancipation of Minor Income and Expense Declaration

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the California state courts. To learn more about the project, check out our about page.

Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from selfhelp.courts.ca.gov (2023-03)
Page(s): 2
Fields(s): 79
Average fields per page: 39
Reading Level: Grade 5
LIST Grouping(s): Unknown

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

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topmost_subform_page_fill_text__4 was topmostSubform[0].Page1[0].FillText1[0] (0.44 conf)
topmost_subform_page_fill_text__5 was topmostSubform[0].Page1[0].FillText1[1] (0.44 conf)
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topmost_page_date_field__1 was topmostSubform[0].Page1[0].DateField1[0] (0.40 conf)
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topmost_subform_page_afd_c__3 was topmostSubform[0].Page1[0].AFDC[2] (0.40 conf)
topmost_subform_page_afd_c__4 was topmostSubform[0].Page1[0].AFDC[3] (0.40 conf)
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topmost_subform_page_p_caption_atty_party_info_firm was topmostSubform[0].Page1[0].p1Caption[0].AttyPartyInfo[0].AttyFirm[0] (0.42 conf)
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topmost_subform_page_p_caption_atty_party_info_fax was topmostSubform[0].Page1[0].p1Caption[0].AttyPartyInfo[0].Fax[0] (0.42 conf)
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topmost_subform_page_p_caption_court_info_crt_city_zip was topmostSubform[0].Page1[0].p1Caption[0].CourtInfo[0].CrtCityZip[0] (0.34 conf)
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topmost_page_assets_vehicle was topmostSubform[0].Page2[0].AssetsVehicle[0] (0.41 conf)
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topmost_subform_page_fill_text__20 was topmostSubform[0].Page2[0].FillText13[6] (0.44 conf)
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topmost_subform_page_fill_text__22 was topmostSubform[0].Page2[0].FillText13[8] (0.44 conf)
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topmost_subform_page_fill_text__24 was topmostSubform[0].Page2[0].FillText13[10] (0.44 conf)
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topmost_subform_page_fill_text__26 was topmostSubform[0].Page2[0].FillText13[12] (0.44 conf)
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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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topmost_subform_page_attendingschool__1
topmost_subform_page_fill_text__2
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topmost_subform_page_p_caption_atty_party_info_fax
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topmost_subform_page_p_caption_atty_party_info
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topmost_subform_page_fill_text__17
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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

Emancipation of Minor Income and Expense Declaration

About This Form:

Identified Data Fields:

Create an Interactive Version of this Form:

The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02