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District Court Denver Probate Court County, Colorado Court Address: In the Interest of: Respondent COURT USE ONLY Case Number: Court Visitor (Name and Address): Phone Number: FAX Number: E-mail: Atty.
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I acknowledge that information requested may (have) to do with (a) (a) (the). I understand this information will be examined only for purposes of (b) (b) (the). Furthermore, I understand and accept this (information). Furthermore, I understand (I have the right to be present for this) session and (I understand if I choose not to be present I will be informed of this). If I do not answer any of the following questions, I certify under penalty of perjury that I am not a minor, mentally incompetent, or legally incapacitated. If I do not provide truthful and accurate information I may lose my right to appear at or testify at a session and I may be fined, imprisoned, or forced to pay a fine of 100.

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