Name of Person Filing Document: Your Mailing Address: ______ Your Telephone Number: Attorney Bar Number (if applicable): ______ Self (Without Attorney) OR Attorney Petitioner Representing
IN THE SUPERIOR COURT OF ARIZONA
In the Matter of the Severance of: ) ) ) ) ) ) ) Minor Child / Children ) ____________________________________)
Case No. SV 2
ORDER FOR TERMINATION
A Petition for Termination of the Parent / Child Relationship having been filed herein and the matter having been heard, this Court finds: That the child / children is present in the State of Arizona and that this Court has jurisdiction; That the parent, _______________________________________ has abandoned the child / children, ____________________, _____________________, __________________. That the parent, __________________________________________ has made no effort to maintain a parental relationship with the child / children; That the child / children, ________________________, ________________________, _________________________; has / have been left without any provisions for his support and without any communications from ___________________________________, for a period of six months or longer, to-wit: _________________________________________
WHEREFORE, IT IS HEREBY ORDERED, ADJUGED AND DECREED that the parent / child relationship of ___________________________ and ______________________, _________________________, _____________________________ is terminated and that the parent / child relationship of ____________________________________ is not affected and guardianship and responsibility for the child's / children's support shall remain with ___________________________________________________.
DONE IN OPEN COURT this _______ day of ________________________, ________.
____________________________________ JUDGE OF THE SUPERIOR COURT