Free Petition to Terminate Parent Child Relationship - Arizona


File Size: 105.3 kB
Pages: 3
Date: June 14, 2007
File Format: PDF
State: Arizona
Category: Court Forms - Local
Author: MGriglak
Word Count: 369 Words, 3,233 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://pinalcountyaz.gov/Departments/JudicialBranch/ClerkoftheCourt/Documents/Downloads/Severence/Petition%20for%20Termination%20of%20Parental%20Rights.pdf

Download Petition to Terminate Parent Child Relationship ( 105.3 kB)


Preview Petition to Terminate Parent Child Relationship
Name of Person Filing Document:_ Your Mailing Address: ______ Your Telephone Number: Attorney Bar Number (if applicable): ______ Self (Without Attorney) OR Attorney Petitioner Representing

Respondent

IN THE SUPERIOR COURT OF ARIZONA
PINAL COUNTY
In the Matter of the Severance of: ) ) ) ) ) ) ) Minor Child / Children ) ____________________________________)

Case No. SV 2

PETITION FOR TERMINATION OF PARENT / CHILD RELATIONSHIP

The Petitioner allege as follows:
1. That the names and residence of the Petitioner is:

2. That the name(s), sex, date(s) and place(s) of birth and residence of the minor child(ren) is / are:

3. That the minor child(ren) is /are present in the State of Arizona:

Yes

or

No.

If no, Explain:__________________________________________________________________.

4. That the relationship of the Petitioner(s) to the minor child(ren is: _________________________________________________________________________________.

5. That the names, addresses, and the dates of birth of the parents, if known are:

__________________________________________________________________________________

6. That the person or agency having legal custody of the minor child(ren):

7. That the grounds for termination of the parent child relationship is: ( ) that __________________________________ has abandoned the child(ren) and has made no

effort to maintain a parental relationship with said child(ren). ( ) that _________________________________ has not provided support and has nor

communicated with said child(ren) for six (6) months or longer. ( ) that _________________________________ has made only token efforts to support or

communicate with said child(ren).

8. That Petitioner(s) have petitioned for the adoption of __________________________________.

WHEREFORE it is requested that the Court set the matter for hearing and that the parent / child(ren) relationship of ___________________________________ and _______________________________, _____________________, ________________________, ____________________________ be severed.

__________________________________________ Petitioner

__________________________________________ Petitioner

STATE OF ARIZONA County of Pinal

) ) ss. )

___________________________________________, being first duly sworn, says: That I have read the foregoing Petition for Termination of Parent / Child Relationship and know the contents thereof; that the matters and things therein set forth are true to the best of my own knowledge and belief. ____________________________________ Petitioner

Subscribed and sworn to before me this _________ day of _____________________, _________ ____________________________________ Notary Public

STATE OF ARIZONA County of Pinal

) ) ss. )

___________________________________________, being first duly sworn, says: That I have read the foregoing Petition for Termination of Parent / Child Relationship and know the contents thereof; that the matters and things therein set forth are true to the best of my own knowledge and belief. ____________________________________ Petitioner

Subscribed and sworn to before me this _________ day of _____________________, _________ ____________________________________ Notary Public