Free Supporting Affidavit (For Service by Mail or Personal Service Without the State) - Hawaii

FAMILY COURT FIRST CIRCUIT STATE OF HAWAI`I
In the Matter of Adoption of A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: by [ ]the legal spouse of [ ]and [ ]the child(ren)'s legal parent [ ]husband and wife [ ]an unmarried person

SUPPORTING AFFIDAVIT (For Service by Mail or Personal Service Without the State)

CASE NUMBER FC-A NO.

Petitioner(s).

The undersigned being first duly sworn on oath, deposes and says that: This affidavit is made in support of the prayer of the petition that notice to the non-consenting [ ] mother [ ] father [ ] legal guardian [ ] legal custodian of the subject child be given by [ ] mail [ ] personal service without the state. The name of the non-consenting person/agency is: follows: . . The present address or the last known address of the non-consenting person/agency is as

Signature of Petitioner

State of Hawai`i, County of Honolulu: Date
08/07/01

Signature:

Printed Name of Notary Public:

Commission Expires:

Notary Public, State of Hawai`i
SUPPORT AFFIDAVIT (For Service

by Mail or Personal Service Without the State)