JDF 484 R 3 - 1 8 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 1 of 3 District Court Denver Juvenile Court County, Colorado Court Address: I n the Matter of the Petition of : And Petitioner(s) F or the Relinquishment of a Child , COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Use this form in conjunction with JDF 485 Motion for Publication of Notice The Petitioner swears and affirms that the following attempts have been made to contact the presumed or alleged other parent. 1. Family Members Contacted Without Results: Name Relationship Name Relationship Address Address Phone Phone 2. Friends Contacted Without Results: Name Name Address Address Phone Phone 3. Employers Contacted: Name of Employer Name of Employer Address Address Phone Phone Dates of Employment Dates of Employment 4. Other People Contacted: Name Name Add ress Address American LegalNet, Inc. www.FormsWorkFlow.com JDF 484 R 3 - 1 8 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 2 of 3 Phone Phone No location information known to above party. No location information known to above party. 5. Phone Book Listings in the Last Known Location : Name Name Address Address Phone Phone No party found Party no longer at address No party found Party no longer at address 6. Utilities Information in the Last Known Location: Name Name Address Address Phone Phone Name of Person Contacted Name of Person Contacted No party found Party no longer at address No party found Party no longer at address 7. Military Locator Service: (For Service Members) Name Name Address Address Phone Phone Name of Person Contacted Name of P erson Contacted No party found Party no longer at address No party found Party no longer at address 8. Computer and Internet Search and Inmate Locator Service was completed with the following findings: By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year ) (city or other location, and state OR country (printed name of Petitioner) Signature of Petitioner Date American LegalNet, Inc. www.FormsWorkFlow.com