IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY In the Matter of the Severance of: ) ) ) ) ) ) ) Case No. SV 2 Notice of Petition to Terminate Parental Rights Pursuant to A.R.S. §8-106 and Notice of Hearing (absent parent(s)) that you , the Petitioner(s), , Minor Child / Children Notice is given to residing at have been identified by or in You are informed of the following: 1. place the child for adoption. natural mother as a potential father of a child to be born or, born on , the natural mother / Petitoner, plans to 2. Under sections 8-106 and 8-107, Arizona Revised Statutes, you have the right to consent or withhold consent to the adoption. 3. Your written consent to the adoption is irrevocable once you give it. 4. If you withhold consent to the adoption, you must initiate paternity proceedings under title 25, chapter 6, article 1, Arizona Revised Statutes, and serve the mother within thirty days after completion of service of this notice. 5. You have the obligation to proceed to judgment in the paternity action. 6. You have the right to seek custody. 7. If you are established as the child's father, you must begin to provide financial support for the child. 8. If you do not file a paternity action under title 25, chapter 6, article 1, Arizona Revised Statutes, and do not serve the mother within thirty days after completion of the service of this notice and pursue the action to judgment, you cannot bring or maintain any action to assert any interest in the child. 9. The Indian child welfare act may supersede the Arizona Revised Statutes regarding adoption and paternity. 10. You may wish to consult with an attorney to assist you in responding to this notice. © Superior Court of Arizona in Pinal County August 30, 2010 ALL RIGHTS RESERVED Page 1 of 2 SV Notice of Petition and Hearing Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com Notice of Hearing A petition to terminate the parent / child relationship between and by having been filed the Petitioner herein states: NOTICE IS HEREBY GIVEN that the Petition for Termination of Parent / Child Relationship is set for hearing on the ______ day of ___________ ______, _________ at ______________ a.m. / p.m. in the Superior Court, Division __________, Pinal County Courthouse, Florence, Arizona, and all persons interested in the matter are notified then and there to appear and show cause, if any they have, why said Order Terminating the Parent- Child Relationship should not be granted. You have a right to appear as a party in this proceeding. The failure of a parent to appear at the initial hearing, the pretrial conference, the status conference or the termination adjudication hearing may result in an adjudication terminating the parent-child relationship of that parent. DATED this ___________ day of ____________________________, _____________. CHAD A ROCHE Clerk of the Superior Court By ___________________________ Deputy Clerk © Superior Court of Arizona in Pinal County August 30, 2010 ALL RIGHTS RESERVED Page 2 of 2 SV Notice of Petition and Hearing Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com