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Petition ForTermination Of Parent-Child Relationship Form. This is a Arizona form and can be use in Pinal Local County.
Tags: Petition ForTermination Of Parent-Child Relationship, Arizona Local County, Pinal
Name of Person Filing Document:
Your Mailing Address:
Your Telephone Number:
Attorney Bar Number (if applicable):
Self (Without Attorney) OR Attorney
Representing
Petitioner
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(s) is:
Name:
Address:
2. That the name(s), date of birth(s) residence and place(s) of birth and of the minor child(ren) is / are:
a. Name:
Date of Birth:
Address:
County of Residence:
Place of Birth:
b. Name:
Date of Birth:
Address:
County of Residence:
Place of Birth:
c. Name:
Date of Birth:
Address:
County of Residence:
Place of Birth:
d. Name:
Date of Birth:
Address:
County of Residence:
© Superior Court of Arizona in Pinal County
August 30, 2010
ALL RIGHTS RESERVED
Place of Birth:
SV Petition to Terminate Parental Rights
Use only most current version
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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 natural parents, if known are:
Name of Mother of Minor Child(ren):
Address:
Date of Birth:
Name of Father of Minor Child(ren):
Address:
Date of Birth:
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 Mother
Father
has abandoned
the child(ren) and has made no effort to maintain a parental relationship with said child(ren).
( ) that
Mother Father
has not provided
support and has nor communicated with said child(ren) for six (6) months or longer.
( ) that
Mother Father
token efforts to support or communicate with said child(ren).
has made only
8. That Petitioner(s)
intend to petition for the adoption of minor child(ren) or
is only terminating parental rights of absent parent:
is the natural parent and
Child’s Name
Child’s Name
Child’s Name
Child’s Name
WHEREFORE it is requested that the Court set the matter for hearing and that the parent / child(ren)
relationship be severed.
© Superior Court of Arizona in Pinal County
August 30, 2010
ALL RIGHTS RESERVED
SV Petition to Terminate Parental Rights
Use only most current version
American LegalNet, Inc.
www.FormsWorkFlow.com
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
© Superior Court of Arizona in Pinal County
August 30, 2010
ALL RIGHTS RESERVED
SV Petition to Terminate Parental Rights
Use only most current version
American LegalNet, Inc.
www.FormsWorkFlow.com
