ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF IMPERIAL 939 W. Main Street El Centro, CA 92243 PETITIONER: CASE NUMBER: PETITION TO DECLARE MINOR FREE FROM PARENTAL CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION Petitioner alleges: 1. Petitioner , is the stepfather/stepmother of the subject minor child ____________________________________, and seeks an order freeing the minor from custody and control of the father/mother ________ ____ , and termination of parental rights as to the minor. 2. Petitioner is seeking to adopt , and a Request for Adoption has been filed in the Superior Court of the County of Imperial. 3. , is an unmarried minor child and is a resident of _______________, in Imperial County, California. 4. On or about , petitioner became the legal spouse of _______________________, the mother/father of the minor child. 5. Petitioner has known and now has physical custody of the minor since , and resides in ____________________, in Imperial County, California, as the legal spouse of __________________________________. 6. The minor child's father/mother has not contacted the minor child nor the minor child's mother/father since _________________________________________. Based on the father's/mother's abandonment of the minor child, (Family Code 7882) petitioner requests the court terminate his/her parental rights to allow the minor child to be adopted by Petitioner:________________________________________________________ WHEREFORE, Petitioner prays as follows: 1. For an order declaring the minor child, , free from custody and parental control of , and terminating all of his/her parental rights and responsibilities with respect to the minor child, ____________________________. 2. For such other relief as the court may deem proper. Dated: (Petitioner) Form Approved for Optional Use AD-03 (Adopted 01/01/12, Revised 01/01/13) PETITION TO DECLARE MINOR FREE FROM PARENTAL CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION American LegalNet, Inc. www.FormsWorkFlow.com