NAME, ADDRESS AND TELEPHONE NUMBER OF ATTORNEY/PRO PER Reserved for Clerk's File Stamp Attorney for SUPERIOR COURT OF CALIFORNIA, COUNTY OF LOS ANGELES CASE NUMBER: In the Matter of the Adoption of: PETITION TO DETERMINE PARENTAL RIGHTS OF ALLEGED NATURAL FATHER AND TO DETERMINE NECESSITY OF CONSENT FC 7662 Minor Your petitioner(s) respectfully represent(s) and allege(s): 1. That 20 in is the mother of a minor, born on the day of who is now within the County of Los Angeles, in the custody of the adopting parent(s) for the purpose of adoption. 2. a. That the minor's mother was married at the time said minor was born. b. That the minor's mother was not married at the time said minor was born nor for the 300 days preceding such birth. That the natural father of said minor is who resides at 3. 4. a. That the minor's mother and said father did not cohabit. b. That the minor's mother and said father cohabited for the period from to 5. 6. 7. 8. 9. The minor's mother and said father did not attempt to marry each other before or after the birth of said child. That the father did not openly hold out the child as his natural child and receive it as such into his home. That no child support payments, other than in token amounts, have been made by said father, voluntarily, or pursuant to court order, to adopting parent(s) or any other person for the support of said minor, and he has failed to communicate with said minor. That no action has been brought, nor is any action pending for the purpose of having declared the existence or non-existence between the parties of the relation of parent and child. (If father is unknown): That the facts concerning the conception are 10. That the father 11. The father, to my knowledge ADPT024 (Rev. 04/15) LASC Approved 04/15 For Optional Use know about the pregnancy. presently in the Armed Services. DISTRIBUTION: ORIGINAL TO FILE 2 COPIES TO ATTORNEY PETITION TO DETERMINE PARENTAL RIGHTS OF ALLEGED NATURAL FATHER AND TO DETERMINE NECESSITY OF CONSENT FC 7662 American LegalNet, Inc. www.FormsWorkFlow.com SHORT TITLE: CASE NUMBER: PETITION TO DETERMINE PARENTAL RIGHTS OF ALLEGED NATURAL FATHER AND TO DETERMINE NECESSITY OF CONSENT FC 7662 WHEREFORE, your petitioner prays that this Court find and declare that of said child; that necessary for the adoption of said child. is the natural mother is the natural father of said child; and that the consent of said father is not ATTORNEY FOR PETITIONER(S) / PRO PER VERIFICATION The undersigned represents that he/she is the attorney of record for Petitioner(s). That he/she has read the foregoing Petition and believes that all of the statements contained therein are true. I have read the foregoing Petition to Determine Parental Rights of Alleged Natural Father and to Determine Necessity of Consent and know the contents thereof; and that the same is true of my own knowledge, except as to the matters which are therein stated upon my information or belief, and as to those matters that I believe it to be true. I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed on (insert date) at (insert place) California. I certify (or declare) under penalty of perjury that the foregoing is true and correct. Executed on (insert date) at (insert place) California. ATTORNEY FOR PETITIONER(S) NATURAL MOTHER ADPT024 (Rev. 04/15) LASC Approved 04/15 For Optional Use PETITION TO DETERMINE PARENTAL RIGHTS OF ALLEGED NATURAL FATHER AND TO DETERMINE NECESSITY OF CONSENT FC 7662 Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com