ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, address and telephone #): FOR COURT USE ONLY STATE BAR NO: ATTORNEY FOR (Name): MARIN COUNTY SUPERIOR COURT 3501 Civic Center Drive P.O. Box 4988 San Rafael, CA 94913-4988 IN THE MATTER OF THE PETITION OF: ON BEHALF OF: A CHILD, CITATION TO APPEAR (Family Code Sections 7880 and 7881) THE PEOPLE OF THE STATE OF CALIFORNIA: CASE NUMBER: To __________________________________________ (name of absent parent(s)): By order of this court you are hereby cited to appear before a judge of the Marin County Superior Court in courtroom ________, located at 3501 Civic Center Drive, San Rafael, California on ______/______/______ at ______:______ AM / PM, to show cause, if you have any reason why the minor child should not be declared free from parental custody and control of his/her parent(s), according to the petition filed under Family Code sections 7800 et seq. The petition to declare the child free from custody and control of a parent has been filed for the purpose of freeing the minor child for adoption. Advisement of Rights and Procedures You have the right be represented by counsel. If you appear without counsel, and are unable to afford counsel, upon your request, the court shall appoint counsel to represent you. The court may also appoint counsel to represent the minor, whether or not the child is able to afford counsel. Private counsel appointed by the court shall be paid a reasonable sum for compensation and expenses, in an amount to be determined by the court and which amount shall be paid by the parties, other than the child, in proportions the court deems just. However, if a party is unable to afford counsel, the amount shall be paid out of the county's general fund. The court may continue the proceeding for up to 30 days as necessary to appoint counsel and to enable counsel to become familiar with the case. (Seal) JAMES M. KIM Court Executive Officer By: DATE DEPUTY FL023 CITATION TO APPEAR (Family Code §§7880 and 7881) Rev. 3/2/16 American LegalNet, Inc. www.FormsWorkFlow.com