ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address and Telephone No.): ATTORNEY FOR (Name): FOR COURT USE ONLY ATTORNEY BAR # SUPERIOR COURT OF CALIFORNIA, COUNTY OF ORANGE Street Address: 341 The City Drive Mailing Address: Post Office Box 14171 City and Zip Code: Orange, CA 92863-1571 IN THE MATTER OF THE PETITION TO DETERMINE PARENTAL RIGHTS OF ALLEGED NATURAL FATHER AND TO DETERMINE NECESSITY OF CONSENT: __________________________________________________________________ __________________________________________________________________ Adopting Parents DECLARATION AND ORDER DISPENSING WITH NOTICE TO ALLEGED NATURAL FATHER CASE NUMBER: _________________________________________________________________________________________ Name of Natural Father or Unknown Natural Father _________________________________________________________________________________________ Address or Unknown DECLARATION OF EFFORTS TO LOCATE The Adopting Parent(s) has / have no knowledge as to the whereabouts of the alleged natural father. The Adopting Parent(s) has / have made inquiries as to the alleged natural father’s whereabouts from the natural mother. The Adopting Parent(s) declare that the natural mother has no knowledge of the alleged natural father’s whereabouts. (Indicate what additional efforts were made by the Adopting Parent(s) to locate the alleged natural father). I certify (or declare) under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Executed on ________________________ at ___________________________________________ , California. Date Place ___________________________________________________ Signature ORDER OF THE COURT It is the order of this Court that notice to the alleged natural father (named above) or unknown natural father is dispensed with. Dated_____________________________ __________________________________________________ Judge of the Superior Court 478 (1/99) DECLARATION AND ORDER DISPENSING WITH NOTICE TO ALLEGED NATURAL FATHER 2001 (C) American LegalNet, Inc.