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Application For Order For Publication Of Citation (Abandonment Re Adoption) Form. This is a California form and can be use in San Bernardino Local County.
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Tags: Application For Order For Publication Of Citation (Abandonment Re Adoption), SB-9005, California Local County, San Bernardino
ATTORNEY OR PARTY WITHOUT ATTORNEY (NAME AND ADDRESS):
TELEPHONE NO.:
FOR COURT USE ONLY
ATTORNEY(S) FOR (NAME):
SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO
Central District, 351 North Arrowhead Avenue, San Bernardino, CA 92415-0210
West District, 8303 Haven Avenue, Rancho Cucamonga, CA 91730
Desert District, 14455 Civic Drive, Victorville, CA 92392
North Desert District, 235 East Mountain View, Barstow, CA 92311
TITLE OF CASE (ABBREVIATED) IN THE MATTER OF
, A Minor
(A) Person(s) who should be declared free from the custody and control of (h
) (their) parents
CASE NUMBER:
APPLICATION FOR ORDER FOR PUBLICATION OF CITATION
(ABANDONMENT RE: ADOPTION)
Companion Adoption No.
STATE OF CALIFORNIA, COUNTY OF SAN BERNARDINO
Application is hereby made for an order directing service of the foregoing citation on
Name of Citee - Including Aliases
by publication of said citation in the
which newspaper is most likely
to give notice to said parent or alleged parent because
GROUND 1:
Resides out
of State at
specific
address.
See
Rule 20
Sec. 1(a)
GROUND 2:
Has departed
from the
State.
See
Rule 20
Sec. 1(b)
Said parent or alleged parent resides out of the State of California, at
,
Street Address
in
,
City
. Such place of residence was corroborated on
State
day of
,
, by the attached documentary evidence*
Within Past 90 Days
Said parent or alleged parent departed from the State of California on or about the
day of
,
, under the following circumstances:
.
Until such departure, said parent or alleged parent resided in California, at
,
Street Address
. The attached documentary evidence*
received on
City
day of
Within 90 Days
,
, show that said parent or alleged parent
is (are) now outside the State of California.
Said parent or alleged parent conceals himself to avoid service. The attached affidavit of
shows repeated efforts to serve said parent or alleged parent on
GROUND 3:
Conceals
himself
to avoid
service.
See
Rule 20
Sec. 1(d)
day of
,
, and on
day of
,
,
and also alleges facts tending to show concealment to avoid such service. Said parent or alleged parent knew of the
pendency of this action at the time such service was first attempted because on
,
day of
,
Facts Showing Knowledge of Action
*Where evidence has been lost or destroyed or is unavailable, explain.
NOTE: Where information obtained from another person is alleged, there must be compliance with Section 3 of Rule 20.
ACIS Code
37108
13-9005-301 Rev. 1/99
APPLICATION FOR PUBLICATION OF CITATION
ABANDONMENT
SB-9005
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Said parent or alleged parent cannot, after due diligence, be found within the State of California. The last known
address of said parent or alleged parent is
GROUND 4:
Cannot after
due diligence
be found.
See
Rule 20
Sec. 1(c)
,
Street Address
as shown by the attached documentary evidence. To the best of my knowledge, the names and addresses of every
relative, friend, and other person likely to know the present whereabouts of said citee
are as follows:
NOTE: If
parents not
contacted,
state why.
Dates and results of inquiries to each of them as to whereabouts of said parent or alleged parent are as follows:
(If the place of residence of the parent or alleged parent is unknown, then give name, relationship and address of some relative
residing in the State of California. If no relatives are known, so state.)
Additional
facts
relating to
Grounds 1, 2,
3 or 4.
This application is made only under Ground
above. All printed statements for the other three Grounds are
deemed deleted. (Strike out Grounds not used.)
DECLARATION
AFFIDAVIT
Dated
,
I certify (or declare) under penalty of perjury that the
foregoing is true and correct.
Petitioner
Executed at
Subscribed and sworn to before me
,
this
day of
,
Petitioner
Notary Public in and for the County of
San Bernardino, State of California
,
*NOTE: This form is designed for use either as an affidavit (2003 C.C.P.) or an unsworn statement (2015.5 C.C.P.).
If an affidavit, affiant should sign where indicated at the left. If an unsworn statement, he should sign where indicated at the right.
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