ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FOR COURT USE ONLY FAX NO.(Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 NORTH COUNTY DIVISION, 325 S. MELROSE DR., SUITE 130,VISTA, CA 92081 IN THE MATTER OF THE PETITION OF JUDGMENT DETERMINING NONEXISTENCE OF PARENT-CHILD RELATIONSHIP CASE NUMBER A petition to determine nonexistence of parent-child relationship between ____________________________________, the presumed but not biological parent, and ___________________________________________________, a minor, was heard on ______________, ex parte without an appearance. Having considered the evidence, the court makes the following findings and orders: ______________________________________ is the natural mother of ____________________________________, who was born on ____________ in ____________________________________ and who is currently in the custody of __________________________________________________________________________ for the purpose of adoption. ____________________________________________ is not and physically could not be the natural parent of said child. No parent-child relationship exists between the presumed parent named above and the child. The consent of the presumed parent is not necessary for the adoption of _____________________________________________ to proceed. Notice to the presumed parent with regards to the adoption is hereby waived. IT IS SO ORDERED. Date: Judge of the Superior Court SDSC JUV-248 (New 9/12) JUDGMENT DETERMINING NONEXISTENCE OF PARENT-CHILD RELATIONSHIP Fam. Code § 7630 et seq. American LegalNet, Inc. www.FormsWorkFlow.com