ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): 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 PETITION TO DETERMINE NONEXISTENCE OF PARENT-CHILD RELATIONSHIP _____________________________________________ declare(s): CASE NUMBER _____________________________________________ ("the child") was born on ____________,______ in ____________________ and is now in the custody of _____________________________________________________. The child was born to ______________________________________ ("the birth mother"), who was married to ______________________________________ ("the presumed parent") on ________ in _________________________. A dissolution of this marriage was final on or about _____________ and there has been no cohabitation of the two since _______________. The birth mother of the child did not live with the presumed parent as husband and wife at the time the child was conceived. It is physically impossible for the presumed parent to be the parent of the child. The presumed parent has never met the child, according to the declaration of the birth mother, nor has he supported the child in any way. WHEREFORE, petitioner(s) request(s) that this court order and declare that the presumed parent is not the natural father of the child and that no parent-child relationship exists between said presumed parent and the child. Date: __________________________ ___________________________________________ Signature of Petitioner ___________________________________________ Signature of Petitioner ___________________________________________ Signature of Attorney for Petitioner VERIFICATION I have read the foregoing petition and know the contents thereof. I declare that the same is true of my own knowledge, except as to those matters which are therein stated upon my information and belief, and, as to those matters, I believe them to be true. I declare under the penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Signature of Petitioner Date: Signature of Petitioner Date: __________________________ Date: __________________________ SDSC JUV-247 (New 9/12) PETITION TO DETERMINE NONEXISTENCE OF PARENT-CHILD RELATIONSHIP Fam. Code § 7630 American LegalNet, Inc. www.FormsWorkFlow.com