1 FCS-503-2016-M Mandatory Form July 1, 2016 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, Address, and Telephone No.): ATTORNEY FOR: ATTORNEY BAR #: FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF TULARE Street Address: County Civic Center South County Justice Center Mailing Address: 211 S. Mooney Blvd. OR 300 E. Olive Ave. City and Zip code: Visalia, CA 93291 Porterville, CA 93257 IN THE MATTER OF THE ADOPTION PETITION OF : Adopting Parents /Domestic Partner AP PLICATION AND ORDER FOR PUBLICATION OR DISPENSING WITH NOTICE TO ALLEGED FATHER ON PETITION TO TERMINATE PARENTAL RIGHTS CASE NUMBER: en-CA en-CA en-CA en-CA Name of Natural Father or Unknown Natural Father en-CA en-CA Application is made for an order directing service of citation on by publication in the following newspaper most likely to give actual service to the party to be served. en-CA en-CA en-CA (Name of newspaper) en-CA Application is made for an order dispensing with notice to alleged natural father. en-CA DECLARATION OF DUE DILIGENCE IN SUPPORT OF THIS APPLICATION IS ATTACHED en-CA en-CA en-CAI certify (or declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. en-CA en-CA en-CAExecuted on at , California en-CA Date Place en-CA en-CA en-CASignature en-CA en-CA ORDER OF THE COURT en-CA en-CAIt is the order of this Court that notice to the alleged natural father (named above) or unknown natural father is dispensed with. en-CA en-CA en-CA en-CA en-CADate Judge of the Superior Court en-CA en-CA American LegalNet, Inc. www.FormsWorkFlow.com