JDF 517 R 1 /1 8 MOTION AND AFFIDAVIT FOR PUBLICATION OF NOTICE Page 1 of 2 District Court Denver Juvenile Court County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: ( name of person (s) seeking to adopt) FOR THE ADOPTION OF A CHILD COU RT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E - mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom MOTION AND AFFID AVIT FOR PUBLICATION OF NOTICE Petitioner(s) move(s) the Court for an Order of service of the Notice on Respondent(s) by Publication, and state(s): 1. This is an action for adoption of a child. 2. Respondent is the birth/presumed/purported mother of the child. 3. Respondent is the birth/presumed/purported father of the child. 4. Petitioner(s) has/have been unable to locate the Respondent mother for personal service of the Notice and Petition, and has/have attempted to obtain personal service of the Notice and Petition on the Respondent mother, and a Not Found Return is attached. 5. Petitioner(s) has/have been unable to locate the Respondent father for personal service o f the Notice and Petition, and has/have attempted to obtain personal service of the Notice and Petition on the Respondent father, and a Not Found Return is attached. 6. 7. 8. Diligent efforts to locate the Respondent mother for personal service have consisted of: Search has been made of the telephone and other available directories; various inquiries have been made of persons who may have information concer ning the address and whereabouts of the Respondent mother, but said efforts have to the Petitioner(s). Additional efforts to locate the Respondent mothe r include the following: 9. Diligent efforts to locate the Respondent father for personal service have consisted of: Search has been made of the telephone and other avai lable directories; various inquiries have been made of persons who may American LegalNet, Inc. www.FormsWorkFlow.com JDF 517 R 1 /1 8 MOTION AND AFFIDAVIT FOR PUBLICATION OF NOTICE Page 2 of 2 have information concerning the address and whereabouts of the Respondent father, but said efforts have been re and remain unknown to the Petitioner(s). Additional efforts to locate the Respondent father include the following: 10. Petitioner(s) last heard from Respondent mothe r on (date) , and last saw Respondent mother at . 11. Petitioner(s) last heard from Respondent father on (date) , and last saw Responde nt father at . 12. The last known address for Respondent mother is: 13. The last known address for Respondent father is: Wherefore, Petitioner(s) move(s) that this Motion for Publicat ion be granted. By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country (printed name of Petitioner) Signature of Petitioner Attorney Signature, if any VERIFICATION I decla re under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the day of , , at (date) (month) (year) (city or other location, and state OR country (printed name of Petitioner) Signature of Petitioner Attorney Signature, if any