District Court Denver Juvenile Court _________________________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: ______________________________ (name of person(s) seeking to adopt) COURT USE ONLY FOR THE ADOPTION OF A CHILD Attorney or Party Without Attorney (Name and Address): Case Number: Phone Number: FAX Number: Division E-mail: Atty. Reg. #: WAIVER AND ACCEPTANCE OF SERVICE Courtroom AFFIDAVIT OF SERVICE Waiver and Acceptance of Service I declare under oath that I am the Respondent in this case, that I have received and accept service of the Notice of Adoption Proceeding and a copy of the Petition for Adoption Petition to Terminate Child-Legal Relationship, and Other (Please identify): ___________________________________________________________________________________in this case. This waiver of service shall not be construed as an admission by me of the truth of the allegations in the Petition and I reserve the right to receive notices of settings and the right to respond and appear in person. Note: If you are in the active military service of the United States of America, you may be entitled to request a temporary suspension of these proceedings under the Servicemembers Civil Relief Act (50 U.S.C. App. §520, et seq.). Please consult with your base legal officer or the attorney of your choice. I have decided to waive the stay provisions of the Servicemembers Civil Relief Act (50 U.S.C. §520, et seq.) as well as my right to court-appointed counsel under the Act and permit the action to proceed. This waiver of service shall not be construed as an admission by me of the truth of the allegations in the Petition. Date: ______________________________________ _______________________________________ Respondent (Sign before a Notary or Clerk) Affidavit of Service I, _________________________________________, being first duly sworn on oath, depose and state that I am 18 years or older and not a party to this action and have served the following forms by handing a copy of the same to _____________________________________________ on _____________________ (date) at _______ (time) Notice of Adoption Proceeding and Summons (JDF 506), Petition for Adoption Petition to Terminate the Parent-Child Legal Relationship Affidavit of Abandonment Date: ___________________________________ __________________________________________ Sheriff/Process Server (Sign before a Notary or Clerk) Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______, day of ________________, 20 ____. My Commission Expires: ________________ JDF 507 R8/06 ______________________________________ Clerk/ Notary Public AFFIDAVIT OF SERVICE/WAIVER AND ACCEPTANCE OF SERVICE American LegalNet, Inc. www.FormsWorkflow.com