Form 115 (Rev. 6/10) The Family Court of the State of Delaware In and For New Castle ) ) ) ) ) ) ) Kent Sussex County , Petitioner File No.: Petition No.: v. , Respondent PRAECIPE IN A TERMINATION OF PARENTAL RIGHTS ACTION TO: Clerk of Court, Please issue a summons and copies of the petition upon the respondent(s) by personal service at the following addresses in Delaware: RESPONDENT NAME HOME ADDRESS WORK ADDRESS Hours Likely to be served: RESPONDENT NAME to HOME ADDRESS to WORK ADDRESS Hours Likely to be served: to to In the event that personal service on one or more of the respondents cannot be effected in Delaware, and the Court finds that personal service is unlikely, please send a summons by U.S. first class mail and U.S. registered or certified mail to the home address listed above. In addition, please publish notice of this action in the following newspapers most likely to give the respondent(s) notice of this action consistent with the requirements of 13 Del. C. § 1107A: Respondent Name Local Publication Foreign Publication (if necessary) Newspaper Address: Attention: Date Attorney for Petitioner American LegalNet, Inc. www.FormsWorkFlow.com