LIST OF EXHIBITS [ ] SUPPLEMENTAL FAMILY COURT _______ CIRCUIT STATE OF HAWAI‘I In the Matter of Adoption of A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: A [ ]MALE [ ]FEMALE CHILD, Born on: CASE NUMBER FC-A NO. [ ]ATTORNEY FOR PETITIONER(S) [ ]PETITIONER(S) PRO SE Name Address by City, State, Zip Code Telephone Number [ ]the legal spouse of [ ]and [ ]the child(ren)'s legal parent [ ]husband and wife [ ]an unmarried person Petitioner(s). Exhibit Number Description of Exhibit 1 Date 09/18/01 Signature of Attorney or Petitioner Pro Se LIST OF EXHIBITS American LegalNet, Inc. www.FormsWorkflow.com