FAMILY COURT _________ CIRCUIT STATE OF HAWAI‘I ORDER FOR SERVICE BY PUBLICATION [ ]and Mailing of Notice CASE NUMBER FC-A NO. [ ]ATTORNEY FOR PETITIONER(S) [ ]PETITIONER(S) PRO SE 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: Name Address by City, State, Zip Code [ ]the legal spouse of [ ]and Telephone Number [ ]the child(ren)'s legal parent [ ]husband and wife [ ]an unmarried person Petitioner(s). It appearing from the petition/motion and affidavit that service by publication of the annexed notice is appropriate and reasonable, IT IS HEREBY ORDERED as follows: 1. Hearing of the petition for adoption shall be had at the time and place set forth in such notice. 2. Notice of the pendency of the petition shall be given to the nonconsenting parent by publication in a newspaper once, each week, for four successive weeks, the last publication to be not less than twenty-one (21) days prior to the time of hearing. 3. Publication shall be in the , a newspaper suitable for the advertisement of legal notices in judicial proceedings. 4. There shall be filed in this proceeding, prior to the time of hearing of the petition, an affidavit of publication, pursuant to this order, which shall constitute proof of service under the provisions of this order. [ ]5. It is further ordered that a certified copy of the petition and notice be mailed to the nonconsenting parent by regular mail at his or her last known address. Date 08/07/01 Signature of Judge ORDER FOR SERVICE BY PUBLICATION [ ]AND MAILING OF NOTICE American LegalNet, Inc. www.FormsWorkflow.com