In the matter of Full name of child Date of birth , adoptee þ 1. þ Date of hearing: en-US þ Judge: en-US Bar no. 2. þ A petition has been filed requesting the parental rights of en-USName þ to be terminated and that an order of adoption be entered. 3. þ Notice of this hearing has been given or waived as required by law. 4. þ The court has received evidence on the petition. en-USTHE COURT FINDS: 5. þ The other parent waived or was given proper notice of this hearing. 6. þ en-USNameen-US has custody of the child according to a court order. 7. þ On en-USDateen-US , en-USNameen-US subsequently married the parent with custody. 8. þ The other parent þ þ þ has failed to substantially comply with a support order for a period of 2 years or more before the filing of the petition. þ þ having the ability to support or assist in supporting the child, has failed or neglected to provide regular and substantial þ support for the child for a period of 2 years or more before the filing of the petition. 9. þ The other parent, having the ability to visit, contact, or communicate with the child, has regularly and substantially þ failed or neglected to do so for a period of 2 years or more before the filing of the petition. þ 10. þ The adoptee is an Indian child as defined in MCR 3.002(12) and the court has considered the application of the Indian þ Child Welfare Act and the Michigan Indian Family Preservation Act in this matter. en-USIT IS ORDERED: 11. þ The parental rights of en-USNameen-US are terminated. en-USDate þ en-USJudge American LegalNet, Inc. www.FormsWorkFlow.com