In the matter of Full name of child DOB: , adoptee � adoptee is an Indian child en-USI, en-USName of petitioning parenten-US , request that the parental rights of en-USName (type or print)en-US , the other parent of the child, be terminated en-USbecause of lack of support of and parenting time with the child. en-USDate � en-USSignature of petitioning parent 1. � I have joined in a petition with en-USName (type or print)en-US , whom I married � � on en-USDateen-US , requesting the adoption of the child named above and the termination of the � parental rights of the other parent named above. 2. � I have custody of the child according to a court order. A copy of all court orders regarding custody are attached. 3. � � a. � A support order has been entered and the other parent has failed to substantially comply with the order for a � � period of two years or more before the petition for adoption was filed. en-USNote: en-USIf a support order of $0.00 was entered, check 3b. � � b. � A support order has not been entered and the other parent, having the ability to support the child, has failed or � neglected to provide regular and substantial support for two years or more before the petition for adoption was filed. 4. � The other parent has had the ability to visit, contact, and communicate with the child and has regularly and substantially � failed or neglected to do so for a period of two years or more before the petition for adoption was filed. 5. � The last-known address of the other parent is en-US � en-US en-USSUPPLEMENTAL PETITION en-USAFFIDAVIT American LegalNet, Inc. www.FormsWorkFlow.com Supplemental Petition and Affidavit to Terminate Parental Rights � (6/18) � Page of File No. 6. � � a. The other parent is living at the above address. � � b. � The other parent is not living at the above address, and I have taken the following steps to locate him/her: � en-US � en-US � en-US � en-US en-USAttorney signature � en-USDate en-USAttorney name (type or print) Bar no. � en-USSignature of petitioning parent en-USAddress � en-USAddress en-USCity, state, zip Telephone no. � en-USCity, state, zip Telephone no.en-USSubscribed and sworn to before me on en-USDateen-US , en-US en-US County, Michigan.en-USMy commission expires: en-USDateen-US Signature: en-USNotary public/Deputy clerken-USNotary public, State of Michigan, County of en-US American LegalNet, Inc. www.FormsWorkFlow.com