IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ PETITION FOR INVOLUNTARY TERMINATION OF PARENTAL RIGHTS FINAL DECREE AND NOW, this _____ day of _____________________, 20_____, upon consideration of the within Petition and after hearing had thereon: The Court, being satisfied as to the truth of the facts set forth in the Petition, finds that ____________________ has forfeited his/her parental rights in ____________________, and further finds that it is in the best interest of __________________ that the Petition be granted, and it is hereby ORDERED, ADJUDGED and DECREED that all parental rights of ______________________ in respect to _________________________ are terminated forever, and custody of ________________________ (child) is hereby awarded to [(agency), which is authorized to consent to the adoption of ______________________,] or [(individual(s)), and the child may now be adopted without further consent or notice to the parent(s)]. BY THE COURT: ______________________________________ J. American LegalNet, Inc. www.FormsWorkFlow.com