Superior Court of Washington County of In re Parentage: No. Petitioner and Respondent And Findings of Fact and Conclusions of Law on Rescission of Denial of Paternity Within 60 Days (FNFCL) Respondent. I. Basis for Findings The findings are based on: [] [] [] agreement of the parties. an order of default entered on _______________________________ [Date]. a hearing held on _______________________ [Date]. The following people attended: [] [] [] [] Mother Acknowledged Father Presumed Father Guardian ad Litem [] [] [] [] Mother’s Attorney Acknowledged Father’s Attorney Presumed Father’s Attorney Other: II. Findings of Fact Upon the basis of the court record, the court Finds: 2.1 Notice and Basis of Personal Jurisdiction Over the Parties All parties necessary to adjudicate the issues were served with a copy of the summons and petition and are subject to the jurisdiction of this court. At the commencement of this action, no other court hearing involving these parties and the child had taken place. The facts below establish personal jurisdiction over the parties: Findings/Concl of Law (FNFCL) - Page 1 of 4 WPF PS 12.0400 (6/2006) - RCW 26.26.330 and .340 American LegalNet, Inc. www.FormsWorkflow.com [] [] [] [] 2.2 The mother signed an Acknowledgment of Paternity that was filed with the Washington State Registrar of Vital Statistics on ____________________ [Date]. The acknowledged father signed an Acknowledgment of Paternity that was filed with the Washington State Registrar of Vital Statistics on _______________________ [Date]. The presumed father signed a Denial of Paternity that was filed with the Washington State Registrar of Vital Statistics on ____________________ [Date]. Other: The Child Whose Paternity Is Affected in this Action This action affects the paternity of ________________________ [Name] born on ___________________________ [Date]. The result of this proceeding does not establish or disestablish the paternity of the presumed father; it will only establish whether the Denial of Paternity may be rescinded (withdrawn). 2.3 Paternity Action [] [] [] [] 2.4 Does not apply. A paternity action has been filed. A paternity action has not been filed. ____________________ [Name] should be ordered to file a proceeding to adjudicate parentage in this cause. Rescission Period The effective date of the Acknowledgment of Paternity is ___________________ [Date] and this proceeding was begun [ ] more [ ] not more than 60 days from the effective date of the acknowledgment. The effective date of the Denial of Paternity is _______________________ [Date] and this proceeding was begun [ ] more [ ] not more than 60 days from the effective date of the denial. 2.5 Child’s Name [] [] 2.6 There is not good cause to change the child’s name. There is good cause to change the child’s surname to ____________________. Continuing Restraining Order [] [] Does not apply. A continuing restraining order against the [ ] father [ ] mother [ ] both parties is necessary because: [] Other: Findings/Concl of Law (FNFCL) - Page 2 of 4 WPF PS 12.0400 (6/2006) - RCW 26.26.330 and .340 American LegalNet, Inc. www.FormsWorkflow.com 2.7 Protection Order [] [] Does not apply. A domestic violence protection order protecting _______________________ [Name] from _______________________________ [Name] is necessary based upon declarations in the file or attached. [] 2.8 If the duration of this order exceeds one year, the court finds that an order of one year or less will be insufficient to prevent further acts of domestic violence. Attorney Fees and Costs Fees and costs in the amount of $______________ should be awarded to ________________________ [Name] payable by ________________________ [Name]. III. Conclusions of Law 3.1 Jurisdiction [] [] 3.2 The court has jurisdiction to enter an order in this matter. The court does not have jurisdiction to enter an order in this matter that was begun more than 60 days from the effective date of the acknowledgment and denial of paternity. Disposition The court shall enter an order on rescission: [] [] [] [] [] [] [] [] Dismissing the petition because this proceeding to rescind the Denial of Paternity was not timely begun. Granting the Petition for Rescission of Denial of Paternity and voiding the Acknowledgment of Paternity. Denying the Petition Rescission of Denial of Paternity. Making provision for an amended birth certificate of the child. Making provision for a domestic violence protection order with an expiration date of ____________________________. Making provision for a continuing restraining order. Ordering ____________________ [Name] to begin a proceeding to adjudicate paternity. Ordering _____________________ [Name] to pay attorney fees and costs in the amount of $______________payable to ______________________________ [Name]. Dated: ________________________________ _______________________________________ Judge/Commissioner Findings/Concl of Law (FNFCL) - Page 3 of 4 WPF PS 12.0400 (6/2006) - RCW 26.26.330 and .340 American LegalNet, Inc. www.FormsWorkflow.com Presented by: Approved for entry: Notice of presentation waived: ______________________________________ Signature of Party or Lawyer/WSBA No. _______________________________________ Signature of Party or Lawyer/WSBA No. ______________________________________ Print or Type Name Date _______________________________________ Print or Type Name Date _______________________________________ Signature of Party of Lawyer/WSBA No. Print or Type Name Date Findings/Concl of Law (FNFCL) - Page 4 of 4 WPF PS 12.0400 (6/2006) - RCW 26.26.330 and .340 American LegalNet, Inc. www.FormsWorkflow.com