|
8.980 Petition for Termination of Parental Rights Based on Voluntary Relinquishment
PETITION FOR TERMINATION OF
PARENTAL RIGHTS
Petitioner, .....(name)....., respectfully petitions this
Court for termination of parental rights and permanent
commitment of the minor child(ren), .....(name(s)).....,
to .....(agency name)..... for the purpose of subsequent
adoption, and as grounds states the following:
A. PARTIES
1. The child, .....(name)....., is a male/female child born
on .....(date)....., at .....(city, county, state)...... At the time
of the filing of this petition, the child is .....(age)...... A
copy of the child’s birth certificate is attached to this
Petition and incorporated as Petitioner’s Exhibit ......
COMMENT: Repeat above for each child on petition.
2. The child(ren) is/are presently in the care and custody
of .....(name)....., and is/are residing in ....................
County, Florida.
3. An affidavit under the Uniform Child Custody
Jurisdiction and Enforcement Act is attached to this as
Petitioner’s Exhibit .......
4. The natural mother of the child(ren) is .....(name).....,
who resides at ................................................................
5..The natural/alleged/putative father of the child(ren)
.....(name(s))..... is .....(name)....., who resides at .............
.......................................................................................
COMMENT: Repeat #5 as necessary.
6. A guardian ad litem ..... has ..... has not been appointed
to represent the interests of the child(ren) in
this cause.
B. GROUNDS FOR TERMINATION
1. The parent(s) have been advised of their right to
legal counsel at all hearings that they attended.
2. The mother, .....(name)....., freely, knowingly, voluntarily,
and ..... with ..... without advice of legal counsel
executed an Affidavit and Acknowledgment of Surrender,
Consent, and Waiver of Notice on .....(date).....,
for termination of her parental rights to the minor
child, .....(name)....., under section 39.806(1)(a), Florida
Statutes.
COMMENT: Repeat above as necessary.
3. The father, .....(name)....., freely, knowingly, and
voluntarily, and ..... with ..... without advice of legal
counsel executed an Affidavit and Acknowledgment
of Surrender, Consent, and Waiver of Notice on
.....(date)....., for termination of his parental rights to the
minor child, .....(name)....., under section 39.806(1)(a),
Florida Statutes.
COMMENT: Repeat above as necessary.
4. Under the provisions of chapter 39, Florida Statutes,
it is in the manifest best interest of the child(ren)
for parental rights to be terminated for the following
reasons:
..... allegations which correspond to sections
39.810(1)–(11), Florida Statutes.
5. A copy of this petition shall be served on the natural
mother, .....(name).....; the father(s), .....(name(s)).....;
the custodian, .....(name).....; and the guardian ad litem,
.....(name)......
6. This petition is filed in good faith and under oath.
WHEREFORE, the petitioner respectfully requests
that this court grant this petition; find that the parents
have voluntarily surrendered their parental rights to
the minor child(ren); find that termination of parental
rights is in the manifest best interests of this/these
child(ren); and that this court enter an order permanently
committing this/these child(ren) to the .....
(name)..... for subsequent adoption.
____________________
.....(petitioner’s name and
identifying information).....
____________________
Verification
.....(attorney’s name).....
.....(address and telephone
number).....
.....Florida Bar number.....
Certificate of Service
|