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Consent To Termination Of Parental Rights Judicial JC-1637 - Wisconsin
|Consent To Termination Of Parental Rights Judicial Form. This is a Wisconsin form and can be used in Parental Rights Circuit Court Statewide .||
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FORM SUMMARY Name of Form: Form Number: Statutory Reference: Benchbook Reference: Purpose of Form: Consent to Termination of Parental Rights (Judicial) JC-1637 §§48.41(2)(b), Wisconsin Statute JV 13 Consent form signed by a parent before a judicial officer consenting to the termination of his or her parental rights to a child. Party seeking the termination will usually make the arrangements to have this consent completed and filed with the court; it may be brought to court to be completed and signed at the termination hearing. Original filed with the court. May accompany the Petition for termination of parental rights (voluntary) or may be received subsequent to the filing of the petition. Modification, last update 7/96. Added a file/date stamp area to upper left corner. Added a statement on the bottom indicating that the form shall not be modified. None This form is the product of the Wisconsin Records Management Committee, a committee of the Director of State Court's Office and a mandate of the Wisconsin Judicial Conference. If you have additional information that does not change the meaning of the form, attach it on a separate page. The form itself shall not be altered. Who Completes It: Distribution of Form: Accompanying Forms: New Form/Modification: Modifications: Comments: About this form: Date: 04/24/2008 Page 1 American LegalNet, Inc. www.FormsWorkflow.com STATE OF WISCONSIN, CIRCUIT COURT, COUNTY For Official Use IN THE INTEREST OF Consent to Termination of Parental Rights (Judicial) a person under the age of 18. Case No. Date of Birth UNDER OATH, I STATE: 1. My name is My address is My date of birth is 2. My child is not a member of or eligible for membership in an Indian tribe. (For an Indian child, use the Indian Child Welfare Act version (IW-1637) of this consent.) 3. I am the (check one): mother. alleged father. presumed father. adjudicated father. biological (non-adjudicated) father. 4. I have been informed and understand that a court order terminating parental rights will permanently end ALL legal rights and duties that exist between myself and this child, such as: · Duty to support · Right to custody and visitation · Right to inherit 5. I wish to give up any parental rights that I may have to this child and consent to the court entering an order terminating my parental rights. 6. I give up the right to know of any future hearing or proceedings in this matter. 7. I am making this decision on my own free will. No promises or threats have been made to get me to sign this document. Subscribed and sworn to before me on ____________________________________________ Signature Notary Public, State of Wisconsin Name Printed or Typed My commission expires: Date APPROVAL OF GUARDIAN AD LITEM (Needed for minor or incompetent parent) I am the guardian ad litem for the above named parent who is a incompetent. I am familiar with the facts. I join in minor the consent to the termination of this person's parental rights. CERTIFICATE OF JUDGE I certify that I am the judge of the County, State of court of , a court of record. The above named parent appeared before me on this date. I questioned this parent and found this consent to be informed and voluntary before I accepted it. ____________________________________________ Signature of Guardian ad Litem Signature of Circuit Court Judge Name Printed or Typed Name Printed or Typed Date Date JC-1637, 04/08 Consent to Termination of Parental Rights (Judicial) §48.41(2)(b), Wisconsin Statutes American LegalNet, Inc. www.FormsWorkflow.com This form shall not be modified. It may be supplemented with additional material.