Colorado > Statewide > Adoption
Affidavit Of Abandonment - Colorado
| Affidavit Of Abandonment Form. This is a Colorado form and can be used in Adoption Statewide . |
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District Court Denver Juvenile Court _____________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: _______________________________ (name of person(s) seeking to adopt) FOR THE ADOPTION OF A CHILD Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number: __________ E-mail:_________________________ FAX Number:____________ Atty. Reg. #: ___________________ Division _______ Courtroom ______ AFFIDAVIT OF ABANDONMENT I/We__________________________________________ (name of custodial birth parent in stepparent adoption or adoptive relative(s), legal custodian(s) in kinship and custodial adoptions), state the following: The birth parent(s), _______________________ of the subject child, __________________________, has and/or failed without cause to provide reasonable support for the child for a period of one year or more. has abandoned the child for a period of one year or more. For kinship and custodial adoptions, the Petitioner(s) has/have had physical custody of the child for a period of one year or more. The child is not the subject of a pending dependency and neglect proceeding. I swear/affirm under oath, that I have read the foregoing Affidavit and that the statements set forth herein are true to the best of my knowledge and belief. ________________________________ Petitioner/Custodial birth parent Date _________________________________ Petitioner Date Subscribed and affirmed, or sworn to before me in the County of ________________________, State of ____________________, this _______ day of ________________. 20 ____. Subscribed and affirmed, or sworn to before me in the County of _________________________, State of ____________________, this ________ day of ________________. 20 ____. My Commission Expires: My Commission Expires: Clerk/Notary Public JDF 525 R12/09 AFFIDAVIT OF ABANDONMENT Clerk/Notary Public American LegalNet, Inc. www.FormsWorkFlow.com
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