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Consent For Expedited Relinquishment JDF 483 - Colorado

Consent For Expedited Relinquishment Form. This is a Colorado form and can be used in Adoption Statewide .
 Fillable pdf Last Modified 7/21/2011
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District Court Denver Juvenile Court ________________________County, Colorado Court Address: In the Matter of the Petition of: ___________________________________________________ And _____________________________________________ Petitioner For the Relinquishment of Child, _____________________________________________________ (child's name) Attorney or Party Without Attorney (Name and Address): COURT USE ONLY Case Number: Phone Number:____________ E-mail:________________________ FAX Number:_____________ Atty. Reg. #: __________________ Division ______ Courtroom ______ CONSENT FOR EXPEDITED RELINQUISHMENT PURSUANT TO ยง19-5-103.5, C.R.S. I certify that I am the alleged father presumed father of ________________________________ (child) and I certify that I consent to the relinquishment of said child by the above-named Petitioner. I understand that by consenting my parental rights to the child may likely be terminated. I further understand that a hearing is set in this matter on ____________________________ (date). I waive the right to file an Answer and waive the right to attend any hearing in this matter and request the Court to enter an Order relinquishing my parental rights. VERIFICATION AND ACKNOWLEDGEMENT I swear/affirm under oath that I have read the foregoing Consent for Expedited Relinquishment and that the statements set forth therein are true and correct to the best of my knowledge. Date: ___________________________________________ Print Name ___________________________________________ Signature Subscribed and affirmed, or sworn to before me in the County of ______________________, State of __________________, this ___________ day of _______________, 20______. My Commission Expires: ___________________ ____________________________________________ Notary Public/Deputy Clerk JDF 483 R11/10 CONSENT FOR EXPEDITED RELINQUISHMENT American LegalNet, Inc. www.FormsWorkFlow.com
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