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Denial Of Paternity With Entry Of Appearance And Consent To Adopt 3217-2 - Illinois
| Denial Of Paternity With Entry Of Appearance And Consent To Adopt Form. This is a Illinois form and can be used in Adoption Dupage Local County . |
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DE NIAL OF PATER NITY WITH ENTRY OF AP PEAR ANCE AND CONS ENT TO ADOP T 3217-2 (Rev. 12/04) UNITED STATES OF AMERICA STATE OF ILLINOIS COUNTY OF DU PAGE IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT CASE NUM BER PLAINTIFF VS. DEFENDANT File Stamp Here DENIAL OF PATERNITY WITH ENTRY OF APPEARANCE AND CONSENT TO ADOPTION I, state as follows: 1. That I am years of age; that I reside at in the County of , State of 2. That I have been advised that is the mother of a (male) (female) child named born or expected to be born on or about and that such mother has stated that I am the father of this child. 3. I DENY that I am the father of this child. 4. I further understand that the mother of this child wishes to consent to the adoption of the child. I hereby consent to the adoption of this child, and waive any rights, remedies and defenses that I may now or in the future have as a result of the mothers allegation of the paternity of this child. This consent is being given in order to facilitate the adoption of the child and so that the court may terminate what rights I may have to the child as a result of being named the father by the mother. This consent is not in any manner an admission of paternity. 5. I hereby enter my appearance in the above entitled cause and waive service of summons and other pleadings. OATH I have been duly sworn and I say under oath I that have read and understand this Denial of Paternity with Entry of Appearance and Consent to Adoption. The facts it contains are true and correct to the best of my knowledge, and I understand that by signing this document I have not admitted paternity. I have signed this document as my free and voluntary act in order to facilitate the adoption of the child. Date: Signature Signed and Sworn to me this day of , 20 Notary Public-Circuit Court Clerk CHRIS KACHIROUBAS, CLERK OF THE 18TH JUDICIAL CIRCUIT COURT WHEATON, IL LINOIS 60189-0707
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