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Petition To Voluntarily Relinquish Parental Rights-Important Notice-Putative Father - Pennsylvania

Petition To Voluntarily Relinquish Parental Rights-Important Notice-Putative Father Form. This is a Pennsylvania form and can be used in Adoptions Orphans Court Chester Local County .
 Fillable pdf Last Modified 9/7/2011
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IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ PETITION TO VOLUNTARILY RELINQUISH PARENTAL RIGHTS [TO AGENCY OR TO ADULTS INTENDING TO ADOPT CHILD] IMPORTANT NOTICE ­ PUTATIVE FATHER TO: [NAME] [ADDRESS] A petition has been filed ask ing the court to put an end to all rights you have to your child, __________________ _________________. The court has set a hearing to consider ending your rights to your child. County Justice Center, West That hearing will be held in the Chester Chester, Pennsylvania on .m. or p.m.) in __________________________, ______, at ____________ (a Courtroom No. ___________ __. You are warned that your rights may also be subject to termination pursuant to §2504(d) of the Adopt ion Act, 23 Pa.C.S.A., if you fail to file either an acknowledgment of paternity or claim of pate rnity pursuant to 23 Pa. C.S.S. §5103 (relating to ac knowledgment and claim of pater nity) and f ail to either appear at the hearing for the purpose of objecting to the te rmination of your rights or file a written objection to such termination with the Court prior to the hearing. You have a right to be represent ed at t he hearing by a lawy er. You should take this paper to your lawyer at once. If you do not have a lawyer or cannot afford one, go to or telephone the office set forth below to find out whether you can get legal help. LAWYER REFERRAL SERVICE CHESTER COUNTY BAR ASSOCIATION 15 WEST GAY STREET SECOND FLOOR WEST CHESTER, PENNSYLVANIA 19380 610-429-1500 American LegalNet, Inc.
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