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Petition To Voluntarily Relinquish Parental Rights-To Agency-Final Decree - Pennsylvania

Petition To Voluntarily Relinquish Parental Rights-To Agency-Final Decree 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 FINAL DECREE AND NOW, _____________ ____________, ________, upon the within Petition and after hearing had thereon: The Court, being s atisfied as to the truth of the facts set forth in the Petition, and that it is in the best interests of [NAME EXACT LY AS ON BIRTH CERTIFICATE] that consideration of the Petition be granted, it is ORDERED, ADJUDGED, and DECREED that all parent al rights and duties, incl uding the duty of support of ____________ ________ and _________________ in respect to ________________________ are terminated forever and custody of _________ __________________ is her eby awarded to [ AGENCY], which is hereby authorized to giv e consent to the adoption of said child and adoption of said child may be decreed without further consent of or notice to the aforesaid parent(s). BY THE COURT: ______________________________________ J. 16 American LegalNet, Inc. www.FormsWorkFlow.com
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