Washington > Statewide > Domestic Relations > Parentage
Petition To Disestablish Paternity Based On Presumption PS 17.0100 - Washington
| Petition To Disestablish Paternity Based On Presumption Form. This is a Washington form and can be used in Parentage Domestic Relations Statewide . |
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Superior Court of Washington County of: In re Parentage: No. Petitioner, and Petition to Disestablish Parentage Based on Presumption (Optional Use) (PTDP) Para. 1.9: check box if petition is attached for: [ ] Order for protection DV (PTORPRT) [ ] Order for protection UH (PTORAH) Respondent, and Child(ren) over the age of 2, if applicable. I. Basis 1.1 Cause of Action This action is brought to disprove a presumption of parentage which arose pursuant to RCW 26.26.116(3) and RCW 26.26.500 through RCW 26.26.630. This action affects the parentage of: (Child's name) ___________________________________, born on (date) _________________, a resident of __________________________ County, Washington. (Child's name) ___________________________________, born on (date) _________________, a resident of _______________________________________ County, Washington. 1.2 Parties to the Action A. Petitioner, (name) _______________________________, I am the (select one): [ ] birth mother [ ] adoptive parent [ ] presumed parent [ ] parent by assisted reproduction [ ] parent by surrogacy contract [ ] acknowledged father Pet Disestab Par (PTDP) Page 1 of 6 WPF PS 17.0100 Mandatory (06/2012) RCW 26.26.116 and 26.26.500 26.26.630 American LegalNet, Inc. www.FormsWorkFlow.com B. Respondent is (name) ___________________________ who is the (select one): [ [ [ [ ] birth mother ] adoptive parent ] parent by assisted reproduction ] parent by surrogacy contract [ ] presumed parent [ ] acknowledged father Respondent is (name) _____________________________ who is the (select one): [ [ [ [ C. ] birth mother ] adoptive parent ] parent by assisted reproduction ] parent by surrogacy contract [ ] presumed parent [ ] acknowledged father Children: [] These children: (Name of child) _________________________________________, (Name of child) __________________________________________, are parties to this action because : the presumed parent and the other parent neither cohabited nor engaged in sexual intercourse during the probable time of conception, and the presumed parent never held out the child(ren) as his or her own, and the child(ren) were born more than two years ago. Petitioner asks the court to appoint a Guardian ad Litem for the child(ren) who are parties. 1.3 Basis for Presumed Parentage (Name) ___________________________ is a presumed parent of the child because: [] [] [] The child was born during the marriage or registered domestic partnership or within 300 days after the end of a marriage or registered domestic partnership. Before the child was born, this person and (name) ___________________________ were in a marriage or registered domestic partnership believing it was valid, even though it was or could have been declared invalid by a court. The child was born during this marriage or registered domestic partnership or within three hundred days after it ended. After the child was born, this person and (name) ____________________________ were in a marriage or in a registered domestic partnership believing it was valid even though it was or could have been declared invalid by a court and this person voluntarily claimed to be a parent and: [] filed the claim with the state registrar of vital statistics; or [] agreed to be and is named as the child's parent on the child's birth certificate; or [] promised in a record to support the child as his or her own. This person lived in the same household with the child and openly held out the child as his or her own for the first two years of the child's life. [] Pet Disestab Par (PTDP) Page 2 of 6 WPF PS 17.0100 Mandatory (06/2012) RCW 26.26.116 and 26.26.500 26.26.630 American LegalNet, Inc. www.FormsWorkFlow.com (Name) ____________________________ is a presumed parent of the child because: [] [] [] The child was born during the marriage or registered domestic partnership or within 300 days after the end of a marriage or registered domestic partnership. Before the child was born, this person and (name) ___________________________ were in a marriage or registered domestic partnership believing it was valid, even though it was or could have been declared invalid by a court. The child was born during this marriage or registered domestic partnership or within three hundred days after it ended. After the child was born, this person and (name) ___________________________ were in a marriage or in a registered domestic partnership believing it was valid even though it was or could have been declared invalid by a court and this person voluntarily claimed to be a parent and: [] filed the claim with the state registrar of vital statistics; or [] agreed to be and is named as the child's parent on the child's birth certificate; or [] promised in a record to support the child as his or her own. This person lived in the same household with the child and openly held out the child as his or her own for the first two years of the child's life. [] 1.4 Basis For Disproving the Presumption of Parentage I want to disprove the parent-child relationship between the presumed parent and the child because [ ] I am not or may not be [ ] the respondent is not or may not be the parent of the child and: [] Or [] The presumed parent neither cohabited nor engaged in sexual intercourse with (name) _____________________ during the probable time of conception, nor held out the child as his or her own. For the first two years of this child's life, the presumed parent did not reside in the same household with the child and did not openly hold out the child as his or her own. The child is under four years of age. [] 1.5 Jurisdiction [] Jurisdiction over respondent (name) _________________________________ (check all that apply) [] This person is presently residing in the state of Washington. [] This person was personally served with summons and petition within this state. [] This person submits to jurisdiction of this state by consent as evidenced by joinder or consent to jurisdiction signed by the presumed parent. [] This person resided with the child in this state. [] This person resided in this state and provided prenatal expenses or support for the child. [] The child resides in this state as a result of the acts or directives of this person. [] Other: Jurisdiction over respondent (name) __________________________________ (check all that apply) [] Pet Disestab Par (PTDP) Page 3 of 6 WPF PS 17.0100 Mandatory (06/2012) RCW 26.26.116 and 26.26.500 26.26.630 American LegalNet, Inc. www.Fo
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