Arizona > Local County > Pinal > Superior Court > Severance
Petition ForTermination Of Parent-Child Relationship - Arizona
| Petition ForTermination Of Parent-Child Relationship Form. This is a Arizona form and can be used in Severance Superior Court Pinal Local County . |
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Name of Person Filing Document: Your Mailing Address: Your Telephone Number: Attorney Bar Number (if applicable): Self (Without Attorney) OR Attorney Representing Petitioner Respondent IN THE SUPERIOR COURT OF ARIZONA PINAL COUNTY ) ) ) ) ) ) ) Minor Child / Children ) ____________________________________) In the Matter of the Severance of: Case No. SV 2 PETITION FOR TERMINATION OF PARENT / CHILD RELATIONSHIP The Petitioner allege as follows: 1. That the names and residence of the Petitioner(s) is: Name: Address: 2. That the name(s), date of birth(s) residence and place(s) of birth and of the minor child(ren) is / are: a. Name: Address: County of Residence: b. Name: Address: County of Residence: c. Name: Address: County of Residence: d. Name: Address: County of Residence: Place of Birth: Place of Birth: Date of Birth: Place of Birth: Date of Birth: Place of Birth: Date of Birth: Date of Birth: © Superior Court of Arizona in Pinal County August 30, 2010 ALL RIGHTS RESERVED SV Petition to Terminate Parental Rights Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com 3. That the minor child(ren) is /are present in the State of Arizona: Yes or No. If no, Explain: 4. That the relationship of the Petitioner(s) to the minor child(ren is: 5. That the names, addresses, and the dates of birth of the natural parents, if known are: Name of Mother of Minor Child(ren): Address: Date of Birth: Name of Father of Minor Child(ren): Address: Date of Birth: 6. That the person or agency having legal custody of the minor child(ren): 7. That the grounds for termination of the parent child relationship is: ( ) that Mother Father has abandoned the child(ren) and has made no effort to maintain a parental relationship with said child(ren). ( ) that Mother Father has not provided support and has nor communicated with said child(ren) for six (6) months or longer. ( ) that Mother Father token efforts to support or communicate with said child(ren). has made only is the natural parent and 8. That Petitioner(s) intend to petition for the adoption of minor child(ren) or is only terminating parental rights of absent parent: Child's Name Child's Name Child's Name Child's Name WHEREFORE it is requested that the Court set the matter for hearing and that the parent / child(ren) relationship be severed. © Superior Court of Arizona in Pinal County August 30, 2010 ALL RIGHTS RESERVED SV Petition to Terminate Parental Rights Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com STATE OF ARIZONA County of Pinal ) ) ss. ) ___________________________________________, being first duly sworn, says: That I have read the foregoing Petition for Termination of Parent / Child Relationship and know the contents thereof; that the matters and things therein set forth are true to the best of my own knowledge and belief. ____________________________________ Petitioner Subscribed and sworn to before me this _________ day of _____________________, _________ ____________________________________ Notary Public STATE OF ARIZONA County of Pinal ) ) ss. ) ___________________________________________, being first duly sworn, says: That I have read the foregoing Petition for Termination of Parent / Child Relationship and know the contents thereof; that the matters and things therein set forth are true to the best of my own knowledge and belief. ____________________________________ Petitioner Subscribed and sworn to before me this _________ day of _____________________, _________ ____________________________________ Notary Public © Superior Court of Arizona in Pinal County August 30, 2010 ALL RIGHTS RESERVED SV Petition to Terminate Parental Rights Use only most current version American LegalNet, Inc. www.FormsWorkFlow.com
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