Petition To Voluntarily Relinquish Parental Rights-To Agency-Preliminary Decree

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] PRELIMINARY DECREE AND NOW, this ________ day of _____________________, 20______, upon consideration of the within Petition and on the motion of _____________________________, Esquire, attorney for Petitioners, a hearing thereon is fixed for the ______ day of _______________________, 20_____ in Courtroom No.______ before the Honorable _________________________________, at ____:____ am/pm. Notice shall be given to the following persons entitled thereto: 1. [NAME] [ADDRESS] [NAME] [ADDRESS] [NAME] [ADDRESS] BY THE COURT: 2. 3. ______________________________________ J. American LegalNet, Inc. www.FormsWorkFlow.com