Notice To Registered Putative Father And Notice Of Jurisdiction {ADO-103}

State of Minnesota County District Court Judicial District: Court File Number: Case Type: Adoption In Re the Petition of: , Petitioner and , Petitioner To Adopt: . (child's current name) You, , (man's name) have registered with the Minnesota Father's Adoption Registry indicating that you are the father of a child born or , 20 . The mother of the child is named expected to be born on . The mother intends to place the child for adoption. As the putative father of the child, you have certain legal rights, including the right to receive notice of any adoption proceedings. PLEASE TAKE NOTICE that an adoption petition regarding the child has been or will be filed in County, Minnesota. You must respond to this notice by doing one of the following three options: Option 1: If you claim to be the father of the child and if you wish to retain your parental rights to the child, within 30 days of the date you received this Notice, or if the child is not yet born then within 30 days after the birth of the child, you must: 1. start a paternity action; and 2. complete the enclosed "Admission of Paternity and Intent to Claim Parental Rights" form and file it with the court administrator whose address is: (courthouse name) (Street Address) (City) (State) (Zip) Notice to Registered Putative Father and Notice of Jurisdiction If you do not file a completed "Admission of Paternity and Intent to Claim Parental Rights" form, you will not receive notice of any adoption proceedings regarding the child and whatever legal rights you have with respect to the child may be terminated. ADO103 State ENG Rev 11/15 www.mncourts.gov/forms Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com Option 2: If you are not the father of the child, you should complete the enclosed "Denial of Paternity" form and file it with the court administrator whose address is listed above. Option 3: If you are the father of the child but you consent to adoption of the child, you should complete the enclosed "Consent to Adoption" form and file it with the court administrator whose address is listed above and you will receive no further notice of any adoption proceedings regarding the child. Upon request, the court administrator can confirm whether your child was or was not adopted. Date this Notice to Registered Putative Father was mailed to father: Signature: Print Name: Street Address: City/State/Zip: Phone: E-mail address: ADO103 State ENG Rev 11/15 www.mncourts.gov/forms Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com