Fill and Sign the Colorado Affidavit Form

JDF 517 R 1/18 MOTION AND AFFIDAVIT FOR PUBLICATION OF NOTICE Page 1 of 2  District Court  Denver Juvenile Court ___________________________________County, Colorado Court Address: IN THE MATTER OF THE PETITION OF: ______________________________ (name of person (s) seeking to adopt) FOR THE ADOPTION OF A CHILD COU RT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom MOTION AND AFFID AVIT FOR PUBLICATION OF NOTICE Petitioner(s) move(s) the Court for an Order of service of the Notice on Respondent(s) by Publication, and state(s): 1. This is an action for adoption of a child. 2.  Respondent _____________________________________________ is the birth/presumed/purported mother of the child. 3.  Respondent ______________________________________________ is the birth/presumed/purported father of the child. 4.  Petitioner(s) has/have been unable to locate the Respondent mother for personal service of the Notice and Petition, and has/have attempted to obtain personal service of the Notice and Petition on the Respondent mother, and a Not Found Return is attached. 5.  Petitioner(s) has/have been unable to locate the Respondent father for personal service o f the Notice and Petition, and has/have attempted to obtain personal service of the Notice and Petition on the Respondent father, and a Not Found Return is attached. 6.  Respondent mother’s present address is: ________________________________________________ ___ _______________________________________________________________________________________ 7.  Respondent father’s present address is: ____________________________________________________ _____________________________________________________________________ __________________ 8.  Diligent efforts to locate the Respondent mother for personal service have consisted of: Search has been made of the telephone and other available directories; various inquiries have been made of persons who may have information concer ning the address and whereabouts of the Respondent mother, but said efforts have been to no avail, and Respondent mother’s address and residence and whereabouts are and remain unknown to the Petitioner(s). Additional efforts to locate the Respondent mothe r include the following: _______________________________________________________________________________________ 9.  Diligent efforts to locate the Respondent father for personal service have consisted of: Search has been made of the telephone and other avai lable directories; various inquiries have been made of persons who may JDF 517 R 1/18 MOTION AND AFFIDAVIT FOR PUBLICATION OF NOTICE Page 2 of 2 have information concerning the address and whereabouts of the Respondent father, but said efforts have been to no avail, and Respondent father’s address and residence and whereabouts a re and remain unknown to the Petitioner(s). Additional efforts to locate the Respondent father include the following: _______________________________________________________________________________________ 10.  Petitioner(s) last heard from Respondent mothe r on _____________________________ (date) , and last saw Respondent mother at ________________________________________________________ ________ . 11.  Petitioner(s) last heard from Respondent father on ______________________________ (date) , and last saw Responde nt father at ______ ___________________________________________ __ ______________. 12.  The last known address for Respondent mother is: ____________________________________________ ________________________________________________________________________________ _______ 13.  The last known address for Respondent father is: _____________________________________________ _______________________________________________________________________________________ Wherefore, Petitioner(s) move(s) that this Motion for Publicat ion be granted.  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form.  By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of __________ ______, _______, at ______________________________________ (date) (month) (year) (city or other location, and state OR country ___________________________________ ______________________________________ (printed name of Petitioner) Signature of Petitioner _________________________ __________ Attorney Signature, if any VERIFICATION I decla re under penalty of perjury under the law of Colorado that the foregoing is true and correct. Executed on the ______ day of ________________, _______, at ______________________________________ (date) (month) (year) (city or other location, and state OR country ___________________________________ ______________________________________ (printed name of Petitioner) Signature of Petitioner ___________________________________ Attorney Signature, if any