Fill and Sign the Colorado Affidavit Online Form

 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 COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail: FAX Number: Atty. Reg. #: Case Number: Division Courtroom AFFIDAVIT OF ABANDONMENT I/We __________________________________________ (name of custodial birth parent in stepparent adoption or adoptive relative(s), legal custodian(s) in kinship and custodial adoptions), state the following: The birth parent(s), _______________________ of the subject child, __________________________,  has failed without cause to provide reasonable support for the child for a period of one year or more. and/or  has abandoned the child for a period of one year or more. For kinship and custodial adoptions, the Petitioner(s) has/have had physical custody of the child for a period of one year or more. The child is not the subject of a pending dependency and neglect proceeding.  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/Custodial birth parent) Signature of Petitioner/Custodial birth parent 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 JDF 525 R1/18 AFFIDAVIT OF ABANDONMENT