Fill and Sign the I 1 F Ncjrs Form

IN THE _____________________ (Name of Court) OF _____________________ (Name of County), __________________________________________ (State) In the Matter of the Adoption of_____________________, a Minor Case Number: _____-_____ Consent to Adoption I, __________________________ (Name of Mother), of _________________________ __________________________________________ (street address, city, county, state, zip code) hereby relinquish and release forever to _____________________________________(Names of Adopting Parents), of ______________________________________________________(street address, city, county, state, zip code) my rights as a parent in and to my ___________ (male or female) child, _________________________(Name of Child), born at ___________________ ____________________________________ (Name of Hospital or Clinic), at ___________________________________________________________ (street address, city, county, state, zip code, which child was born out of wedlock. I declare that I am the mother of the child, now the age of ____days, and that I hereby relinquish unto ________________ ________________________________________________(Names of Adopting Parents), of ______________________________________________________________(street address, city, county, state, zip code), all my rights to the child and respectfully request any court of competent jurisdiction to enter its order of adoption. This release is made pursuant to ________________________________ (cite state statute or other authority). WITNESS my signature this, the ____day of ________________, 20___. ____________________________________Signature of Mother Acknowledgments (form may vary by state)
— (state / county / zip / date) bond : signature of mother on (state / county / zip / date of birth) to: , or attorney(s) date: july 11, 2013 dear , (address of attorney) in the nature of an amended complaint and complaint under the child abuse act of 1974, I am writing to report the following criminal investigation in the United Kingdom related to criminal sex offenses against children: in the city of derby, england, on or between September 10, 2012, and june 1, 2013, a 15-year old male is an alleged perpetrator of one count of indecent assault and one count of indecent assault and battery in that he “posed as a girl on an internet website to make inappropriate sexual comments to an adult male”. He is alleged to have received (some from) girls in his care, “to do a sexual act for him", in derby, england, and to have taken (some from) girls to his home between derby and derby north, England. He is accused of using a laptop computer, in derby, to send and receive (some from) a substantial amount of indecent images of young girls, including pictures of his genitalia and female genitalia. The alleged victim's father is also alleged to be an alleged perpetrator, as he allegedly engaged in inappropriate behavior with the complainant, including giving the complainant presents, and allowing his daughter access to the complainant. The alleged perpetrator had contact with a local doctor, in derby, England, for which he has since received some professional sanctions, and the father to which the complainant is alleged to have had contact is being investigated with regard to a similar allegation. The alleged perpetrator's mother and female friend have now become the subject of an ongoing investigation in the United Kingdom, relating to accusations of child abuse. The alleged perpetrator has been identified, but this investigation is ongoing, and the complainant has been provided with a statement of alleged criminal charges against him. (a copy of this statement will follow in a future message.) I am also writing to further indicate that an allegation to the effect that the defendant sexually abused a 12-year-old girl on his home computer allegedly occurred in my county, in the county of Santa Clara, california, and a copy of the report on this allegation will be sent to me, and to the local authorities who are investigating the