Fill and Sign the Paternity Test Form

_________________ : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA _________________ : DOCKET NO. _______ _________________________________________________________________ PETITION TO DISAVOW The petition of _________________ , a person of the full age of majority, through the undersigned counsel, respect fully represents: l. _________________ (hereinafter called Petitioner) is a citizen an d resident of and is domiciled in _______ , _______ Parish, Louisiana. 2. _________________ , _________________ and _________________ (hereinafter called Defendants) are citizens and residents of and are domiciled at _______ , _______ , Louisiana _______ . 3. Petitioner and Defendant, _________________ , had lived together for approximately _______ (___ ) years, but were never married. 4. During this _______ (___ ) year period , Defendant, ___ ______________ , gave birth to two children, namely, _________________ , born on _______ ___ , 20 ___ , and _________________ , born on _______ ___ , 20 ___ . 5. Petitioner is informed and believes that th e two children born during this time period are the result of a relationship with another man and that the Petitioner is not the father of these children. 6. Consequently, Petitioner disowns the children whose names are _________________ and _________________ . 7. The children have no legal representative and, therefore, it is necessary that an attorney at law be appointed to represent _________________ and _________________ . 8. The mother of the child is a necessary party to this action. 9. Pursuant to La. R.S. 9:396 et se q., Petitioner requests this Court to order defendant and children to submit themselves for the drawing of blood samples to determine paternity. l0. That defendant, _________________ , be cast with all costs of these proceedings. WHEREFORE, Petitioner prays that: (l) An attorney at law be appointed to represent the children born to Defendant ; (2) The children, through the attorney at law, and Defendant, the children's mother, be served with a copy of this petition and cited to appear and answer it according to law; (3) There be Judgment herein ultimately decreeing that said children are not Petitioner's children; (4) Plaintiff further prays that Defendant and children be ordered to submit themselves for the drawing of blood to determine paternity; and (5) Defendant, _________________ , be cast with all costs of these proceedings. RESPECTFULLY SUBMITTED, _______________________________ _________________ Attorney for Petitioner _________________ ___________ , LA _______ (___ )_______ PLEASE SERVE: _________________ _________________ ___________ , LA _______ The subject children: _________________ and _________________ , through Court -appointed attorney _________________ : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA _________________ : DOCKET NO. _______ _________________________________________________________________ VERIFICATION STATE OF LOUISIANA PARISH OF _______ BEFO RE ME, the undersigned Notary Public, duly qualified in and for the above - named Parish and State, personally came and appeared: _________________ who, after being duly sworn, did attest as follows: (l) Affiant is the petitioner in the above matter. (2) Affiant has read the allegations contained in the attached petition, and finds that same are true and correct to the best of his knowledge and belief, and the information contained therein was provided to my attorney. ________________________________ _________________ SWORN TO AND SUBSCRIBED before me on this _____ day of _______ , 20 ___ . ________________________________ NOTARY PUBLIC _________________ : _______ JUDICIAL DISTRICT COURT VS : PARISH OF _______ , LOUISIANA _________________ : DOCKET NO. _______ _____________________________ ____________________________________ ORDER Considering the foregoing petition: IT IS ORDERED that _________________, attorney at law practicing within _______ Parish, Louisiana, be appointed herein to represent the minor children, _________________ and ___ ______________ , referred to in the above petition. IT IS FURTHER ORDERED that the Defendants, _________________ , _________________ and _________________ , submit themselves for the drawing of blood samples at a time and date to be determined pursuant to La. R.S. 9:396 et seq. THUS DONE AND SIGNED thi s ______ day of _______ , 20 ___ , at _____________ , Louisiana. _________ _________________________ DISTRICT JUDGE