Fill and Sign the State V Leroux 26 Neb Ct App 76courtlistenercom Form

JDF 506 R5/19 NOTICE OF ADOPTION PROCEEDING AND SUMMONS PURSUANT TO §19-5-105(5), C.R.S. ❑ District Court ❑ Denver Juvenile Court _______________ ___________________County, Colorado Court Address: THE PEOPLE OF THE STATE OF COLORADO In the Interest of: __________________________________________________, Child _____________________________ Date of Birth UPON THE PETITION OF: _____________________________________________Petitioner(s) AND CONCERNING: ___________________________________________Respondent(s) COURT USE ONLY Attorney or Party W ithout Attorney (Name and Address): Phone Number: E -mail: FAX Number: Atty. Reg.#: Case Number: Division Courtroom NOTICE OF ADOPTION PROCEEDING AND SUMMONS TO RESPOND PURSUANT TO §19 -5-105(5), C.R.S. To the above named Respondent(s): You are hereby notified that a Petition for Adoption has been file d and if you wish to respond to the Petition, you must file your Response with the clerk of this Court within 35 days after this Notice is served on you. Your response must be accompanied by the applicable filing fee of $ 192 .00 . Your failure to file a Response , or to appear, within 35 days after service, and, in the case of an alleged father, your failure to file a claim of paternity under Article 4 of Title 19, C.R.S., within 3 5 days after service, if a claim has not previously been filed, may likely result in termination of your pare ntal or your alleged parental rights to the minor child. The following documents are also served herewith: (check as appropriate) ❑ Petition for (Stepparent, Kinship, Custodial ) Adoption ❑ Petition to Terminate the Parent -Child Legal Relationship (JDF 520). ❑ Affidavit of Abandonment (JDF 525) ❑ Other: _________________________________________________ Date: __________________________ __________________________________ Clerk of Court/Deputy Clerk (This form is not to be used where service by publication is desired.)