IN THE ___________________ (Name of Court) OF ___________________________ (Name
of County), __________________________________ (State)
_____________________________________ &
______________________ _______________ PETITIONERS
VS. CASE NUMBER _____-______
RESPONDENT
______________________________________
PETITION TO TERMINATE NATURAL FATHER’S
PARENT-CHILD RELATIONSHIP
Comes now _____________________________ and ____________________________,
Petitioners, by and through their attorney, and moves the Court for an order terminating the
parent-child relationship between ______________________________, a minor child and
_________________________________ , the natural father of said minor child, and as grounds
for the termination, would show unto the Court following:
I. Petitioner _______________________________ , who is _______ years of age, resides at
______________________________________________________________________________
________________________________________ (street address, city, county, state, zip code) .
II. Petitioner _________________________________, who is _______ years of age, resides
at ____________________________________________________________________________
_________________________________________ (street address, city, county, state, zip code) .
Petitioners _______________________________________ and
__________________________ are married and the date of their marriage was __________
(date). _______________________, said minor, has resided with Petitioners since _________
(date).
III. On _____________ ( date of decree of divorce) , this Court rendered a decree of divorce
dissolving the marriage between Petitioner _________________________________ and
Respondent ___________________________________. A copy of the divorce decree is
attached to this Petition as Exhibit A , and incorporated herein by reference. Petitioner
_______________________________________________ was awarded full custody of the
parties' minor child, _______________________________, who is now ____ years old. Said
male child was born in __________________________________________ (City and State) on
_____________ (date).
IV. The description and value of all property owned or possessed by said minor child is set
forth in Exhibit B attached hereto and incorporated herein by reference.
V. Petitioner __________________________________ was born _____________________
in _______________________________________________________ (City, County and State).
He is married to Petitioner _______________________________ , who is the natural mother of
the ________________________________, the above-named child.
VI. Petitioner __________________________________ , the natural mother of
___________________________________ , said minor child, was born ____________ (date of
birth) in __________________________________________________________ (City, County
and State) . Petitioner ___________________________________ is married to and currently
resides with Petitioner __________________________________ at _______________________
________________________________________________________________________ (street
address, city, county, state, zip code) .
VII. Respondent _________________________________ is the natural father of
_______________________________________, said minor child. Said Respondent is currently
______ years of age and resides at _________________________________________________
_________________________________________________ (street address, city, county, state,
zip code) .
VIII. This Court has continuing jurisdiction of this suit.
IX. Petitioners request that the Court terminate the parent-child relationship between
Respondent, the natural father, and the said child for the reason that the natural father has failed
to support the child in accordance with Respondent’s ability during a period of ______________
_______________________________________________________ ( e.g., specify time period in
months or years) and has offered no financial support of said minor child since ________ (date).
X. The termination of the parent-child relationship between the said natural father and the
child is in the best interest of the child.
WHEREFORE, Petitioners request that:
1. The Court appoint a guardian ad litem to represent the interest of the said minor child,
______________________________________.
2. All necessary and proper parties be cited to appear and answer this Petition;
3. The court enter such temporary orders as the court may find necessary;
4. On final hearing of this proceeding, the Court enter a decree terminating the parent-child
relationship between Respondent ________________________________, the natural father of
________________________________, and said ______________________________, the said
minor child.
5. The Court grant any other and further relief, at law or in equity that the Court may
consider to be in the best interest of the child.
RESPECTFULLY SUBMITTED this the _____ day of __________________, 20____.
_____ ____________________ and ___________________
Petitioners
BY ________________________________
______________________________
Petitioner’s Attorney
State Bar No. 0000
__________________________________
Attorney at law
Post Office Box ______
City, State, Zip Code
Telephone - ___-___-____
Telefax - ___-___-____
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