Fill and Sign the Termination Parental Rights Wisconsin Form

STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE INTEREST OF       a person under the age of 18. Petition for Termination of Parental Rights       Date of Birth Case No.       Under oath, I state that the child’s name and birth date are as stated above and: 1. Petitioner’s Name and Address       Child’s Address       County where child is present at time of filing petition       Sex       Mother’s Name       Mother’s Address       Father’s Name       Father’s Address       Child’s Legal Guardian       Legal Guardian’s Address       Child’s Legal Custodian       Legal Custodian’s Address       2. The petitioner is interested as       3. The child is a marital non-marital child. 4. The father is adjudicated. presumed. alleged. biological (nonadjudicated). unknown. Names and addresses of additional possible fathers, if known, are attached. 5. The petitioner seeks termination of parental rights of the: mother, who will may will not consent to the termination of her parental rights under §48.41, Wis. Stats. If involuntary, grounds for termination of parental rights exist under §48.415(       ), Wis. Stats. A statement of the facts and circumstances which support these grounds is as follows: See attached.       JC-1630, 08/06 Petition for Termination of Parental Rights §§48.41, 48.415, and 48.42, Wisconsin Statutes . This form shall not be modified. It may be supplemented with additional material. Page 1 of 2 Petition for Termination of Parental Rights Page 2 of 2 Case No. father, who will may will not consent to the termination of his parental rights under §48.41, Wis. Stats. If involuntary, grounds for termination of parental rights exist under §48.415(       ), Wis. Stats. A statement of the facts and circumstances which support these grounds is as follows: See attached.       additional possible fathers (known or unknown). Attach name(s) if known. The statutory grounds for termination of the parental rights of each possible father and the facts and circumstances which support these grounds are attached. 6. The child is subject to the federal Indian Child Welfare Act (25 USC §§1911-1963). Tribe/address:       The child is not subject to the federal Indian Child Welfare Act. It is unknown at this time whether the child is subject to the federal Indian Child Welfare Act. 7. The Uniform Child Custody Jurisdiction Act Affidavit is attached to this petition. 8. The best interests of the child will be served by termination of the parental rights of the parent(s). 9. The best interests of the minor birth parent(s) will be served by the termination of his her their parental rights. Subscribed and sworn to before me on       Notary Public, State of Wisconsin My commission expires:       Signature of Petitioner       Name Printed or Typed Signature of Petitioner       Name Printed or Typed Name of Attorney       Address       Telephone Number       Bar Number       JC-1630, 08/06 Petition for Termination of Parental Rights §§48.41, 48.415, and 48.42, Wisconsin Statutes . This form shall not be modified. It may be supplemented with additional material. Page 2 of 2