Fill and Sign the Use This Form in Conjunction with Jdf 485 Motion for Publication of Notice

JDF 484 R3-18 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 1 of 3District Court Denver Juvenile Court_____________________County, ColoradoCourt Address:In the Matter of the Petition of:______________________________________________________ And_______________________________________________Petitioner(s)For the Relinquishment of a Child,___________________________________________________________ (child’s name) COURT USE ONLY Attorney or Party Without Attorney (Name and Address): Phone Number: E-mail:FAX Number: Atty. Reg. #:Case Number:Division Courtroom AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENTUse this form in conjunction with JDF 485 Motion for Publication of Notice The Petitioner _______________________________________ swears and affirms that the following attempts have been made to contact the presumed or alleged other parent.1. Family Members Contacted Without Results:_______________________________________________ ______________________________________________________Name Relationship Name Relationship_______________________________________________ ______________________________________________________Address Address_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________Phone Phone2. Friends Contacted Without Results:_______________________________________________ ______________________________________________________Name Name _______________________________________________ ______________________________________________________Address Address_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________ Phone Phone3. Employers Contacted:_______________________________________________ _____________________________________________________Name of Employer Name of Employer _______________________________________________ _____________________________________________________Address Address_______________________________________________ ____________________________________________________________________________________________________ _____________________________________________________Phone Phone_______________________________________________ _____________________________________________________Dates of Employment Dates of Employment 4. Other People Contacted:_______________________________________________ ______________________________________________________Name Name _______________________________________________ ______________________________________________________Address Address JDF 484 R3-18 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 2 of 3_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________Phone PhoneNo location information known to above party. No location information known to above party.5. Phone Book Listings in the Last Known Location:_______________________________________________ ______________________________________________________Name Name _______________________________________________ ______________________________________________________Address Address_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________Phone Phone  No party found Party no longer at address No party found Party no longer at address 6. Utilities Information in the Last Known Location:_______________________________________________ ______________________________________________________Name Name _______________________________________________ ______________________________________________________Address Address_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________Phone Phone______________________________________________________________________________________________________Name of Person Contacted Name of Person Contacted No party found Party no longer at address No party found Party no longer at address 7. Military Locator Service: (For Service Members)_______________________________________________ ______________________________________________________Name Name _______________________________________________ ______________________________________________________Address Address_______________________________________________ _____________________________________________________________________________________________________ ______________________________________________________Phone Phone______________________________________________________________________________________________________Name of Person Contacted Name of Person Contacted No party found Party no longer at address No party found Party no longer at address 8. Computer and Internet Search and Inmate Locator Service was completed with the following findings:  By checking this box, I am acknowledging I am filling in the blanks and not changing anything else on the form. By checking this box, I am acknowledging that I have made a change to the original content of this form. VERIFICATION I declare under penalty of perjury under the law of Colorado that the foregoing is true and correct.Executed on the ______ day of ________________, _______, at ______________________________________ (date) (month) (year) (city or other location, and state OR country___________________________________ ______________________________________ JDF 484 R3-18 AFFIDAVIT OF DILIGENT EFFORTS FOR RELINQUISHMENT Page 3 of 3(printed name of Petitioner) Signature of Petitioner Date