Kern — CLERK 580 2170 063B

Source: https://www.kern.courts.ca.gov/system/files/general/clerk-580-2170-063b-citation-freedom-parental-custody-and-control-rev-31979.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): Space Below for Use of Court Clerk Only

TELEPHONE NO.: FAX NO. (Optional):

E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

SUPERIOR COURT OF CALIFORNIA, COUNTY OF KERN 1215 TRUXTUN AVENUE, BAKERSFIELD, CALIFORNIA 93301

In the Matter of CASE NUMBER:

CITATION

Freedom From Parental Custody and Control Minor(s)

A person(s) who should be declared free from the ENTERED (ABANDONMENT) custody and control of (his) (her) parent or parents. (Re: ADOPTION)

TO: and to all persons claiming to be the father or mother of said minor person(s) above named. By order of this Court you are hereby cited and required to appear before the Judge Presiding in Department of the above entitled court on , at .m. of that day, then and there to show cause, if any you have, why said person should not be declared free from the control of (his) (her) parents according to the petition on file herein.

For failure to attend, you will be deemed guilty of a contempt of court. You are hereby notified of the provisions of Civil Code §237.5 which provide: "the judge shall advise the minor

and the parents, if present, of the right to have counsel present. The court may appoint counsel to represent the minor whether or not the minor is able to afford counsel, and if they are unable to afford counsel, shall appoint counsel to represent the parents."

TARA LEAL, CLERK OF THE COURT

By: Deputy

NOTICE TO PERSON SERVED

= You are served as an individual citee = You are served on behalf of: under: = C.C.P. §416.60 (Minor) = C.C.P. §416.70 (Incompetent) = C.C.P. §416.90 (Individual) = Other:

The time when a citation is deemed served on a party may vary depending on the method of service. For example, see Code of Civil Procedure §§413.10 through 415.40.

(See reverse side for Proof of Service) Page 1 of 2

Clerk 580 2170 063B (R-3-79) CITATION - FREEDOM FROM PARENTAL CUSTODY AND CONTROL C.C. §234, 235 (Optional Form) (ABANDONMENT) (RE: ADOPTION)

PROOF OF SERVICE (See instruction Sheet)

I served the citation: (Type or print)
Citee 1 Citee 2

1. Name

2. Person served and title:

3. Person with whom left: title or relationship to person served:

4. Date and time of delivery:

5. Mailing date; type of mail:

6. Address, city and state (when required, indicate whether address is home or business):

7. Manner of service: (Check applicable box for each person served and complete this form.) (C-1) (C-2) = = (Personal service) By handing copies to the person served. (C.C.P. §415.10) = = (Substituted service on corporation, unincorporated association (including partnership, or public entity)) By leaving, during usual office hours, copies in the office of the person served with the person who apparently was in charge and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the copies were left. (C.C.P. §415.20(a).) Place of mailing: (C-1): (C-2):

= = (Substituted service on natural person, minor, incompetent, or candidate) By leaving copies at the dwelling house, usual place of abode, or usual place of business of the person served in the presence of a competent member of the household or person

apparently in charge of his office or place of business, at least 18 years of age, who was informed of the general nature of

the papers. and thereafter mailing (by first-class mail, postage prepaid) copies to the person served at the place where the

copies were left. (C.C.P. §415.20(b). Attach separate description of affidavit stating acts relied on to establish

reasonable diligence in attempting personal service.) Place of Mailing: (C-1): (C-2):

= = (Mail and acknowledgment service) By mailing (by first-class mail or airmail) copies to the person served, together with two copies of the form of notice and acknowledgment and a return envelope, postage prepaid, addressed to the sender (C.C.P.

§415.30) Attach written acknowledgment of receipt.) Place of mailing: (C-1): (C-2):

= = (Certified or registered mail service) By mailing to address outside California (by registered or certified airmail with return receipt requested) copies to the person served. (C.C.P. §415.40. Attach signed return receipt or other evidence of actual

delivery to the person served.) Place of mailing: (C-1): (C-2):

= = (Other C.C.P §§413.1, 413.30, 417.10-417.30-Attach separate pages if necessary): The notices stated on the citation appeared on the copy served (C.C.P. §412.30 or 474). At the time of service I was at least 18 years of

age and not a party to the action.

Fee for service $ . Mileage $ . Notary $ . Total $

(To be completed in California by Process Server (To be completed in California by
other than a sheriff, marshal or constable) sheriff, marshal or constable)

I declare under penalty of perjury that the foregoing is true and correct I certify that the foregoing is true and correct and this certificate

and this declaration was executed on (insert date): was executed on (insert date):

(Type or print name, title, county and when applicable,

at (insert place): California. Municipal or Justice Court District)

(Type or print name, address and telephone no.)

Signature Signature

• This declaration or certificate of service must be executed within California. (C.C.P. §2015.5). A proof of service executed outside California must

be made by affidavit. Clerk 580 2170 063B (R-3-79) CITATION - FREEDOM FROM PARENTAL CUSTODY AND CONTROL Page 2 of 2 (Optional Form) (ABANDONMENT) (RE: ADOPTION)