Amador — FCA-201

Source: https://amador.courts.ca.gov/system/files/fca201_orderonpetitiontodeclareminorfreefromparentalcustodyandcontrol.pdf

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) FOR COURT USE ONLY

TELEPHONE NO.: FAX NO: (Optional) ATTORNEY FOR (NAME):

AMADOR COUNTY SUPERIOR COURT 500 ARGONAUT LANE JACKSON, CA 95642 (209) 257-2600 PETITIONER:

ORDER ON THE PETITION TO DECLARE MINOR/S FREE FROM CASE NUMBER: PARENTAL CUSTODY AND CONTROL AND TERMINATE PARENTAL RIGHTS

A petition to terminate the parental rights of _______________________________________ , who is the

Presumed father Mother

of the child, who is the subject of this adoption, having come on regularly for hearing, and a notice of hearing having been given as required by law, and the Court being advised of the circumstances, the Court finds as follows:

__________________________ is the natural mother of the subject minor ________________ whose

date of birth is ____________________________, and who is now in the custody of the above-named adopting parent.

The presumed father of such child has been served notice of this action.

It is therefore the ORDER OF THIS COURT that the parental rights of the presumed father/mother________________________________________ be terminated.

Dated ______________________ ______________________________________________
Judge of the Superior Court

Approved for Optional Use ORDER ON PETITION TO DECLARE MINOR FREE FROM PARENTAL www.amadorcourt.org
New 3/10/17 CUSTODY AND CONTROL OF PARENT FOR STEPPARENT ADOPTION FCA-201