Irrevocable Mother'S Affidavit Of Relinquishment Of Parental Rights To A Licensed Child-Placing Agency - Texas District Court Page 3

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"I fully understand that a lawsuit will be promptly filed in a court of competent jurisdiction to
terminate forever the parent-child relationship between me and the above-named child(ren). I fully understand
that the termination suit may or may not be combined with a suit to adopt my child(ren). I understand that
either way, once the Court terminates my parental rights, I have no further say concerning my child(ren),
whether or not my child(ren) is/are adopted then or at some later time.
"I know that I have the right to appear personally before the Court, with an attorney of my choice, to
testify about my desires with respect to my child(ren). However, I do not want to go to court in person. I
have been encouraged to seek independent legal advice, and have already done so if I felt that this was
necessary. I now want ABRAZO ADOPTION ASSOCIATES to present this Affidavit of Relinquishment of
Parental Rights to the Court.
"Because I do not want to testify in person before the court, I freely and voluntarily waive and give up
my right to the issuance, service, and return of citation, notice, and all other process in any suit to terminate my
parental rights or in any suit to terminate my parental rights joined with a suit to adopt. I do not want to be
informed further about the lawsuit, and I waive and give up my right to be given notice about anything going
on in the lawsuit. I specifically agree that a final hearing in the lawsuit may be held at any time without further
notice to me. I waive and give up my right to my right to have the official court reporter make a record of the
testimony in the lawsuit. Furthermore, I do not want to be mailed or given a copy of the judgment
terminating my parental rights and do not want to be notified of the signing, rendition, or entry of that
judgment. Therefore, I waive and give up my right to insist that those things be done. I also consent to have
any suit affecting the parent-child relationship filed or to be filed with respect to the above-identified child
(ren) be decided by a family law master appointed pursuant to section 201.001 of the Texas Family Code.
"If I am in the armed services of the United States at this time, that fact in no way has interfered with
my freedom to make my decision to execute this affidavit, and, insofar as this matter is concerned, I waive all
rights, privileges, and exemptions existing or that may hereafter exist in my favor under the Soldiers' and
Sailors' Civil Relief Act of 1940, including the appointment of counsel to represent me in this cause.
"I FULLY UNDERSTAND THAT I WILL NOT BE FURTHER INFORMED ABOUT THE
TERMINATION OF SUIT OR ABOUT ANY OTHER HEARINGS OR PROCEEDINGS
AFFECTING THE CHILD(REN) NAMED IN THIS AFFIDAVIT.
"Termination of the parent-child relationship between me and the child(ren) so that the child(ren)
Relinquishment of Parental Rights
Page 3
Affiant’s Initials _________

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