Affidavit Of Voluntary Relinquishment Of Parental Rights - Texas District Court Page 4
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11“No person has been appointed or has qualified as guardian of the person or estate of the
child[ren].
[or] “The guardian of the [child[ren] is [Name], who resides at [address].
“I am [am not] presently obligated by court order to make payments for support of the
[child[ren].
“A complete description of the child[ren]’s property, which is known to me, including
statement of value, of all property owned or possessed by the [child[ren] is as follows:
[name of child]
[property item]
[value]
[property item]
[value]
[property item]
[value]
“I do not know the name of the father of the children. [or] “I was not married at the time
the child was conceived or born, and the child does not have a presumed father. I have signed an
affidavit of the status of the child[ren]. [or] “The name of the father of the child[ren] is: [name of
father].
[Father’s name] address is:
“The father’s parental rights were terminated on the ___ day of
,
, by the
Court, of [name of County], [state or jurisdiction].
[or] “The father’s parental rights have not previously been terminated by any Court. [or] “The
father’s parental rights have not been adjudicated by any Court, and his parental rights have not
been established by Court order nor has his parental rights been terminated by Court order. [or]
“The father of the child[ren] is deceased and his parental rights terminated because of his death.
“It is in the best interest of the child that the child be placed for adoption in a suitable home
by an agency licensed by the Texas Department of Protective and Regulatory Services to place
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