Voluntary Relinquishment Of Custodial Rights

ADVERTISEMENT

Voluntary Relinquishment of Custodial Rights
STATE/COMMONWEALTH
OF
COUNTY OF
I,
, being duly sworn and deposed, hereby
swear and attest to the following:
That I am the legal guardian of
and that said child is
.
a minor, born on
I hereby voluntarily relinquish all my parental and custodial rights over the minor child named above to
I understand that once this relinquishment is executed it will be permanent and irrevocable unless it was
made fraudulently or under duress. Once executed, this relinquishment will terminate all rights,
responsibilities, privileges, obligations, and duties associated with care, support, visitation, custody,
inheritance, and notice of adoption of the child.
Signature:
Date:
This document was acknowledged before me on
by
.
[Notary Seal, if any]:
(Signature of Notarial Officer)
Notary Public for the State/Commonwealth of
My commission expires

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go