Revocation Of Relinquishment Of Custodial Rights
ADVERTISEMENT
1NO. _________________________
IN THE DISTRICT COURT
IN THE INTEREST
JUDICIAL DISTRICT
OF
STATE
MINOR CHILD(REN)
REVOCATION OF RELINQUISHMENT OF CUSTODIAL RIGHTS
On this date,
,
, the legal
guardian(s) of
, hereby
attest(s) to the following statements:
That the child(ren) above are minors in the eyes of the law, being born on the following date(s):
That the guardian(s) previously relinquished all custodial custody rights of the aforementioned
child(ren) to
on the date of
with the understanding that said agency would find suitable adoptive home(s) for the child(ren).
That the guardian(s) have requested to revoke the relinquishment. Both parties agree to consent
to the revocation of relinquishment concerning the child(ren) listed above.
Legal Guardian Signature
Date
Agency Representative Signature
Date
Witness Signature
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business