Finding Of Fact And Decree

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District Court
Denver Juvenile Court
___________________________________ County, Colorado
Court Address:
IN THE MATTER OF THE PETITION OF:
COURT USE ONLY
_____________________________
(name of person(s) seeking to adopt)
Case Number: ___________________
FOR THE ADOPTION OF A CHILD
Division: ________ Courtroom:______
FINDING OF FACT AND DECREE
PURSUANT TO §19-5-203, C.R.S.
This matter comes before the Court and having jurisdiction of the subject and in the best interests of the child, the
Court finds:
That personal service and/or service by publication, as provided by law, has been properly executed upon
_____________________________________________________ (name of Respondent(s)), who is/are
the birth/presumed/purported parent(s) of said child; and
That the submitted written consent by the person, persons, or agency having authority to execute the
same appears to be genuine and valid; and
That the Respondents(s) has/have not established a substantial, positive relationship with the child
pursuant to §19-5-105(3.1)(c), C.R.S.
That the Respondent(s) has/have not promptly taken substantial parental responsibility for the child. §19-
5-105(3.1)(b), C.R.S.
That said Respondent(s) has/have abandoned said child for a period of one year or more and/or has/have
failed without cause to provide reasonable support for said child for a period of one year or more.
It is therefore ordered that the parental rights of ___________________________________________ (name of
Respondent(s)), is/are hereby terminated and the child is available for adoption.
Date: ______________________________
____________________________________________
Judge
Magistrate
CERTIFICATE OF MAILING
I certify that on __________________ (date), I mailed, faxed, e-filed, or hand-delivered a copy of this Order to the
following:
Petitioner/Attorney
Respondent/Attorney
_
_____________________________________
Clerk
JDF 521
R9/08
FINDING OF FACT AND DECREE

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