Waiver And Acceptance Of Service
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1District Court
Denver Juvenile Court
_________________________________County, Colorado
Court Address:
IN THE MATTER OF THE PETITION OF:
______________________________
(name of person(s) seeking to adopt)
COURT USE ONLY
FOR THE ADOPTION OF A CHILD
Attorney or Party Without Attorney (Name and Address):
Case Number:
Phone Number:
E-mail:
Division
Courtroom
FAX Number:
Atty. Reg. #:
WAIVER AND ACCEPTANCE OF SERVICE
AFFIDAVIT OF SERVICE
Waiver and Acceptance of Service
I declare under oath that I am the Respondent in this case, that I have received and accept service of the Notice of Adoption
Petition to Terminate Child-Legal Relationship
Proceeding and a copy of the
Petition for Adoption
, and
Other
(Please identify): ___________________________________________________________________________________in
this case.
This waiver of service shall not be construed as an admission by me of the truth of the allegations in the Petition
and I reserve the right to receive notices of settings and the right to respond and appear in person.
Note: If you are in the active military service of the United States of America, you may be entitled to request a temporary
suspension of these proceedings under the Servicemembers Civil Relief Act (50 U.S.C. App. §520, et seq.). Please consult
with your base legal officer or the attorney of your choice.
I have decided to waive the stay provisions of the Servicemembers Civil Relief Act (50 U.S.C. §520, et seq.) as
well as my right to court-appointed counsel under the Act and permit the action to proceed. This waiver of service
shall not be construed as an admission by me of the truth of the allegations in the Petition.
Date: ______________________________________
_______________________________________
Respondent (Sign before a Notary or Clerk)
Affidavit of Service
, _________________________________________, being first duly sworn on oath, depose and state that I am
I
18 years or older and not a party to this action and have served the following forms by handing a copy of the same
to _____________________________________________ on _____________________ (date) at _______ (time)
Notice of Adoption Proceeding and Summons (JDF 506),
Petition for Adoption
Petition to Terminate the Parent-Child Legal Relationship
Affidavit of Abandonment
Date: ___________________________________
__________________________________________
Sheriff/Process Server (Sign before a Notary or Clerk)
Subscribed and affirmed, or sworn to before me in the County of ________________________, State of
____________________, this _______, day of ________________, 20 ____.
My Commission Expires: ________________
______________________________________
Clerk/ Notary Public
JDF 507
R8/06
AFFIDAVIT OF SERVICE/WAIVER AND ACCEPTANCE OF SERVICE
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