[TYPE YOUR NAME HERE]

[TYPE YOUR ADDRESS HERE]

[TYPE YOUR CITY, STATE AND ZIP HERE]

[TYPE YOUR PHONE NUMBER HERE]

In Propria Persona

SUPERIOR COURT OF CALIFORNIA

COUNTY OF FRESNO

In the matter of the petition of [TYPE YOUR NAME HERE],
On Behalf of
[TYPE THE MINOR’S NAME HERE], a Minor, for Freedom From Parental Custody and Control / )
)
)
)
)
) / Case No.: [TYPE THE CASE NUMBER HERE]
PETITION TO DECLARE MINOR FREE FROM PARENTAL CUSTODY AND CONTROL

Petitioner alleges:

1. Petitioner is an adult person who desires to adopt [TYPE THE NAME OF THE ADOPTEE HERE], a minor, who is the subject of this petition. Petitioner is the husband of [TYPE THE NAME OF THE MOTHER HERE], who is the mother of the minor and who has custody of the minor. Petitioner, his spouse and the minor reside in Fresno County, California.

2. The minor child has been left by the natural father, [TYPE THE NAME OF THE NATURAL FATHER HERE], in the custody and control of [TYPE THE NAME OF THE MOTHER HERE], the mother of the minor.

3. The natural father of the minor has not communicated with the minor since [TYPE THE DATE OF LAST COMMUNICATION HERE], a period of over one year. The natural father of the minor has not made any provisions for the support of the minor since [TYPE THE DATE OF LAST SUPPORT HERE], a period of over one year.

Wherefore, Petitioner prays judgment declaring that the minor child is free from the custody and control of [TYPE THE NAME OF THE NATURAL FATHER HERE].

[TYPE THE DATE HERE]

Signed: ______

[TYPE YOUR NAME HERE]

VERIFICATION

The statements in the above Petition are true of my own knowledge, except as to the matters that are therein stated on my information and belief, and as to those matters, I believe them to be true.

Executed on[TYPE THE DATE HERE], at Fresno, California.

I declare under penalty of perjury that the foregoing is true and correct.

Signed: ______

Petitioner