Application to Dispense with Petition (Alleged Paternity)

SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4175 Main St., Riverside, CA 92501 INDIO 46-200 Oasis St., Indio, CA 92201 RI-A836

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

IN THE MATTER OF THE PETITION OF:

CASE NUMBER:

APPLICATION TO DISPENSE WITH PETITION TO DETERMINE NECESSITY OF CONSENT AFTER NOTICE OF ALLEGED PATERNITY (FC 7660) AND ORDER THEREON

I, say:

1. I am the attorney for petitioner(s)/the petitioner in the above-captioned matter.

2. is the mother of who was born on in the County of , State of , and who is now or will be within the County of Riverside in the custody of the petitioner(s) for the purpose of adoption.

3. The mother of the subject minor has declared that is the natural father of the subject minor and a copy of her written statement alleging such paternity is hereunto attached, marked as Exhibit A and incorporated herein.

4. , the alleged father of the subject minor has been served with a Notice of Alleged Paternity, a true copy of which is attached as Exhibit B and incorporated herein. Proof of service of said Notice is attached as Exhibit C and incorporated herein. More than thirty (30) days have elapsed since the service of said Notice of Alleged Paternity and the alleged father has failed to bring an action for the purpose of declaring him to be the father of .

WHEREFORE, applicant prays an order of this Court dispensing with the filing of a Petition to Determine Necessity of Consent in the within proceeding, and terminating the parental rights of the alleged natural father.

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

(DATE) (TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION

Page 1 of 4 Approved for Optional Use APPLICATION TO DISPENSE WITH PETITION TO DETERMINE NECESSITY Family Code §7660 Riverside Superior Court riverside.courts.ca.gov/localfrms/localfrms.shtml RI-A836 [Rev. 7/27/11] OF CONSENT AFTER NOTICE OF ALLEGED PARTERNITY (FC 7660) AND ORDER THEREON SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE

HEMET 880 N. State St., Hemet, CA 92543 RIVERSIDE 4175 Main St., Riverside, CA 92501 INDIO 46-200 Oasis St., Indio, CA 92201 RI-A836

ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address): FOR COURT USE ONLY

TELEPHONE NO.: FAX NO. (Optional): E-MAIL ADDRESS (Optional):

ATTORNEY FOR (Name):

IN THE MATTER OF THE PETITION OF:

CASE NUMBER:

NOTICE OF ALLEGED PATERNITY

To: alleged natural father:

1. PLEASE TAKE NOTICE that it is alleged that you are, or could be, the natural father of born on to (Mother), or expected to be born on to (Mother).

2. TAKE FURTHER NOTICE that: Your failure to bring an action within 30 days after the birth of this said child or service of this notice upon you, whichever last occurs, for the purpose of declaring that you are the father of the above mentioned child may result in the child’s being legally adopted by others without further notice to you.

(DATE)

► (TYPE OR PRINT NAME OF ATTORNEY PARTY MAKING DECLARATION) ( SIGNATURE)

Page 2 of 4 Approved for Optional Use riverside.courts.ca.gov/localfrms/localfrms.shtml Riverside Superior Court NOTICE OF ALLEGED PATERNITY RI-A836 [Rev. 7/27/11] PROOF OF SERVICE OF CITATION ADOPTION (Use separate proof of service for each person served)

1. I served the person cited (name): With the citation and petition as follows: a. by serving 1. ☐ Person cited. 2. ☐ Person and title or relationship to person cited (name etc): b. ☐ Delivery at ☐ home ☐ business 1. Date: 2. Time: 3. Address: c. ☐ Mailing: 1. Date: ☐ 2. Place: 3. Address:

2. Manner of service: (check proper box) a. ☐ (Personal Service) By personally delivering Copies (CCP 415.10). b. ☐ (Substituted service on corporation, unincorporated association (including partnership), or public entity). By leaving, during usual business hours, copies in the office of the person cited with (name): and thereafter mailing, by first-class mail, postage prepaid, copies to the person cited at the place where the copies were left (CCP 415.20(a)). c. ☐ (Substituted service on natural person, minor, incompetent or candidate). By leaving copies at the ☐ dwelling house ☐ usual place abode ☐ usual place of business of the person cited in the presence of (name): who was informed of the general nature of the papers, and thereafter mailing by first class mail, postage prepaid, copies to the person cited at the place where the copies were left (CCP 415.20(b)). (Attach separate declaration or affidavit stating acts relied on to establish reasonable diligence in first attempting personal service.) (Mail and acknowledgment service). By mailing by first-class mail copies to the person cited together with d. ☐ two copies of the form Notice and Acknowledgment of Receipt and a return envelope, postage, prepaid, addressed to the sender (CCP 415.30). (Attach completed Acknowledgment of Receipt form.) e. ☐ (Return receipt requested mail service). By mailing to address outside California, with return receipt requested, copies to the person cited (CCP 415.40) (Attach signed return receipt or other evidence of actual delivery to the person served.) f. ☐ (Other-CCP 413.10. 413.30. Attach separate page if necessary): ☐ Additional page is attached.

3. On the copy of the citation served the NOTICE TO THE PERSON SERVED was completed as follows (CCP 412.30), 415.10, AND 474): a. ☐ As an individual: b. ☐ As the person cited under the fictitious name of : c. ☐ On behalf of: Under: ☐ CCP 416.10 (Corporation) ☐ CCP 416.60 (Minor) ☐ Other: ☐ CCP 416.20 (Defunct corporation) ☐ CCP 416.40 (Association or partnership) ☐ CCP 416.90 (Individual) d. ☐ By personal delivery on (date):

Page 3 of 4 Approved for Optional Use riverside.courts.ca.gov/localfrms/localfrms.shtml Riverside Superior Court PROOF OF SERVICE OF CITATION ADOPTION RI-A836 [Rev. 7/27/11] PROOF OF SERVICE OF CITATION ADOPTION (Use separate proof of service for each person served)

4. At the time of service I was at least 18 years of age and not a party to this action.

5. Fee for service: $

6. Name, address and telephone number of person serving:

a. ☐ Not a registered California process server (CCP 417.40) ☐ and exempt (Bus & P Code 22350).

b. ☐ Registered: County, Number:

c. ☐ California sheriff, marshal or constable 1. Title: 2. County: 3. ☐ Municipal or Justice Court District:

I declare under penalty of perjury that the foregoing I certify that the foregoing is true and correct and that this is true and correct and that this declaration is certificate is executed on (date): executed on (date): at (place): , at (place): California. California.

(SIGNATURE) (SIGNATURE)

The declaration under penalty of perjury must be served in California, or in a state that authorized use of the declaration in place of an affidavit, otherwise an affidavit is required.

Page 4 of 4 Approved for Optional Use riverside.courts.ca.gov/localfrms/localfrms.shtml Riverside Superior Court PROOF OF SERVICE OF CITATION ADOPTION RI-A836 [Rev. 7/27/11]