↦

Free Affidavit Parental Rights PDF Form

The Affidavit of Voluntary Relinquishment of Parental Rights is a legal document that allows a parent to voluntarily give up their parental rights to a child. This form is crucial for those considering this significant decision, as it outlines the responsibilities and implications involved. If you are contemplating filling out this form, act promptly by clicking the button below.

Launch Editor Now

Article Map

Preview - Affidavit Parental Rights Form

Affidavit of Voluntary Relinquishment of Parental Rights

STATE OF: ___________ COUNTY OF:____________ COUNTRY: USA

BEFORE ME, the undersigned authority, on this day personally appeared

________________________, a person known to me, who, upon his oath, deposed

and stated as follows:

1.“My name is _____________________________, I am over the age of 21. I have personal knowledge of the statements made herein and am otherwise competent to make this affidavit.”

2.I reside at

____________________________________________________________________

_____________________________________________________________________

I am _________ years of age and was born on ____________________.

3._______________________is the name of the child. Her/His present address is:

__________________________________________________________________.

________________________________was born on _______________________and is currently ___________________years old.

4._________________________________is the mother and legal guardian

of:_______________________________________ .

PAGE 1

5.Choose one (5A or 5B) by placing an X in the box in front of the statement and completing the statement.

5A.	[	] I am not presently under an obligation by court order to make payments for the
support of ______________________________________.
or
5B.	[	] I am presently under an obligation by court order to make payments for the

support of ______________________________________.

6.___________________________________ presently does not own any property of value, real or otherwise.

7.It is my belief that termination of my parent-child relationship with

__________________________________ is in her/his (circle one) best interest for the following reason (s):

____________________________________________________________________

_____________________________________________________________________

(If more space is needed, attach an additional sheet and number it 7.)

PAGE 2

8.____________________________________________ is biological mother and current legal guardian of___________________________________

and resides at

______________________________________________________________(full address: street, city, state, zip).

9.I have been informed of parental rights and duties and herein acknowledge both the nature and extent of these rights and duties and my relinquishment of said rights and duties.

10.I am aware that my relinquishment of parental rights with respect to

_____________________________________is irrevocable (beyond the period of 11 days set forth in paragraph #11).

11.I acknowledge my right, which is evidenced by my execution of this Affidavit, to revoke this relinquishment if done so before the 11th day after the date of this Affidavit.

12.Should I choose to revoke this relinquishment, I understand that my revocation is to be communicated to ____________________________________(mother) at

___________________________________________, with telephone number (____) _________________________________ .

I understand that, to revoke this relinquishment, I must sign a statement witnessed by two (2) credible persons and verified before a person authorized to take oaths. I understand that this statement must

be delivered to _________________________________(mother) at the above

address and that a copy shall also be filed with the Clerk of the Court in which the suit for termination of the parent-child relationship has been filed, if applicable.

PAGE 3

13.My signature below additionally evidences that a copy of this Affidavit has been provided to me at the time of my signature and execution.

FURTHER AFFIANT SAYETH NOT.

Affiant

SWORN TO and subscribed before me on this day of _______________ 20____.

Notary Public in and for the State of __________________________. My Commission

Expires:__________________________________

Signature of Notary_______________________________________

________________________________SIGNATURE OF WITNESS

________________________________ Witness Name Printed

PAGE 4

⇓ Affidavit Parental Rights PDF

Common PDF Forms

Roof Guarantee - Transforming the property may jeopardize the protections provided by the warranty.

In addition to the Virginia Trailer Bill of Sale form, it is important for buyers and sellers to understand the importance of a comprehensive transaction record, which can be facilitated by a Motor Vehicle Bill of Sale. This document complements the trailer bill of sale by ensuring that all necessary details are captured, providing further protection and clarity for both parties involved in the sale.

How to Apply for Asylum in Usa - The I-589 form is used to apply for asylum in the United States.

Similar forms

Power of Attorney: This document allows a person to designate someone else to make decisions on their behalf. Similar to the Affidavit of Voluntary Relinquishment of Parental Rights, it requires a clear declaration of intent and understanding of the rights being transferred.
Termination of Parental Rights Petition: This legal request formally ends a parent's rights to their child. Like the affidavit, it emphasizes the best interests of the child and involves a legal process to ensure that the decision is made thoughtfully.
RV Bill of Sale Form: For those selling a recreational vehicle, the comprehensive RV Bill of Sale documentation ensures proper ownership transfer and compliance with state regulations.
Consent to Adoption: When a parent agrees to give their child up for adoption, they must sign a consent form. This document, akin to the affidavit, signifies the relinquishment of parental rights and underscores the belief that the adoption is in the child's best interest.
Guardianship Agreement: This document grants another person the authority to care for a child. Similar to the affidavit, it involves a legal acknowledgment of the parent’s decision to transfer responsibility for the child's welfare.
Child Support Agreement: This outlines the financial responsibilities of a parent towards their child. Both documents require a clear understanding of obligations and rights, as well as the welfare of the child being a priority.
Custody Agreement: This document details the arrangements for the care and control of a child after parents separate. Like the affidavit, it focuses on the child's best interests and involves a formal agreement between parties.
Relinquishment of Rights Form: This is often used in cases where a parent voluntarily gives up their parental rights. It mirrors the affidavit in that it requires a statement of understanding regarding the irrevocability of the decision.
Parental Consent Form: This form is used to grant permission for certain actions involving a child, such as medical treatment or travel. It is similar to the affidavit in that it requires the parent to acknowledge their rights and responsibilities clearly.