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Court Relinquish Parental Rights Form Arizona

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Court Relinquish Parental Rights Form Arizona Powered By Docstoc
					            Reliable Adoption Questionnaire
   We want to express our sincere thanks for selecting our company to handle your
   stepparent adoption documents – your won’t be disappointed. The questionnaire below will
   give us the information we need to professionally prepare your adoption documents.

                                                  Making your adoption as
                                                    simple as possible.
                                                                 The difference is Clear.
                                                   > Experienced Adoption Department.
                                                   > Company based on attention to detail.
                                                   > Over 40,000 satisfied customers.
                                                   > You're not left doing your Adoption alone.
                                                   > FREE life changing book. Click here for details



                                            EXPERIENCE COUNTS:
                                   ReliableAdoption.com is the industry leader in affordable
                                   Stepparent Adoption document preparation. Our
                                   professional and inexpensive service will enable you to
                                   complete your stepparent adoption documents without
incurring the high cost of an adoption attorney. While other online adoptions
companies were purc hasing forms from us to "get into the business",
ReliableAdoption has been the innovator and the company with the experience to handle
your adoption needs. The most expe rienced a nd the lowest cost. Only $325. 00.

     "We received our forms! That was fast. We fought with another adoption online company for a month
     and never received forms. They advertise a great program, but you actually deliver! Thanks."
                                                                    Schultz, Arizona




COMMITTMENT TO EXCELLENCE:
ReliableAdoption.com is the most respected, experienced and reliable service of its kind.
Our customer support staff is available to help and assist you through the process, and
deliver the professional care your adoption case deserves.

 > Thousands saved in legal fees
 > Simple and fast service
 > Up to date and 100% accurate Adoption Court forms
 > Phone and email help available from our experienced legal professionals
 > Customer Service depart ment dedicated to serving your needs
 > Unlimited changes to your forms at no additional cost
Stepparent Adoption Questionnaire
INSTRUCTIONS
Please fill out the questionnaire below in full. Once you have completed the questionnaire, you can either
 1)     email the questionnaire back to us at info@reliableadoption.com or
 2)     fax the questionnaire to us at 480-452-0969, or
 3)     mail the questionnaire back to us at the following address: ReliableAdoption, 29834 N. Cave Creek Rd #118-
145, Cave Creek, AZ 85331

PAYMENT: You can provide your payment information to us at the end of the questionnaire, or phone the payment to us,
or you can mail a money order to us at the address listed above.

The total cost to ReliableAdoption is $325.00.

    Stepfather is the person adopting

    Stepmother is the person adopting


                              Information on the natural parents
NATURAL MOTHER                                                NATURAL FATHER

Name:                                                              Identity of father unknown

Maiden name:                                                       Father’s whereabouts are unknown
Street Address:                                               Name:
City/State/Zip:                                               Street Address:
County:                                                       City/State/Zip:
Years living in this State: In this County:                   Years living in this State: In this County:
Telephone:                                                    Telephone:
Race (Ethnic Background):                                     Race (Ethnic Background):
Religious Affiliation:                                        Religious Affiliation:
Date of Birth:                                                Date of Birth:
Social Security #:                                            Social Security #:
Drivers License #:                                            Drivers License #:
Employers Name:                                               Name of previous spouses (if known):
Employer Address:                                               Name of previous spouse #1:
Occupation:                                                     Date of marriage:
Name of previous spouses:                                       Date of Divorce:
 Name of previous spouse #1:                                    Name of previous spouse #2:
 Date of marriage:                                              Date of marriage:
 Date of Divorce:                                               Date of Divorce:
 Name of previous spouse #2:
 Date of marriage:
 Date of Divorce:
                 Information on the natural parents’ relationship
NOTE: The term “absent parent” in this que stionnaire is referring to the parent who will reli nquish their parental
rights. Thi s is usually the natural father.

Were the natural parents married:             YES    NO

Will the absent parent sign a consent form and agree to the adoption:          YES         NO    UNK NOWN

Do the natural parents have a court order for custody in place:         YES          NO

      If Yes, who has custody:    Type of Custody:        SOLE         JOINT

Do the natural parents had a court order for child support in place:     YES          NO

Date the absent parent last paid child support:

Date the absent parent last had contact with the child(ren):

Please give details regarding contact with the child(ren):




                                  Information on the Stepparent
Name:
Maiden name:
Years living in this State: In this County:
Race (Ethnic Background):
Religious Affiliation:
Date of Birth:
Social Security #:
Drivers License #:
Employers Name:
Employer Address:
Occupation:

Has Nat ural parent been involved with any domestic abuse proceedings :         YES         NO



Information on the Stepparent and Natural Parents’ relationship
Date of marriage:

Place of marriage: State: County: City:
                                   Information on the Child(ren)
Child #1 to be adopted                                         Child #3 to be adopted

Name at birth:                                                 Name at birth:
Name requested aft er adoption:                                Name requested aft er adoption:
Social Security #:                                             Social Security #:
Date of Birth:                                                 Date of Birth:
Age:                                                           Age:

Sex:             Male   Female                                 Sex:             Male   Female
State of Birth:                                                State of Birth:
City of Birth:                                                 City of Birth:
Name of Hospital:                                              Name of Hospital:
Time of Birt h:                                                Time of Birt h:
Date child started living with stepparent:                     Date child started living with stepparent:
Value of child’s assets:                                       Value of child’s assets:
Date of last contact with absent parent:                       Date of last contact with absent parent:
Other details bet ween the relations hip with this child and   Other details bet ween the relations hip with this child and
the absent parent:                                             the absent parent:




Child #2 to be adopted                                         Child #4 to be adopted

Name at birth:                                                 Name at birth:
Name requested aft er adoption:                                Name requested aft er adoption:
Social Security #:                                             Social Security #:
Date of Birth:                                                 Date of Birth:
Age:                                                           Age:

Sex:             Male   Female                                 Sex:             Male   Female
State of Birth:                                                State of Birth:
City of Birth:                                                 City of Birth:
Name of Hospital:                                              Name of Hospital:
Time of Birt h:                                                Time of Birt h:
Date child started living with stepparent:                     Date child started living with stepparent:
Value of child’s assets:                                       Value of child’s assets:
Date of last contact with absent parent:                       Date of last contact with absent parent:
Other details bet ween the relations hip with this child and   Other details bet ween the relations hip with this child and
the absent parent:                                             the absent parent:
========================================================= ==================================

                                          Payment Information
PRICE:
- Adoption documents: $325 (shipping by email is free)
- ADD FOR SHIPPING: (    Standard: Email,     $6 – Priority Mail,                $19 FEDEX )


PAYI NG BY CREDIT CARD

Credit Card Number:

Exp Date:

Name on Card:

Billing Address for Credit Card / Debit Card:



PAYI NG BY CHECK – 8 DAY WAIT FOR CHECK TO CLEAR

Name of Bank:

Bank Routing Number (9 Numbers)

Checking Account Number:




PAYI NG BY MONEY ORDER

Mail this questionnaire and your money order payment to the following address:

ReliableA doption
29834 N. Cave Creek Rd. #118-145
Cave Creek AZ 85331



Call 1-888-228-9742 with any questions.

				
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Description: Court Relinquish Parental Rights Form Arizona document sample