In the matter of  
 DOB: 
 
                                                                                                                                                        

Full name of child

 , adoptee 
 adoptee is an Indian child 

SUPPLEMENTAL PETITION

I, 

Name of petitioning parent

Name (type or print)

 , request that the parental rights of

 , the other parent of the child, be terminated 

because of lack of support of and parenting time with the child.

 

Signature of petitioning parent

1. I have joined in a petition with 

Name (type or print)

on 

Date

  parental rights of the other parent named above.

AFFIDAVIT

 , requesting the adoption of the child named above and the termination of the

 , whom I married

2. I have custody of the child according to a court order. A copy of all court orders regarding custody are attached.

 a. A support order has been entered and the other parent has failed to substantially comply with the order for a

       
        period of two years or more before the petition for adoption was filed. Note: If a support order of $0.00 was entered, check 3b.

 b. A support order has not been entered and the other parent, having the ability to support the child, has failed or

        neglected to provide regular and substantial support for two years or more before the petition for adoption was filed.

4. The other parent has had the ability to visit, contact, and communicate with the child and has regularly and substantially

 

failed or neglected to do so for a period of two years or more before the petition for adoption was filed.

5. The last-known address of the other parent is 

 

Date

   

 

 

3. 
 
 

 

 

Approved, SCAOJIS CODE:SPTDo not write below this line - For court use onlySTATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTY SUPPLEMENTAL PETITION AND AFFIDAVIT TO TERMINATE PARENTAL RIGHTS(STEPPARENT ADOPTION)FILE NO.PCA 302 (6/18) SUPPLEMENTAL PETITION AND AFFIDAVIT TO TERMINATE PARENTAL RIGHTS            (STEPPARENT ADOPTION)MCL 710.26, MCL 710.51(6), MCL 712B.9(1), MCR 3.801(SEE SECOND PAGE)Supplemental Petition and Affidavit to Terminate Parental Rights 

(6/18)  Page 

  

 of 

  

File No. 
 

6. 
 

 a. The other parent is living at the above address.
 b. The other parent is not living at the above address, and I have taken the following steps to locate him/her:

 

 

 

 

       

       

       

       

 

 

 

 

Attorney signature

Address

 
Attorney name (type or print)                                                            Bar no.

Signature of petitioning parent

City, state, zip                                                                        Telephone no.

City, state, zip                                                                              Telephone no.

Subscribed and sworn to before me on 

 County, Michigan.

My commission expires: 

Date

 Signature: 

Notary public/Deputy clerk

Notary public, State of Michigan, County of 

Date

 

 

 

 

Date

Address

 ,