Order For Search And Certificate Of Search Putative Father Registry {Law 1079}

IN THE CIRCUIT COURT IN THE EIGHTEENTH JUDICIAL CIRCUIT IN AND FOR BREVARD COUNTY, FLORIDA. Case No.: IN RE: TERMINATION OF PARENTAL RIGHTS PENDING STEPPARENT ADOPTION OF , Minor Child(ren) ORDER FOR SEARCH AND CERTIFICATE OF SEARCH PUTATIVE FATHER REGISTRY Upon motion of Petitioner for search of the Florida Putative Father Registry by the Bureau of Vital Statistics and request for issuance of a certifice of search, the Court finds that a showingat of goodcause has been made in support of the motion, therefore, it is ORDERED that the Bureau of Vital Statistics shall search the Florida Putative Father Registry for the minor child(ren): _________________________ date of birth: ____________ place of birth: _____________________ _________________________ date of birth: ____________ place of birth: _____________________ _________________________ date of birth: ____________ place of birth: _____________________ _________________________ date of birth: ____________ place of birth: _____________________ The mothers name: _________________________________ place of birth: _____________________ Maiden name: _____________________________________ Address: ______________________________________________________________ ______________ Upon completion of this search the Bureau of Vital Statistics shall issue a Certificate of Completion and send this certificate to the Petitioner, __________________________________________, at the address ________________________________________________________________________ . DONE AND ORDERED in Brevard County, Florida, on {date} ____________________, 20___. ____________________________________ Circuit Judge COPIES TO: Petitioner (or his/her attorney) Respondent (or his/her attorney) Law 1079 - Rev. 12/2004 American LegalNet, Inc. www.USCourtForms.com