Form CFS437-3A "Denial of Paternity With Entry of Appearance and Consent to Adoption" - Illinois

What Is Form CFS437-3A?

This is a legal form that was released by the Illinois Department of Children and Family Services - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 1982;
  • The latest edition provided by the Illinois Department of Children and Family Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form CFS437-3A by clicking the link below or browse more documents and templates provided by the Illinois Department of Children and Family Services.

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Download Form CFS437-3A "Denial of Paternity With Entry of Appearance and Consent to Adoption" - Illinois

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IN THE CIRCUIT COURT OF THE
JUDICIAL CIRCUIT, ILLINOIS
COUNTY
)
)
)
NO.
)
DENIAL OF PATERNITY WITH ENTRY OF APPEARANCE
AND CONSENT TO ADOPTION
I,
, state as follows:
(1)
That I am
years of age; and I reside at
in the County of
, State of
.
(2)
That I have been advised that
is the mother of a
male child
named
born or expected to be born on or about
and that such
mother has stated that I am the father of this child.
(3)
I deny that I am the father of this child.
(4)
I further understand that the mother of this child wishes to consent to adoption of the child. I hereby consent to the adoption of
this child, and waive any rights, remedies and defenses that I may now or in the future have as a result of the mother’s allegation of the paternity of
this child. This consent is being given in order to facilitate the adoption of the child and so that the court may terminate what rights I may have to the
child as result of being named the father by the mother. This consent is not in any manner an admission of paternity.
(5)
I hereby enter my appearance in the above entitled cause and waive service of summons and other pleading and consent to an
immediate hearing on a petition to TERMINATE PARENTAL RIGHTS AND TO APPOINT A GUARDIAN WITH THE POWER TO CONSENT
TO THE ADOPTION OF THIS CHILD.
OATH
I have been duly sworn and I say under oath that I have read and understood this Denial of Paternity with Entry of Appearance and Consent
to Adoption. The facts it contains are true and correct to the best of my knowledge, and I understand that by signing this document I have not
admitted paternity. I have signed this document as my free and voluntary act in order to facilitate the adoption of the child.
Signature
Dated this
day of
,
Signed and Sworn Before Me This
day of
,
Notary Public
CFS 437-3a
6/82
(Spanish on Reverse)
IN THE CIRCUIT COURT OF THE
JUDICIAL CIRCUIT, ILLINOIS
COUNTY
)
)
)
NO.
)
DENIAL OF PATERNITY WITH ENTRY OF APPEARANCE
AND CONSENT TO ADOPTION
I,
, state as follows:
(1)
That I am
years of age; and I reside at
in the County of
, State of
.
(2)
That I have been advised that
is the mother of a
male child
named
born or expected to be born on or about
and that such
mother has stated that I am the father of this child.
(3)
I deny that I am the father of this child.
(4)
I further understand that the mother of this child wishes to consent to adoption of the child. I hereby consent to the adoption of
this child, and waive any rights, remedies and defenses that I may now or in the future have as a result of the mother’s allegation of the paternity of
this child. This consent is being given in order to facilitate the adoption of the child and so that the court may terminate what rights I may have to the
child as result of being named the father by the mother. This consent is not in any manner an admission of paternity.
(5)
I hereby enter my appearance in the above entitled cause and waive service of summons and other pleading and consent to an
immediate hearing on a petition to TERMINATE PARENTAL RIGHTS AND TO APPOINT A GUARDIAN WITH THE POWER TO CONSENT
TO THE ADOPTION OF THIS CHILD.
OATH
I have been duly sworn and I say under oath that I have read and understood this Denial of Paternity with Entry of Appearance and Consent
to Adoption. The facts it contains are true and correct to the best of my knowledge, and I understand that by signing this document I have not
admitted paternity. I have signed this document as my free and voluntary act in order to facilitate the adoption of the child.
Signature
Dated this
day of
,
Signed and Sworn Before Me This
day of
,
Notary Public
CFS 437-3a
6/82
(Spanish on Reverse)