WPC=  
           U q]oNݙ)TVXvFrgbq]͸g~Po+8gn.U䦊cɂڒ&ǍC8d.	{HU "/h0 :Ȍw7r]!A""ħ9=BЫ373ټ6=+RB7rS^kM&+Y'BGtAf`ۮ_j[$csCH@%@оR}˯Hȷ;4I;ֲ<:N
ǳJ9?t?Vf8OQo+aACmW#x$do)ڻ%ɦ6>x$M'	t¦XRơ]})<*հ0̎\BF:`5j-T䔔"_qVO^"9y,7Ny;6繅'T 1|d(|Lrâq% T            UW   >            0     v	  0     
  0       0       0       0       0       0       0       0     !  0     "  0     #  0     $  0     %  0     &  0     '  0     (  0     )  0      *  0      *  0      *  0      *  0      *   0      *!  0      *"  0      *#  0      *$  0      *%  0   _  %   U   *   ?'  0   h   i'  0   `   '  0   >   1(  0   ,  o(  0      )  0      '*  0      *  0   P   O+  0      +  0      /,  0      ,  0   j   -  0   w   -.  0      .  0      ./  ^      /  	1   e   /  	7      T0  	1   i   b0  	7      0  	1   k   0  	7      D1  	1   c   R1  	7      1   b      1  	B      1   b      1        1        2  0      2  #     t3   U
   N   =6  	%      6  M      6     (   6  N      6  	1   u   6  	7   2   47  w      f7  4      j7        ~7  	m      7  0   c   7  0      7  0      8  0      N9  0      :  0      :  0   D  ;  	1   u   #=  	7   2   =   \	  	   `  & T i m e s   N e w   R o m a n          '                                 I n   t h e   I n t e r e s t   o f :                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
       ,     W a d e   H .   B o w i e ,   J r    0    M a r i a n   
 .      
       
       
           2   [   +       [   0 _ l e v e l 1                , 8  .    `	   h   p    x  (#8 2      3
   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 2                X 8  .    `	   h   p    x  (#8 2     3
   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 3                 8  . 4   `	   h   p    x  (#8 2     3
   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 4                 8  . `	   `	   h   p    x  (#8 2     3
   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 5                 8  . 
   `	   h   p    x  (#8 2     3
   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 6                 8  .    `	   h   p    x  (#8 2     3
   
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   
       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 8                `	 8  .    `	   h   p    x  (#8 2     3
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       . .               8  .    `	   h   p    x  (#8         2   [   +       [   0 _ l e v e l 9                
 8  . <   `	   h   p    x  (#8 2     3
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   
 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v s l 2                X 8  .    `	   h   p    x  (#8 2     3
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 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v s l 3                 8  . 4   `	   h   p    x  (#8 2     3
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 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v s l 5                 8  . 
   `	   h   p    x  (#8 2     3
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 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v s l 8                `	 8  .    `	   h   p    x  (#8 2     3
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 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v s l 9                
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 Ԁ           8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v n l 1                , 8  .    `	   h   p    x  (#8 2      3
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            8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v n l 2                X 8  .    `	   h   p    x  (#8 2     3
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   `	   h   p    x  (#8 2     3
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            8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v n l 8                `	 8  .    `	   h   p    x  (#8 2     3
   
            8  .    `	   h   p    x  (#8         2   [          [   0 _ l e v n l 9                
 8  . <   `	   h   p    x  (#8 2     3
   
            8  .    `	   h   p    x  (#8         H   7          *   4 H e a d i n g   1   H e a d i n g   1       X      XX       
                       X      XX     H                4 H e a d i n g   2   H e a d i n g   2         
   0 2             ?            % 2  A   `   A r i a l         ? 
              X      XX S            \	  	   `  & T i m e s   N e w   R o m a n         S 
   0 2  % 2  A   `   A r i a l             h                    : D e f a u l t   P a r a   D e f a u l t   P a r a g r a p h   F o n t       `                    : F o o t n o t e   R e f   F o o t n o t e   R e f e r e n c e       (                  $           0
   
     \   \           t   : B o d y   T e x t   I n   B o d y   T e x t   I n d e n t      X            )   	  V  p    x  (#)        A  7        X   `	   h   p    x  (#A            X      XX    X     P                 8 B o d y   T e x t   2   B o d y   T e x t   2   
    @ d                
    @ d      <              A   . H e a d e r   H e a d e r       (# A  7        X   `	   h   p    x  (#A     <              A   . F o o t e r   F o o t e r       (# A  7        X   `	   h   p    x  (#A     P                    8 P a g e   N u m b e r   P a g e   N u m b e r       H   $           $   4 B o d y   T e x t   B o d y   T e x t                                       V   $           $   : F o o t n o t e   T e x   F o o t n o t e   T e x t                           X      XX     (                 2$            
 >  O    .  .                  @  Xk  X  X@ X      Xk  X  X@ Xk            X Xk     0
   
     8                 , T i t l e   T i t l e                         (       O           ;$       0     2  #    a
   
 .3
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   
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 0    `	(#`	(#     (                  2>$       
 >  O!    .  .                  @  Xk  X  X@ X      Xk  X  X@ Xk     9|6Z              (        3 5 ; A G M S Y _ 1     1 .   1 .   1 .   1 .   1 .   1 .   1 .   1 .    1    1 .          	 
     3 5 ? E K Q W ] c 2     _ _ _ _   a .   i .   1 .   a .   i .   1 .   a .    3   i .          	 
     3 5 ; A G O W _ e 3     1 .   a .   i .   ( 1 )   ( a )   ( i )   1 .   a .    5   i .          	 
     3 5 9 ? E K Q W ] 4       a .   i .   1 .   a .   i .   1 .   a .    7   i .   -  -                      d  -  -    
      
 /  >'    .  .                  @  XS  X  X@ X      XS  X  X@ XS     _           "   X       C " 8/1/07#| x            (   r               O$          .  .                  @  X  X  X@ X      X  X  X@ X  H P L J 3 3 0 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              0                                                                                                                                                                 ( 9  	   Z  6 T i m e s   N e w   R o m a n   R e g u l a r          @ X                                                            3#   3 7 = C I Q Y a g       1 .   a .   i .   ( 1 )   ( a )   ( i )   1 )   a )            E    i )                                           DM6    P a g e s                U      (       ;           3$       2  #      0
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 0    (#(#     (                  $       0     0    `	(#(# 0    `	(#`	(# 0    (#(# 2  # (   a
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 0    h(#(#     (                  F$       0     0    `	(#(# 0    `	(#`	(# 0    (#(# 0    h(#(# 2  # (   
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 0    h(#h(#     (                  $       0     0    `	(#(# 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 2  #    0
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 0    p(#(#     (                F$       0     0    `	(#(# 0    `	(#`	(# 0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 2  #    	        
   
     	    )3
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 0    p(#p(#    	      K - . L M N O P xo        3 M Q U Y ] a e i    B u l l e t s   L i s t                            R Q                                           
 >  O!    .  .                  @  XS  X  X@ X      XS  X  X@ XS     _             @    VV)  110   	       =    S       X       d                 d=  9      8 @  S@ X  X       d                  d  8 0            ;   9  =    S  X   X       d       X       d=   <        @     (#(# INTHEDISTRICTCOURTOF________________COUNTY,KANSAS   	              `	      INTHEINTERESTOF:   	 4   Name:______________________________         p      CaseNo._______________   	  
d   DOB____/____/____     A&male&female   	 
J   @    &  PETITION   	 
                h   X XS @         XS  X  h PursuanttoK.S.A.382234#   h   X XS  # Ԉ   	 ~	                    XS  X  h      Petitioner,&theStateofKansasbyandthroughtheCounty/DistrictAttorneyor   	 J   designee&_____(Otherindividual)_______________,statesasfollows:   	    *      X  ' X   X*          1.              ' CHILD:   	        ' Name:    `	      0     DOB:_________     0    p(#(# 0    p(#p(# _        SSN_        :0     (#(# xxxxx______      (# (#      ' Address:    `	 0     0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 0    p(#p(# 0     (#(# 0seecoversheet    z  (# (#      ' Phone:    `	 0     0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 0    p(#p(# 0     (#(# 0unknown    `  (# (#  2.    ' MOTHER:   	 ,       ' Name:    `	      0     DOB:0seecoversheet    p 0    (#(# _        SSN_        :0     (#(# xxxxx______    v  (# (#      ' Address:    `	 0     0    (#(# 0    h(#(# 0unknown0    h(#h(# 0    p(#(# 0    p(#p(# 0     (#(# 0seecoversheet    \  (# (#      ' Phone:    `	 0     0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 0    p(#p(# 0     (#(# 0unknown    B  (# (#  3.    ' FATHER:   	    0    ' Name:    `	      0    '(#'(# DOB:0seecoversheet0    p(#(# 0    p(#p(# _        SSN_        :0     (#(# xxxxx______       (# (#      ' Address:    `	 0     0    (#(# 0    h(#(# 0unknown0    h(#h(# 0    p(#(# 0    p(#p(# 0     (#(# 0seecoversheet    v !  (# (#      ' Phone:    `	 0     0    (#(# 0    h(#(# 0    h(#h(# 0    (#(# 0    p(#(# 0    p(#p(# 0     (#(# 0unknown    \!"  (# (#  4.    ' CUSTODIAN(ifotherthanaparent):   	 (#$       ' Name:   	 $r%       ' Address:   	 $X &       ' Phone:   	 %>!'   5.    ' MATERNALGRANDPARENTS:   	 '
#)       ' Name:   	 (#*       ' Address:   	 r)$+       ' Phone:   	 X*%,      	 $,'.   6.    ' PATERNALGRANDPARENTS:   	           ' Name:   	         ' Address:   	 h       ' Phone:   	 N                 JURISDICTION   	  
d                0    '       5.    ' a.     TheIndianChildWelfareAct0isapplicable0isnotapplicable0applicabilityisnot   	 0   Ѐdetermined.    %
 '(#'(#      ' b.0     TheCourthasjurisdictiontomakeachildcustodydeterminationpursuanttoK.S.A.   	 ~	   38-1351(a),andamendmentsthereto.    ; (#(#      ' c.0     TheCourthasjurisdictionofthepartiesandthesubjectmatterofthisproceedingpursuant   	 0   toK.S.A.382203,andamendmentsthereto.     (#(#      VENUE   	 F       6.    ' 0     PursuanttoK.S.A.382204,andamendmentsthereto,venuein__________County,Kansas   	 ;   isproper.     (#(#               STATUTORYBASIS   	 Q                7.    ' Thechildisachildinneedofcarebecausethechild:   	             
           ____0     iswithoutadequateparentalcare,controlorsubsistenceanditisnotduesolelytothelack   	 v   offinancialmeansofthechildsparentsorothercustodian.K.S.A.382202(d)(1)    \ (#(#  ____0     iswithoutthecareorcontrolnecessaryforthechildsphysical,mentaloremotionalhealth.   	 Q!   K.S.A.382202(d)(2)    7" (#(#  ____0     hasbeenphysically,mentallyoremotionallyabusedorneglectedorsexuallyabused.K.S.A.   	 $   382202(d)(3)    v % (#(#  ____0     hasbeenplacedforcareoradoptioninviolationoflaw.K.S.A.382202(d)(4)    !3' (#(#  ____0     hasbeenabandonedordoesnothaveaknownlivingparent.K.S.A.382202(d)(5)    (#) (#(#  ____0     isnotattendingschoolasrequiredbyK.S.A.72977or721111,andamendmentsthereto.   	 $+   K.S.A.382202(d)(6)    g% , (#(#  ____0     exceptinthecaseofaviolationofK.S.A.214204a,K.S.A.41727,subsection(j)ofK.S.A.   	 &$".   748810orsubsection(m)or(n)ofK.S.A.793321,andamendmentsthereto,or,exceptas   	 '
#/   providedinK.S.A.382202_        (d)(12),_        Ԁandamendmentsthereto,hascommittedanactwhich,   	 (#0   whencommittedbyapersonunder18yearsofage,isprohibitedbystatelaw,cityordinance   	 r)$1   orcountyresolutionbutwhichisnotprohibitedwhendonebyanadult.K.S.A.38   	 X*%2   2202(d)(7)    >+&3 (#(#  ____0     whilelessthan10yearsofage,hascommittedanactwhichifdonebyanadultwould   	       constitutethecommissionofafelonyormisdemeanorasdefinedbyK.S.A.213105and   	     amendmentsthereto._        K.S.A._        Ԁ382202(d)(8)    h (#(#  ____0     iswillfullyandvoluntarilyabsentfromthechild'shomewithouttheconsentofthechild's   	 %   parentsorothercustodian._        K.S.A._        Ԁ382202(d)(9)     (#(#  ____0     iswillfullyandvoluntarilyabsentatleastasecondtimefromacourtorderedordesignated   	  
d   placement,oraplacementpursuanttocourtorder,iftheabsenceiswithouttheconsentof   	 
J   thepersonwithwhomthechildisplacedor,ifthechildisplacedinafacility,withoutthe   	 0	   consentofthepersoninchargeofsuchfacilityorsuchperson'sdesignee._        K.S.A._        Ԁ38   	 
   2202(d)(10)     (#(#  ____0     hasbeenresidinginthesameresidencewithasiblingoranotherpersonunder18yearsof   	 U
   age,whohasbeenphysically,mentallyoremotionallyabusedorneglected,orsexually   	 ;   abused._        K.S.A._        Ԁ382202(d)(11)    ! (#(#  ____0     islessthan10yearsofageandhascommittedtheoffensedefinedin_        K.S.A._        Ԁ214204aand   	 z   amendmentsthereto._        K.S.A._        Ԁ382202(d)(12)    ` (#(#  ____0     hashadapermanentcustodianappointedandthepermanentcustodianisnolongerableor   	 U   willingtoserve._        K.S.A._        Ԁ382202(d)(13)    ; (#(#                FACTSALLEGED   	 F                8.    ' ThisPetitionisbasedonthefollowingfacts:   	 \   @      Child/Parent/Party/CustodianDetails   	 a#                        ' a.0     __________________,DOB:_________,isan_        unemancipated_        ԀF/Mchild.Thechild򀀀     f' (#(#  0is0maybe0isnotanIndianchild.Thetribalaffiliation&is&maybewith   	 "k+   ____________________________.Thechild'stribalregistrationnumberis_________.   	 `#-       ' b.0     __________________,DOB:0seecoversheet0unknown,isthechildsmotherandhas   	 e% 1   adutytosupportthechild.Themother0does0doesnotclaimIndianheritage.The   	 &""3   tribalaffiliation&is&maybewith__________________________.Themother'stribal   	 ({#5   registrationnumberis_________.Themother0is0isnotpresentlyobligatedbycourt   	 p)$7   ordertopaychildsupport.    *-&9 (#(#      ' c.0     _________________,DOB:0seecoversheet0unknown,isthechildsfatherandhas   	       _         adutytosupportthechild.Thefather0does0doesnotclaimIndianheritage.Thetribal   	 Y   affiliation&is&maybewith_____________________.Thefather'stribalregistration   	 N   numberis_________.Thefather0is0isnotpresentlyobligatedbycourtordertopay   	    childsupport.     
d (#(#      ' d.0     Atthetimeof_      and_      Ԁimmediatelypriortothechildbeingtakenintocustody,thechildwas   	 i   residingat___________________________________________.Otherpersonsresiding   	 ^   withthechildandtheirrelationshiptothechildinclude:__________________________    
 (#(#      '      _______________________________________________________________________.   	            $   0    ' e.0    '(#'(# Thespecificfactualallegationsare(Thespecificallegationsuponwhichthepetitionerrelies   	 %   mustbestated,includingknowndates,timesandlocations.):     (#(#            9.0    ' &0    '(#'(# Reasonableeffortsthathavebeenprovidedtopreventremovalofthechildfromthechilds   	 *%:   homeareasfollows:    +g&; (#(#      '      _______________________________________________________________________   	           '      _______________________________________________________________________   	 Y   @    '  and/or   	 N       ' &0     Anemergencyexistsnecessitatingoutofhomeplacementasfollows:______________     (#(#      '      _______________________________________________________________________   	  
d       '      _________________________________________________________________________   	 Y
   10.0    ' &Thechildislikelytosustainharmifnotimmediatelyremovedfromthehome,&itis   	    contrarytothechildswelfaretoremaininthehomeand/or&immediateplacementout   	    ofthehomeisinthebestinterestofthechildduetothefollowing:_____________________    ~	 '(#'(#      ' ___________________________________________________________________________   	 ;       ' __________________________________________________________________________   	 0       '          `	               h                         REMEDYREQUESTED   	 F             WHEREFORE,PetitionerrequeststheCourt:   	    
                     a.Findthechildtobeachildinneedofcareandissueappropriateordersofcustody.   	 F   b.Find______________isthemotherofthechildininterest,hasadutytosupportthechild   	 X    and0isthe_      obligor_      Ԁinanexistingcourtordertopaychildsupport0issueachildsupport   	 >!   order.   	 $"   c.Find______________isthefatherofthechildininterest,hasadutytosupportthechild   	 n$   and0isthe_      obligor_      Ԁinanexistingcourtordertopaychildsupport0issueachildsupport   	 T%   order.   	 : &   d.Issueothersuchordersasjusticeandequityrequire.   	 !L(   
                    	 #*              ADVISORYNOTICESTOPARENTSANDCUSTODIAN   	 |$+           ' Ifyoudonotappearincourtthecourtwillbemakingdecisionswithoutyourinputwhichcould   	 H&!-   resultin:   	 .'".    
R K - . L M N O P Q ( o        y                                3                            E                    " K  3                   "     0    '  K  39   2  o  3
   
 0    '(#'(#      thepermanentortemporaryremovalofthechildfromthecustodyoftheparentorpresent   	 (x#/   legalguardian; K  39  9   ݌    (^$0 (#(#  Ќ	     " K  3                  "     0    '  K  3:   2  o  3
   
 0    '(#'(#      anorderrequiringoneorbothparentstopaychildsupportuntilthepermanenttermination   	 )D%1   ofoneorbothoftheparentsparentalrights; K  3:  ;   ݌    **&2 (#(#  Ќ	     " K  3                  "     0    '  K  3R<   2  o  3
   
 0    '(#'(#      thepermanentterminationofoneorbothoftheparentsparentalrights;and K  3R<  <   ݌    +'3 (#(#  Ќ	     " K  3                  "     0    '  K  3l=   2  o  3
   
 0    '(#'(#      theappointmentofapermanentcustodianforthechild. K  3l=  =   ݌        (#(#  Ќ	     Ifyoucannotattendthehearingyoumaysendawrittenresponsetothepetitiontotheclerkofthe   	     court.   	 h       ' Youmayreceivefurthernoticesofotherhearings,proceedingsandactionsinthiscasewhich   	 N   youmayattend.Thesenoticeswillbesenttoyoubyfirstclassmailtoyourlastknownaddressor   	 4   anaddressyouprovidetothecourt.Itisyourresponsibilitytokeepthecourtinformedofyour   	 	~   currentaddress.   	  
d       '          `	               h _________________________________   	 0       '          `	               h Petitioner   	 	   @    $  VERIFICATION   	 d
   @    [[%  (optional)    p                x          	 J   STATEOFKANSAS0     )    0 (#(#      '          `	           )0    h ss:0    h(#h(#     z (#(#   )      XS  X  X XS                     )  B        COUNTYOF_      ___________      Ԁ0     ) )  B  <C   ݌    ` (#(#  Ќ                 XS  X  X XS 	     %   XS  X  XX  X XS%  )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  BD         )  BD  	E   ݌̌                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  E            ' COMESNOW____________________,oflawfulage,beingfirstdulyswornandunderoath,   	    andstates: )  E  F   ݌   	    Ќ                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	         ' Iamtheapplicantabovenamed,andIhavereadandunderstandtheaboveandforegoing   	 z   Petition,andbelievethatallofthecontentthereofistrueandcorrect.   	 `       '          `	               h               p ___________________________   	 ,       '          `	      0         h               p Petitioner    v (#(#   )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  )J            ' 0     0    `	(#(# 0    `	(#`	(#  )  )J  J   ݌    (#(#  Ќ                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  $L         )  $L  L   ݌̌                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  M            ' Subscribedandsworntobeforemethis_____dayof_______________,_______. )  M  N   ݌   	 (   Ќ                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  O         )  O  P   ݌̌                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  Q         )  Q  GR   ݌̌                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  %S            '          `	               h               p ________________________________ )  %S  S   ݌   	 v    Ќ                 XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS 	      )      XS  X  X XS    XS  X  X XS    XS  X  X XS    XS  X  X XS                               )  jU            '          `	               h               p NotaryPublic/ClerkoftheCourt/Deputy   	 \!        '       )  jU  1V   ݌̌                    	         REQUESTFORADDITIONALSUMMONSANDSERVICEBYEXCEPTION   	 (#"       Pursuantto0K.S.A.382235(a)(1)0K.S.A.382236(a)(4),andamendmentsthereto,the   	 $X $   undersignedrequestsasummonsandcopyofthepetitionalsobeservedonthefollowing   	 %>!%   individuals:   	 &$"&   ______________________________0     0    (#(# _______________________________    '
#' (#(#  ______________________________0     0    (#(# _______________________________    (#( (#(#  ______________________________0     0    (#(# _______________________________    r)$) (#(#      '          `	               h               p ________________________________   	 X*%*       '          `	               h               p Petitioner	   	 >+&+             Witnesses:   	       1.   	 h   2.   	 4   3.   	  
d   4.   	 0   5.   	 
   6.   	 d
   7.   	 0   8.   	 `   9.   	 ,   10.   	     @  XS  X  X XS (Thespecificallegationsuponwhichthepetitionerreliesmustbestated,includingknowndates,   	 ,   timesandlocations.)d   	 \   d#   XS  X  X@ XS\  # #   XS  X  X XSD  #  @  XS  X  X XS % @  XS  X  XX  X@ XS% @    gg&  Authority   	 \!    K.S.A.382234.   	 $X $   @    $  NotesonUse   	 &$"&                 ' K.S.A.382203(c)providesthatthecourtacquiresjurisdictionoverachildbythefilingofa   	 (#(   petitionorissuanceofanexparteprotectivecustodyorder.AChildinNeedofCarecaseis   	 r)$)   typicallycommencedbythefilingofthispetition.Anyindividualmayfileapetition.K.S.A.38   	 X*%*   2233(b).   	 >+&+       ' Acoversheet(Form111)shallbefiledwiththepetition.S.Ct.RuleNo._      123._      ԀInadditionto   	 $,',   theinformationwhichthestatuterequiresinthepetition,theformalsoprovidesspacefor   	       informationwhichwillfacilitateproceedingsandfindings.K.S.A.382234(a)(1)and(a)(2)require   	     thefollowinginformation.Allotherinformationintheformpertainingtothechildorparentsis   	 h   recommendedbutoptionalandmaybeleftblankordeleted:   	 N   1.thename,dateofbirthandresidenceaddressofthechild;   	 4   2.thenameandresidenceaddressofthechildsparents;   	 	~   3.thenameandaddressofthechildsnearestknownrelativeifnoparentcanbefound;   	  
d   4.thenameandresidenceaddressofanypersonshavingcustodyorcontrolofthechild;   	 
J   5.thebasisforthepetitioninthelanguageofthestatutorydefinition;   	 0   6.thespecificfactualallegationsthatformthebasisforthepetition.Theeventsandcircumstances   	 	   thatsupportthepetitionmustbeincluded,statinganyknowndates,timesandlocations.   	 
       ' Thestatutealsorequiresthatthepetitioncontainarequestforchildsupport,unlessachild   	 ~	   supportorderisalreadyinplaceorthesecretaryrequestsomissionoftherequest,inwriting.Ifthe   	 d
   petitionrequeststhatcustodyofthechildbegrantedtothesecretary,orrequestsremovalofthe   	 J   childfromthehome,thenreasonableeffortsinformationand/orcontrarytowelfareinformationare   	 0   required.ParentadvisorynoticesarerequiredbyK.S.A.382234(a)(9).Alloftheforegoingare   	 z   includedinthisform.   	 `       ' IfproceedingpursuanttoK.S.A.382233,thepetitionshallincludearequestthatthecourtfind   	 F   thatreintegrationisnotaviablealternativeandarequesttoterminateparentalrightsofaninfant   	 ,   surrenderedpursuanttoK.S.A.382282,NewbornInfantProtectionAct.Anexpeditedhearingshall   	    begrantedonsuchapetition.   	    #   XS  X  X@ XS]  # )   XS  X  XX  X XS]  ) %   XS  X  XX  X XS% 
