IN THE PROBATE COURT OF HENRY COUNTY STATE OF GEORGIA PETITION OF NATURAL GUARDIAN(S) TO TERMINATE TEMPORARY GUARDIANSHIP OF MINOR

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IN THE PROBATE COURT OF HENRY COUNTY STATE OF GEORGIA IN RE: Estate No. Minor PETITION OF NATURAL GUARDIAN(S TO TERMINATE TEMPORARY GUARDIANSHIP OF MINOR I/We, _, being the natural guardian(s of, a minor, and having previously: relinquished my/our parental rights to such minor child; OR failed to file an objection to the appointment of a temporary guardian of such minor child, do hereby request that the temporary guardianship of such minor be terminated pursuant to O.C.G.A. 2944.1(c. The temporary guardian(s: have consented to the termination; OR. have not consented to the termination and may be served with a copy or this petition, as required by law, at the following physical address: [Complete if only one natural parent is a petitioner, and the other parent is in life:] The last known address of the (father(mother who is not a petitioner is: (if unknown please indicate such

WHEREFORE, petitioner(s pray(s that the Court enter an order dissolving the temporary guardianship: immediately, as the relinquishment of parental rights signed by petitioner(s at the time the guardianship was created stated that the guardianship was immediately revocable upon written demand by a parent; OR immediately, as the temporary guardian(s has/have consented to the termination of the temporary guardianship; OR upon the expiration of ten (10 days from the date this petition is served upon the temporary guardian(s and no objection is filed. Signature of first petitioner Printed Name Address Telephone Number Signature of second petitioner, if any Printed Name Address Telephone Number Signature of Attorney: Typed/printed name of Attorney: Address: Telephone: State Bar # VERIFICATION Personally appeared before me the undersigned who on oath states that the facts set forth in the foregoing petition are true. Petitioner Petitioner

CONSENT BY NATURAL GUARDIAN TO TERMINATION OF GUARDIANSHIP I/We,, being the Natural guardian(s of, a minor, do hereby consent to the termination of the temporary guardianship. Signature of Mother Signature of Father CONSENT BY TEMPORARY GUARDIAN TO TERMINATION OF GUARDIANSHIP I/We,, being the temporary guardian(s of, a minor, do hereby consent to the termination of the temporary guardianship and to the restoration of the rights of the natural guardian(s. Signature of Temporary Guardian Signature of Temporary Guardian

IN THE PROBATE COURT OF HENRY COUNTY STATE OF GEORGIA IN RE: Estate No. Minor ORDER FOR SERVICE OF NOTICE It appearing that the temporary guardian(s of the above-named minor have not consented to the termination of the temporary guardianship, it is hereby ORDERED that a copy of the petition and notice of such petition shall be served upon the temporary guardian(s by personal service (if in the state of Georgia by certified mail (if outside the state of Georgia by publication (if address unknown, once a week for two weeks IT IS FURTHER ORDERED that a copy of the petition for termination shall also be provided via first class mail to any natural parent who has not joined in the petition.. SO ORDERED this day of, 20. Judge, Probate Court of Henry County

IN THE PROBATE COURT OF HENRY COUNTY STATE OF GEORGIA RE: PETITION TO TERMINATE TEMPORARY GUARDIANSHIP OF, A MINOR TO: Temporary Guardian(s NOTICE The natural guardian(s of the above-named minor has/have filed a petition requesting the termination of the temporary guardianship of such minor. You are hereby notified that the guardianship will be terminated unless you file a written objection to the termination of said guardianship within: ten (10 days after being personally served with notice of the termination; fourteen (14 days after the certified mailing of this notice; or ten (10 days from the date notice is first published. If your objection is timely filed, the records relating to the temporary guardianship will be transferred to the Glynn County Juvenile Court which shall determine, after notice and hearing, whether a continuation or dissolution of the temporary guardianship is in the best interests of the Minor. WITNESS the Honorable Kelley S. Powell Judge of the Henry County Probate Court By: Clerk of the Probate Court

Estate No.: CERTIFICATE OF SERVICE The undersigned Clerk of the Probate Court hereby certifies that he/she has arranged for service of notice of the foregoing petition via (personal service(certified mail(pub1ication upon the Temporary guardian(s This day of, 20. Clerk of the Probate Court CERTIFICATE OF SERVICE The undersigned Clerk of the Probate Court hereby certifies that he/she has arranged for service of notice of the foregoing petition via (personal service(certified mail(pub1ication upon the Natural guardian(s This day of, 20. Clerk of the Probate Court