NO. 13 5 00036 1 SUMMONS AND NOTICE OF PETITION AND HEARING RE RELINQUISHMENT OF CHILD AND TERMINATION OF PARENT CHILD RELATIONSHIP SUPERIOR COURT OF THE STATE OF WASHINGTON FOR KITSAP COUNTY IN RE THE INTERESTS OF INFANT CHILD BURT, A child under the age of eighteen years. TO: JOHN DOE, Natural Father: Petitioner, A CHILD'S DREAM, has filed a Petition for Termination of Parent-Child Relationship praying that the parent-child relationships between the above-named alleged and natural fathers and child be terminated. You may respond to the Summons and Petition by filing a written response with the Clerk of the Court and serving a copy on the person signing the Summons. If you do not serve your written response within thirty (30) days after the date this Summons was served on you, the court may, without further notice, enter an Order of Default against you, enter an order relinquishing the child to the petitioner, permanently terminating your parent-child relationship and approving the adoption of the above-named child. The child was born March 17, 2013 in Puyallup, Washington. The mother of the child is H. BURT. The court hearing on this matter shall be on April 30, 2013 at 11:00 a.m. at the Kitsap County Superior Court, Adoption Calendar, Room 206 or as otherwise assigned, 614 Division Street, Port Orchard, WA 98366. Any indigent, non-consenting parent or alleged father has the right to be represented by an attorney if so requested; and, upon such request one will be appointed. Your failure to file a claim of paternity under chapter 26.26 RCW or your failure to respond to the Petition within thirty (30) days of the date of service of Summons and Notice upon you, is grounds to terminate your parent-child relationship with respect to the child. WITNESS; The Honorable JENNIFER A. FORBES, Judge/Court Commissioner of said Superior Court and the seal of said court hereunto affixed this 19th day of March, 2013. DAVID W. PETERSON Kitsap County Superior Court Cynthia Samuels Deputy Clerk FILE ORIGINAL OF YOUR ANSWER AND OTHER DOCUMENTS WITH Kitsap County Superior Court Kitsap County Courthouse 614 Division Street Port Orchard, WA 98366 SERVE COPY OF YOUR ANSWER AND OTHER DOCUMENTS ON: Carol Horan Rainey 6862 Chico Way NW Bremerton, WA 98312 Phone: 360-692-5519 March 21, 28, April 4