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r1r STANDING COMMITTEE ON RULES OF PRACTICE - Maryland ...

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THE SHOW CAUSE ORDER, YOU HAVE AGREED TO A THE TERMINATI<strong>ON</strong> <strong>OF</strong><br />

YOUR PARENTAL RIGHTS. If you wish to state your reasons, you may<br />

state them on this sheet.)<br />

1. I object to the _________________________________ of the<br />

(Adoption/Guardianship)<br />

above-named individual. My reasons for objecting are as follows:<br />

________________________________________________________________<br />

________________________________________________________________<br />

________________________________________________________________<br />

________________________________________________________________<br />

2. I do/do not want the Court to appoint an attorney to<br />

(Circle one)<br />

represent me. If I circled that I do want the court to appoint<br />

an attorney for me, I believe that I am entitled to a court-<br />

appointed attorney because:<br />

(Check appropriate box or boxes)<br />

[ ] I am the person to be adopted and:<br />

[ ] I am at least ten years old but am not yet 18; or<br />

[ ] I am at least ten years old and I have a<br />

disability that makes me incapable of consenting to the adoption<br />

or of participating effectively in the proceeding; or<br />

[ ] the proceeding involves the involuntary termination<br />

of the parental rights of my parents.<br />

[ ] I am a parent of the person to be adopted or for whom a<br />

guardian is sought and:<br />

[ ] I am under 18 years of age; or<br />

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