The petition for the voluntary termination of parental rights under this chapter shall be verified and contain the: (1) Name and place of residence of the petitioner or petitioners; (2) Name, sex, race, citizenship, and date of birth of the child; (3) Relationship of the petitioner or petitioners to the child; (4) Name, address, race, religion, and citizenship of the parent or parents of the child; (5) Reasons for desiring the termination of parental rights; (6) Name and address of the person or persons or of the authorized agency to whom or to which parental rights are sought to be transferred; (7) Consent of the petitioner or petitioners to the termination of parental rights; (8) Consent executed by the person or persons or authorized agency to whom or to which parental rights are to be transferred; (9) Statement that no temporary assistance for needy families benefits were ever received on behalf of the minor child from the State of South Dakota or any other state.
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