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ADOPTION_ADULT

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					                                              FACT SHEET

IT IS IMPORTANT THAT YOU PRINT NEATLY TO INSURE THE ACCURACY OF YOUR DOCUMENTS.
PLEASE FILL IN THE FOLLOWING INFORMATION:

1.)   PETITIONER:                   ____________________________________________________
      ADDRESS:                      ____________________________________________________
                                    ____________________________________________________
      TELEPHONE # H:                ____________________________________________________
                     W:            __________________CELL#:____________________________
      DOB:                          ____________________________________________________
      SSN#:                         ____________________________________________________
      EMPLOYER/POSITION:            ____________________________________________________
2.)   CO-PETITIONER/RESPONDENT:____________________________________________________
      ADDRESS:                      ____________________________________________________
                                    ____________________________________________________
      TELEPHONE # H:                ____________________________________________________
                     W:             _______________________CELL# ______________________      DOB:
        ____________________________________________________
      SSN#:                        ____________________________________________________
      EMPLOYER/POSITION:           ____________________________________________________
3.) CHILDREN (IF ANY):
        NAME                      SEX            DOB             SSN#_______________
        ____________________________________________________________________________
        _____________________________________________________________________________
4.) IS THE OTHER PARTY WILLING TO SIGN?___________________________________________
5.) LIST MAIDEN NAME IF WIFE WANTS IT RESTORED?_________________________________
6.) a. ARE YOU AN ATTORNEY?________________HAVE YOU SPOKEN TO AN ATTORNEY REGARDING
YOUR SITUATION?________IF SO. WHO?__________________________AND WHY DIDN’T YOU RETAIN THE
ATTORNEY_____________________________________________
    b. IF YOU HAVE NOT SPOKEN TO AN ATTORNEY, WOULD YOU LIKE TO ENROLL IN OUR
       ATTORNEY PROGRAM?__________________________________

I FULLY UNDERSTAND THAT IF I HAVE NOT RECEIVED LEGAL ADVICE REGARDING MY
SITUATION THAT I MAY BE GIVING UP RIGHTS THAT I AM UNAWARE OF AND THAT PARK CAN NOT AND
WILL NOT GIVE LEGAL ADVICE AND IS IN NO WAY RESPONSIBLE FOR THE OUTCOME OF MY CASE.
WHICH MEANS, THAT I AM FULLY RESPONSIBLE FOR ALL CONTENTS/INFORMATION IN MY PAPER WORK.


___________________________             __________________________________________________
DATE                                    SIGNATURE




JDF 528 R5/06   PETITION FOR ADULT ADOPTION
The Petitioner(s) ______________________________________________hereby Petition the Court to adopt an
adult to become an heir at law and state the following:

     The Petitioner or adult seeking to be adopted is a resident of the County where this Petition is filed.
     Full name of birth parents of the adult seeking to be adopted are:
        Birth Mother _____________________________ Birth Father __________________________________
     Facts concerning the adult seeking to be adopted are as follows:
        Full Name: __________________________________________________________________________
        Date of Birth: _____________________________ Place of Birth: _______________________________
        Place of Residence: ___________________________________________________________________
        ____________________________________________________________________________________

Wherefore, Petitioner(s) pray(s) that a Decree of Adoption be entered declaring said adult to be the heir at law of
the Petitioner(s), who shall be entitled to inherit from the Petitioner(s) any property in all respects as if such
person had been the Petitioner(s)’ child born in lawful wedlock. The name of said adult shall:
                remain the same.
                be changed to ____________________________________________________




JDF 528 R5/06   PETITION FOR ADULT ADOPTION

				
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