NOTICE: THIS DOCUMENT CONTAINS SENSITIVE DATA
|
See § 6 of the Introduction in volume 1 of this manual concerning protection of sensitive data in filed documents. |
[Caption. See § 3 of the Introduction in volume 1 of this manual.]
Consent by Adult to Be Adopted
|
Select one of the following. |
My name is [name of adoptee]. I was born on [date] and am eighteen years of age or older.
|
Or |
My name is [name of adoptee]. I was born on [date] and had my disabilities of minority removed for general purposes [in Cause No. [number] in the [designation of court] [state]/by my marriage on [date] in [county and state]].
|
Continue with the following. |
I have received a copy of the file-marked petition in this cause and hereby waive service of process and the making of a record in this cause.
I have no objection to the hearing being heard by the Associate Judge.
I hereby consent to this adoption by [name[s] of petitioner[s]] and request that my birth certificate be amended to show [name[s] of petitioner[s]] as my parent[s].
SIGNED on ________________________________.
[Name of adoptee]
|
An unsworn declaration may be used in place of a written sworn declaration. See form 8-93. |
SIGNED under oath before me on_____.
Notary Public, State of Texas



