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. |
I was born on [date] and am eighteen years of age or older.
Or |
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].
Or |
I was born on [date] and was legally married on [date] in [county and state].
Continue with the following. |
I consent to my adoption by [name[s] of petitioner[s]].
SIGNED on ________________________________.
[Name of adoptee]