Fill and Sign the 15th Judicial District Court Parish of Lafayette State of Louisiana Docket No Form

IN RE: __________________ : _______ JUDICIAL DISTRICT COURT __________________ APPLYING FOR INTRAFAMILY ADOPTION : PARISH OF _______, LOUISIANA : DOCKET NO. _______ PETITION FOR INTRAFAMILY ADOPTION The petition of __________________, who is domiciled in _______ Parish, respectfully represents: 1. Petitioner desires to adopt the minor child known as __________________. A certified copy of the child=s birth certificate is attached to this petition as Exhibit No. 1. All information required by LSA-Ch.C. Art. 1246 is attached to this petition as Exhibit No. 2. 2. Petitioner was married to __________________on the ____ day of _______ 20____ and they are still married. __________________ is the mother of this child and has consented to this adoption by an authentic act of consent which is attached to this petition as Exhibit No. 3. 3. The parents of this child, __________________ and __________________, were divorced and custody was awarded to __________________ by judgment signed on _______ ____, 20____, in the suit entitled A__________________ vs. __________________@, bearing Docket No. ____, _______ Judicial District Court, Parish of _______, State of Louisiana, a certified copy of which is attached to this petition. 4. The father of the child, __________________, has consented to this adoption by an Authentic Act of Consent to Adoption which is attached to this petition as Exhibit 4, and also
Has agreed that he will give up parental rights regarding the child when he has attained the age of forty (40) years to a guardian ad item appointed by this court. 5. 5. Petitioner does not object to the petition in the manner and form described in this exhibit. 6. The petition for a child’s adoption was granted by a circuit judge on, 21, in the suit entitled , a vs. , bearing docket no. , judicial district court, parish of, state of louisiana, a certified copy of which is attached to this petition. 7. If petitioner is now the custodian of, the present custodian of , has failed to present his/her petition for adoption with the petition docketing his/her rights to custody. 8. There is no reason to assume that this petition for adoption will not be decided on the merits (see art. ). 9. Petitioner is of the opinion that the proposed adoptive parent, would pose no real danger of harm to another child if adopted into a loving home. In re: : : : interracial adoptive adoption the petitioner, who is of the African american race, seeks interracial adoptions where the father of the proposed father s child or a descendant of this father is, residing in the same state and who is willing to consent to such adoptions. In re: : : : : : adoption the petitioner, who is of the African american race, seeks interracial adoptions, where the father of the proposed father s child or a descendant of this father is, residing in the same state and who is willing to consent to such accept ment. In re: : : : : : interracial adoption the petitioner, who is of the African american race, seeks interracial adoptions where the father. Of the de gree of the proposed father s child or a descendant of this father is, residing in the same state and who is willing to consent to such adoptions. Petitioner's ex. Nos. 1–21 (see exhibit) (1) the court shall not consent to the filing after petitioning it as provided in s. Any petition for adoption or intermarriage with regard to a person whose adoption is forbidden. (2) any person who is married to, or in a domestic partnership with, or who is the father, mother, brother, sister, son,