Fill and Sign the Adoption Decree Form

STATE OF VERMONT PROBATE COURT DISTRICT OF ____________ In Re the Estate of: ) DOCKET No. __________ ) __________________ ) , Deceased ) ) ) LATE OF ) ) __________________ . ) ) ) ADOPTION DECREE 15A V.S.A. § 3-705 The court has considered a petition for adoption of the minor, ________________________________________ , filed under Title 15A V.S.A. (The Adoption Act); and based upon the evidence submitted at a hearing held on the __________ day of _______________ , 20       , makes the following findings: 1. The original name of the minor adoptee, or the minor's original initials are ______________________________ . 2. The said minor was born on the __________ day of       at [Time] a.m. , in ______________________________ . 3. A petition for adoption of the said minor was duly filed by ______________________________ on the __________ day of _______________ ,       . 4. The said petitioner is , and is not a stepparent of the adoptee. 5. It has been duly requested that a new birth certificate be issued by the Supervisor of Vital Records with the following information therein set forth: Father: Name: ____________________________________________________________ - 1 - Date and Place of Birth: ________________________________________ Mother: Maiden Name: ________________________________________ Name by which mother is known: ________________________________________ Date and Place of Birth: ________________________________________ 6. The petition requests that the adoptee be known by the name of ________________________________________ upon the issuance of this decree. 7. The adoptee has been in the physical custody of petitioner for at least 180 days. 8. Notice of this proceeding for adoption has been served or dispensed with as to those persons entitled to receive notice under Part 4 of Article 3 of The Adoption Act. 9. Each necessary consent, relinquishment, waiver, disclaimer of parental interest, judicial order terminating parental rights, including any order issued under Part 5 of Article 3 of The Adoption Act, all as required by the Adoption Act, has been filed with the court. 10. Any evaluation required by The Adoption Act has been filed and considered by the court. 11. Each petitioner is a suitable adoptive parent for the minor. 12. All applicable requirements of The Adoption Act governing an interstate or intercountry placement for this adoption have been met. 13. The Indian Child Welfare Act, 25 U.S.C. § 1901 et seq., is not applicable to this proceeding; or, if applicable, its requirements have been met. 14. The accounting and affidavit required by § 3-702 of The Adoption Act has been reviewed by the court, and the court has denied, modified or ordered reimbursement of any payment or disbursement that is not authorized under Article 7 of The Adoption Act. - 2 - 15. The petitioner has received each report required by § 2-105 of The Adoption Act. 16. The court further finds as follows: Based upon the foregoing, the court finds that it is in the best interest of the said minor to grant the petition for adoption. Upon this decree becoming final, all parental rights and duties of each former parent of the adoptee are terminated, and the adoptive parent and the adoptee shall have the legal relationship of parent and child. The effect of this decree shall be as provided in 15A V.S.A. §§ 1-104, 1-105 and 1-106. Any prior order or agreement for visitation or communication with the minor is now unenforceable. Any obligation to pay child support in the future will be terminated by the filing of a final consent to the adoption with the Family Court which ordered the child support and with the Vermont Office of Child Support (if applicable). Any outstanding child support arrearage will not be vacated by this decree. A written agreement concerning child support arrearages may be made by the Obligor and the Obligee and filed with the court which issued the child support order. In the event that a child support arrearage is owed to the Office of Child Support Services, the consent of that office must be obtained as part of any agreement to waive arrearages. THEREFORE , it is hereby ORDERED AND DECREED that the said minor, ________________________________________ , is adopted by and made the child of ________________________________________ , and shall hereafter bear the name of ____________________ . Dated at ________________ , Vermont, this _____ day of _______________ , 20 _______ . ___________________________________ Probate Judge District of _____________________ Rev.3/1/97 - 3 -