Fill and Sign the Amending Petition Form

ADOPTION : _______ JUDICIAL DISTRICT COURT OF : PARISH OF _______ , LOUISIANA ________________ : DOCKET NO. ____ FIRST AMENDING AND SUPPLEMENTAL PETITION NOW INTO COURT, through undersigned counsel, comes ________________ , who moves the court to amend the original Petition filed herein in the following regards: 1. By amending the Petition for Adoption by changing the opening paragraph to read as follows: A The petition of ________________ and ________________ , who are domiciled in _______ Parish, Louisiana, respectfully represent. @ 2. By amending Paragraph 1 of the Petition to read as follows: A 1 Petitioners want to adopt one (1) child under seventeen years of age, born to ________________ and ________________ , the name of the minor child being ________________ , whose birth is recorded under the above-mentioned name. (See copy of attached Birth Certificate marked as Exhibit A A @ ) 3. By amending Paragraph 3 of the Petition to read as follows. A 3 The above-named child has been continuously living in the home of the Petitioners since _______ of 20 ____ . 4. By amending Paragraph 4 of the Petition to read as follows. A 4 All necessary information concerning Petitioner, ________________ , and the child is set out in Exhibit A B @ annexed hereto. 5. By amending Paragraph 6 of the Petition to read as follows. A 6. Petitioners ask that the minor child = s name be changed to ________________ , so that the child will have the same surname as Petitioners, and ________________ , consents to the change in the child = s name. 7. By amending the Prayer of the Petition to read as follows: A WHEREFORE, petitioners pray: 22184. That a copy of this petition be served on the State Department of Community Services; 22185. That a hearing in this matter be fixed on a date not less than 30 days nor more than 60 days from the date of the filing of this petition and exhibits in accordance with the Children = s Code article 1253; and 22186. That there be a final decree of adoption rendered, declaring the child, ________________ , to be the child of Petitioners to the same extent as if the child had been born of the Petitioners = marriage, and changing the minor child = s name to ________________ . WHEREFORE, Petitioner prays that the amending Petition be filed and served according to law. Respectfully Submitted, _______________________________ ________________ ________________ _______ , LA ____ ( ____ ) _______ La. Bar Roll No. ____ PLEASE SERVE: THE STATE DEPARTMENT OF SOCIAL SERVICES AMENDED EXHIBIT NO. 2 I. PETITIONERS A. Adoptive Father 1. Full Name ________________ 2. Address ________________ 3. DOB ________________ 4. Occupation ________________ 5. Marital Status ________________ B. Adoptive Mother 1. Full Name ________________ 2. Address ________________ 3. DOB ________________ 4. Occupation ________________ 5. Marital Status ________________ II CHILD 1. Name of which child is known to petitioners: ________________ ; 2. Name under which birth of child is recorded: ________________ ; 3. Place of birth of child: ________________ ; 4. Date of birth of child: ________________ ; 5. Approximate age of child: ________________ 6. Name of child = s mother: ________________ 7. Address of child = s mother: ________________ 8. Name of child = s father: ________________ ; 9. Address of child = s father: ________________ 10. Legal custodian of child: ________________ 11. The date and circumstances under which the child entered the home of the petitioner: ________________ . 12. Relationship between petitioner and child: ________________ .