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Consent of Mother/Father to Stepparent Adoption Attorney Name Address Phone NumberMONTANA [DISTRICT NUMBER] JUDICIAL DISTRICT COURT, [COUNTY NAME] COUNTY ) IN THE MATTER OF THE ADOPTION ) Cause No. OF [NAME OF MINOR CHILD], ) ) A minor child, ) CONSENT OF ) MOTHER/FATHER TO by )STEPPARENT ADOPTION ) [NAME OF PETITIONER], ) ) Petitioner. ) I, [NAME OF MOTHER/FATHER ], first being duly sworn, hereby state as follows: 1. I have legal and physical custody of my natural child, [NAME OF MINOR CHILD], and voluntarily and unequivocally consent to the stepparent adoption of [NAME OF MINOR CHILD] by my husband, [NAME OF STEPPARENT]. (§ 42-4-303, 42-4-304(2)(a), MCA) 2. The adoption will not terminate the parental relationship between me and [NAME OF MINOR CHILD]. (§, 42-4-304(2)(a), MCA) // // Consent of Mother/Father to Stepparent Adoption 3. I understand and agree that:(i) the adoption will terminate the relationship of parent and child between the child's other parent, [RELINQUISHING PARENT], and [NAME OF MINOR CHILD], and will terminate any existing court order for custody, visitation, or communication with the child; (§ 42-4-304(2)(c)(i). MCA) (ii) [NAME OF MINOR CHILD] and any descendant of his/hers will retain rights of inheritance from or through [RELINQUISHING PARENT]; (§ 42-4- 304(2)(c)(ii). MCA) and (iii) a court order for visitation or communication with [NAME OF MINOR CHILD] by an individual related to [NAME OF MINOR CHILD] through [RELINQUISHING PARENT], or an agreement or order concerning another individual that is approved by the court, survives the decree of adoption, but that failure to comply with the terms of the order or agreement is not a ground for revoking or setting aside the consent or the adoption. (§ 42-4-304(2)(c)(ii). MCA) Dated this ______ day of ___________________, 20___ ____________________________[NAME OF MOTHER/FATHER] STATE OF MONTANA ) County of [COUNTY NAME] ) Signed and sworn to before me this ___ day of _________, 20__ by [NAME OF MOTHER/FATHER ]. _____________________________________ NOTARY PUBLIC for the State of Montana Name of Notary (printed) Title Residing at: My Commission Expires: (Seal) Consent of Mother/Father to Stepparent Adoption