Fill and Sign the Consent of Partner Forms Archive

Probate Court Form No. 139E Consent of Spouse, Partner Prospective Parent in Adoption STATE OF VERMONT PROBATE COURT DISTRICT OF ___________________ DOCKET NO. ________________ IN RE ADOP TION OF _________________ CONSENT OF SPOUSE OR PARTNER OF PROSPECTIVE ADOPTIVE PARENT IN ADOPTION OF ADULT OR EMANCIPATED MINOR 15 V. S. A. 5-105 1. My Full Name ___________________________________ 2. My Mailing Address ____________________________ ____________________________ ____________________________ 3. My Date of Birth ____________________________ 4. Full Name of Adult or Emancipa ted Minor Who is Being Adopted. _____________________________________________________ 5. Full Name of Prospective Adoptive Parent. ______________________________________________________ 6. (a) I State That the Prospective Adoptive Parent and I are Married and The Date of Ou r Marriage Was _____________________________ (b) I have been prospective Adoptive Parent’s Partner since _______________________, and I consent to the adoption. 7. I consent to the adoption of the above named adult or emancipated minor by my spouse. 8. I understand the consequences the adoption may have for any right of inheritance, property, or support I have. 9. I acknowledge that I have received a copy of this consent. 10. I do one of the following: _______ I waive notice to me of any further proceedings in this adoption unless the adoption is cont ested, appealed or denied. _______ I do not waive notice of any further proceedings in this adoption. I swear that the factual information set fort h in this consent is true and correct to the best of my knowledge and belief.. Dated: __________________________ Signed _____________________________ Print Name: _________________________ STATE OF VERMONT COUNTY OF _______________________On the _____ day of ____________ 20 ____, ______________________ personally appeared before me and signed or confirmed in my presence that he or she freely and voluntarily signed the above consent and acknowledged that the factual information set forth therein is true and correct to the best of his or her knowledge and belief.. I am one of the following: _________ a Judge of a court that has jurisdic tion over adoption proceedings in the State of Vermont; ________ a person authorized to take acknowledgments. _____________________________ (Signature) _____________________________(Printed Name)