Fill and Sign the Louisiana Adoption Form

© 2016 - U.S. Legal Forms, Inc.       LOUISIANA ADOPTION BY ADOPTER OF ADOPTEE [ Adult Adoption of Individual Over the Age of Seventeen ] Control Number: LA- 737-M I. NOTARIAL ADOPTION AND AFFIDAVIT OF DISTRICT ATTORNEY The first document is a notarial act of adoption, used when a person eighteen years or older adopts another over the age of seventeen in accordance with R.S. 9:461 et seq . (The statute makes special requirements where the person to be adopted is interdicted or is older than the adopting parent.) Two adoptive parents may execute the same notarial adoption. Note that R.C.C. 214 provides that one married person cannot adopt without the consent of the other. R.S. 9:462 allows a change of name to be included in the adoption, in which case R.S. 40:75 requires consent to the name change by the District Attorney having jurisdiction over the adopted person's domicile. The second document evidences consent by the District Attorney. II. EXPLANATION OF TERMS: WORD KEY EXPLANATION [Adopter] Full name of adopting person. [Adoptee] Full name of person adopted. [Parish] Parish in which act is executed. [Date] Date act is executed. [Notary] Notary public before whom act is executed. [Husband and Wife] As appropriate. [Spouse] Full name of spouse of adopting person. [Adopter Parish] Parish of adopting person's domicile. [Adopter Address] Address of adopting person. [he, she] As appropriate. [himself, herself] As appropriate. [Adoptee Parish] Parish of adopted person's domicile. [Adoptee Address] Address of adopted person. [TIN] Tax Identification Number of adopted person. [Birthdate] Birthdate of adopted person. [Mother] Full name of adopted person's mother. [Father] Full name of adopted person's father. ]New Name] New name of adopted person. [City, Parish] City and parish of execution. [D.A. Parish] Parish in which District Attorney's consent is executed. [D.A.] Name of District Attorney. [Judicial District] Indicate judicial district and parish. [Assistant] Name of assistant district attorney executing consent. [Adoption Date] Date act of adoption executed. [Adoption Notary] Notary before whom adoption executed. [D.A. Date] Date consent executed. III. TIPS ON COMPLETING THE FORMS Th e form(s) in this packet may contain “form fields” created using Microsoft Word or Adobe Acrobat (“.pdf” format). “Form fields” facilitate completion of the forms using your computer. They do not limit your ability to print the form “in blank” and complete with a typewriter or by hand. It is also helpful to be able to see the location of the form fields. Go to the View menu, click on Toolbars, and then select Forms. This will open the Forms toolbar. Look for the button on the Forms toolbar that resembles a shaded letter “a”. Click this button and the form fields will be visible. By clicking on the appropriate form field, you will be able to enter the needed information. 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ADOPTION UNITED STATES OF AMERICA BY       STATE OF LOUISIANA [Adopter] OF       PARISH OF       [Adoptee] BE IT KNOWN, that on       before me,       , [Date] [Name of Notary] a Notary Public duly commissioned and qualified in and for the state and parish indicated, and in the presence of the witnesses hereinafter named and undersigned, personally came and appeared:       , husband of       , [Adopting Party] [Adopting Party’s Spouse] being domiciled in       Parish , whose present mailing address is       ; [Address of Adopting Party] who declared that he desires to avail himself of the laws of the State of Louisiana, relative to the adoption of persons over seventeen years of age, and especially R.S. 9:461 and 9:462, and does desire to and does hereby adopt:       , a single woman domiciled in       [Party Being Adopted] Parish, having as her whose mailing address       and having Tax Identification Number       ; born       to       and [Date of Birth] [Mother]       , the said       [Father] [Person Being Adopted] to have all of the rights of an adopted child. And to these presents intervenes the said       , [Person Being Adopted] who fully consents to her adoption by       [Adopting Party] and the change of name provided for below. In accordance with R.S. 9:462, the parties declare that that the birth name of the adoptee is changed to       and request that, upon [New Name of Person Being Adopted] submission of the affidavit of the District Attorney as required by R.S. 40:75, the Louisiana Registrar of Vital Records alter the birth certificate of the adoptee to show her name to be       . [New Name of Person Being Adopted] And to these presents appeared       , who [Spouse of Adopting Party] consents to the adoption and name change provided for herein. THUS SIGNED ON the date indicated above at the City of       , Parish of       , State of Louisiana, in the presence of the undersigned Notary Public, qualified in said State and Parish, and the undersigned competent witnesses, who have signed with the parties after due reading of the whole. Adoption Page 1 of 3 WITNESSES: Witness Adopter             Print or Type Name Print or Type Name Witness Spouse of Adopter             Print or Type Name Print or Type Name Adoptee, hereafter known as       Adoptee’s New Name Notary Public       Print or Type Name Adoption Page 2 of 3 STATE OF LOUISIANA PARISH OF       BEFORE ME, the undersigned authority, duly commissioned and qualified in and for the parish and state indicated, PERSONALLY CAME AND APPEARED:       , District Attorney in and for       Judicial District , State of Louisiana, herein represented by       , duly authorized Assistant District Attorney; who after being duly sworn, did depose and say: Affiant has been presented with and has fully examined a certified copy of that Notarial Act of Adoption by       of       , [Adopter] [Adoptee] Tax Identification Number       , executed       before [Date Executed] before       , Notary Public; and [Adoption Notary] Affiant has no objection to the change of the adoptee's birth name to       and consents to the alteration and reissuance of the [New Name] original birth record in accordance with La. R.S. 40:75 to show the birth name of the adoptee as       . [New Name] District Attorney BY:       Assistant District Attorney Sworn and Subscribed to before me on       . Notary Public Adoption Page 3 of 3