Fill and Sign the Michael Breen Vs Allen Mcmillin Rodney J Strain as Form

ADOPTION : _______ JUDICIAL DISTRICT COURT OF : PARISH OF _______ , LOUISIANA ________________ : DOCKET NO. ____ FIRST AMENDING A ND 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: AThe petition of ________________ and ________________ , who are domiciled in _______ Parish, Louisiana, respectfully represent. @ 2. By amending Paragraph 1 of the Petition to read as follows: A1 Petitioners want to adopt one (1) child under seventeen years of age, born to ________________ and ________________ , the name of the minor child being ________________ , whose bi rth is recorded und er the above -mentioned name. (See copy of attached Birth Certificate marked as Exhibit AA@) 3. By amending Paragraph 3 of the Petition to read as follows. A3 The above -named child has been continuously living in the home of the P etitioners since _______ of 20 ____ . 4. By amending Paragraph 4 of the Petition to read as follows. A4 All necessary information concerni ng Petitioner, ________________ , and the child is set out in Exhibit AB@ annexed hereto. 5. By amending Paragraph 6 of the Petition to read as follows. A6. Petitioners ask that the minor child =s name be changed t o ________________ , 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: AWHEREFORE, petitioners pray: 1. That a copy of this petition be served on the State Department of Community Services; 2. That a hear ing 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 3. That t here 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 na me 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 Stat us ________________ B. Adoptive Mother 1. Fu ll Name ________________ 2. Address ________________ 3. DOB ________________ 4. Occupation ________________ 5. Marital Sta tus ________________ II CHILD 1. Name of which child is known to petitioners: _____________ ___ ; 2. Name under which birth of chil d is recorded: ________________ ; 3. Pl ace 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: ________________ .