Fill and Sign the Minnesota Adoption 497312206 Form

STATE OF MINNESOTA DISTRICT COURT COUNTY OF       JUDICIAL DISTRICT FAMILY COURT DIVISION In Re the Welfare of: Court File No. , A Child, FINDING OF FACT, CONCLUSIONS OF LAW, ORDER FOR JUDGMENT AND And the Petition of: JUDGMENT AND DECREE RE: ADOPTION and , Petitioner. The above-entitled proceeding came on for a hearing before the Honorable _______________ , in the _______________ County Courthouse, located at _______________ , _______________ , Minnesota, at {Time} on the ___ day of _______________ , 20 ___ . _______________ and _______________ , the Petitioners appeared in person and through their attorney, _______________ , Esquire, of _______________ ,located at _______________________ , Minnesota ____ . The child, _______________ , also appeared in person. The proceeding was initiated by the Petitioners for leave to adopt the minor child, _______________ , pursuant to Minnesota Statutes Section 259 and that the name of the minor child be changed to _______________ . A Petition for Adoption was duly filed with the Court. After hearing all of the evidence adduced at the hearing, being fully advised in the premises, and upon the complete files, records and proceedings herein, the Court makes the following Findings of Fact, Conclusions of Law, and Order for Judgment. - 1 - FINDINGS OF FACT 1. The Petitioners full names are _______________ and _______________ ; the Petitioner, _______________ is presently _______________ ( ___ ) years old, having been born on _______________ , ___ ; the Petitioner, _______________ is presently _______________ ( ___ ) years old, having been born on _______________ , ___ ; and the Petitioners' present address is _______________ , in the City of _______________ , County of _________________ ,State of Minnesota. 2. The Petitioners are husband and wife having been married on _______________ , 19 ___ , in the City of _______________ , County of _________________ , State of Minnesota, and ever since said date have lived together continuously. 3. The Petitioners have resided in the State of Minnesota for more than one (1) year immediately preceding the filing of this Petition. 4. Neither of the Petitioners owe any Court ordered child support for any other child not now living in their home. 5. Neither of the Petitioners have been refused an adoption by any Court or Agency. 6. Both Petitioners are in good physical and mental health at the present time. Both Petitioners are financially able and emotionally qualified to assume a parent/child relationship. 7. The Petitioners are related to the child, _______________ , as Stepparent and Parent. 8. The Petitioner, _______________ , acquired physical custody of _______________ from _______________ , pursuant to a Judgment and Decree, on _______________ , 19 ___ , and that said child has lived with the Petitioner, _______________ , since said date. Subsequent to the Petitioners' marriage on _______________ , 19 ___ , said child has lived in the Petitioners' home. 9. The mother of the child, _______________ , is _______________ and that the father is _______________ ; and the guardian of said child is _______________ . 10. The natural parents of the child, _______________ , have consented to the adoption and both natural parents, namely, _______________ and _______________ , signed the "Consent - 2 - of Parent to Adoption and Waiver of Notice of Hearing." 11. The actual name of the child and any known aliases are _______________ and he was born in the City of _______________ , County of _______________ , State of Minnesota on _______________ , 19 ___ . The child does not have any physical or mental disabilities at the present time. 12. The child, _______________ , does not own any real or personal property, stocks or bonds, or any bank accounts. 13. The Petitioner, _______________ , and the child have developed mutual love and affection for each other. The Petitioner's, _______________ , family and friends accept and get along well with the child, _______________ . 14. The Petitioner, _______________ , understands that if the adoption is allowed, the Petitioner, _______________ , will acquire rights which are completely equal to hers in the event of divorce, death or otherwise. 15. The Petitioner, _______________ , has no conflict with the religious training, if any, that the child, _______________ , will be receiving. 16. The Petitioners desire that the relationship of parents and child be established between the Petitioners and the child. The Petitioners' home is large enough to accommodate the child. 17. It is in the best interest of the child for the child to be adopted by the Petitioners. 18. The Petitioners desire to have the name of the child changed to _______________ . 19. The child's natural father, _______________ , may send presents, cards, and/or contact the child, _______________ , at the Petitioners' discretion, and that the Petitioners will not prevent _______________ from contacting _______________ if _______________ so chooses. CONCLUSIONS OF LAW The Petitioners are granted a Judgment and Decree providing as follows: 1. Adoption . The relationship of parents and child is hereby established between the Petitioners and the child. The child, _______________ , shall be deemed and taken to be the child - 3 - and heir of the Petitioners, _______________ and _______________ , in all respects, as though born to them in lawful wedlock. 2. Name Change . The child, _______________ , is hereby granted the name and shall hereafter be known as ________________________ . (ALL CAPS) ORDER FOR JUDGMENT LET JUDGMENT BE ENTERED ACCORDINGLY. BY THE COURT: ________________________ ________________________ Judge of District Court Family Court Division I hereby certify that the foregoing Conclusions of Law herein constitute the Judgment and Decree of this Court. DISTRICT COURT ADMINISTRATOR: By: ________________________ Deputy - 4 -