Fill and Sign the Stepparent Consent Florida Form

INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW FORM 12.981(a)(2), STEPPARENT ADOPTION: CONSENT OF ADOPTEE (03/15) When should this form be used? This form must be completed and signed by the person being adopted, the adoptee, if he or she is over 12 years of age , unless the court, in the best interest of the minor excuses the minor’s consent. It must be signed in the presence of a notary public or deputy clerk and two witnesses other than the notary public or deputy clerk. This form should be typed or printed in black ink. After completing this form, you should fle the original with the clerk of the circuit court in the county where the Joint Petition for Adoption by Stepparent , Florida Supreme Court Approved Family Law Form 12.981(b)(1) is fled and keep a copy for your records. IMPORTANT INFORMATION REGARDING E-FILING The Florida Rules of Judicial Administration now require that all petitions, pleadings, and documents be fled electronically except in certain circumstances. Self- represented litigants may fle petitions or other pleadings or documents electronically; however, they are not required to do so. If you choose to fle your pleadings or other documents electronically, you must do so in accordance with Florida Rule of Judicial Administration 2.525, and you must follow the procedures of the judicial circuit in which you fle. The rules and procedures should be carefully read and followed. Special notes... Remember, a person who is NOT an attorney is called a nonlawyer. If a nonlawyer helps you fll out these forms, that person must give you a copy of Disclosure from Nonlawyer , Florida Family Law Rules of Procedure Form 12.900 (a), before he or she helps you. A nonlawyer helping you fll out these forms also must put his or her name, address, and telephone number on the bottom of the last page of every form he or she helps you complete. Instructions for Florida Supreme Court Approved Family Law Form 12.981(a)(2), Stepparent Adoption: Consent of Adoptee (03/15) IN THE CIRCUIT COURT OF THE JUDICIAL CIRCUIT, IN AND FOR COUNTY, FLORIDA Case No.: Division: IN THE MATTER OF THE ADOPTION OF _________________________________________ {use name to be given to the child(ren)} Adoptee(s). CONSENT OF ADOPTEE 1. I, {full legal name} , being over the age of 12, consent to my adoption by {name} , to be his/her legal child and heir at law. 2. I have been told of my right to choose a person who does not have an employment, professional, or personal relationship with the adoption entity or prospective adoptive parents to be present when this afdavit is executed and to sign it as a witness. The witness I selected is: {full legal name} . 3. {Choose only one] ( ) I consent to my name being legally changed to {specify} . ( ) I do not consent to a name change. I understand that I am swearing or afrming under oath to the truthfulness of the claims made in this consent and that the punishment for knowingly making a false statement includes fnes and/or imprisonment. Dated: Signature of Adoptee Printed Name: Address: City, State, Zip: Telephone Number: Fax Number: Designated E-mail Address(es): ____________________ _______________________________________________ Florida Supreme Court Approved Family Law Form 12.981(a)(2), Stepparent Adoption: Consent of Adoptee (03/15) ______________________________________ Signature of Witness Printed Name: _________________________ Business Address: _______________________ Home Address:_________________________ Driver’s License No.: _____________________ State ID Card No.: _______________________ ______________________________________ Signature of Witness Printed Name: _________________________ Business Address: _______________________ Home Address:______________________ Driver’s License No.: _____________________ State ID Card No.: _______________________ STATE OF FLORIDA COUNTY OF __________________________ Sworn to or afrmed and signed before me on {date} . _________________________________________ NOTARY PUBLIC or DEPUTY CLERK {Print, type, or stamp commissioned name of notary or deputy clerk.} _____Personally known _____Produced identifcation Type of identifcation produced ____________________ IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fll in all blanks] This form was prepared for the {choose only one } ( ) adoptee ( ) stepparent This form was completed with the assistance of: {name of individual} ___________________________________________________________________, {name of business} Florida Supreme Court Approved Family Law Form 12.981(a)(2), Stepparent Adoption: Consent of Adoptee (03/15) _____________________________________________________________________, {address} ____________________________________________________________________________ , {city} ________________, {state} ______, {zip code}_________ {telephone number} __________________. . Florida Supreme Court Approved Family Law Form 12.981(a)(2), Stepparent Adoption: Consent of Adoptee (03/15)