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JC-1647, 08/06 Order for Adoption – Child/Adult §§48.91 and 48.94, Chapter 882, W isconsin Statutes This form shall not be modified. It may be supplemented with additional material. STATE OF WISCONSIN, CIRCUIT COURT, COUNTY IN THE INTEREST OF Name Order for Adoption Child Adult Date of Birth Case No. For Official Use THE COURT FINDS: 1. The petitioner, , is Name a relative. a stepparent. the proposed adoptive parent(s) with whom the child has been placed. 2. The child has lived with the petitioner since (date) . 3. The guardian does does not consent to this adoption. 4. The recommendation and written report of has been filed. Agency 5. The child is suitable for adoption. The petitioner is a fit and proper person of reputable standing in the community with the ability to maintain and support this child. The adoption is in the best interests of the ch ild. 6. All legal requirements concerning this adoption readoption have been met. 7. The adoptive parent(s) has requested that the birth certificate not be changed. (For adult adoptions, this is the only finding necessary.) 8. This is an adult adoption. It is in the best interests of the persons involved and all legal requirements have been met. The petitioner’s name is . THE COURT ORDERS: 1. The Petition for Adoption is granted. 2. The name of this person shall be changed to 3. The birth certificate for this person shall shall not be changed. BY THE COURT: Signature of Circuit Judge Name Printed or Typed Distribution: 1. Court - Original 2. Adoptive Parent(s) Date