Fill and Sign the Termination of Parental Rightsfoster Parent Alabama Form

STATE OF ALABAMA * IN THE PROBATE COURT OFCOUNTY OF ________________ * ___________________ COUNTY, ALABAMA* CASE NUMBER: _______________ IN THE MATTER OF THE ADOPTION OF_____________________________________CONSENT FOR ADOPTION OF MINOR KNOW ALL MEN BY THESE PRESENTS, that I, _____________________, having been first duly placed under oath, do hereby state, agree and consent to the following:1.That I, _________________________, the __________ of a minor, _______________, born _____________________________; do hereby consent to the adoption of the said minor by _____________________________; in order that said minor may have all the privileges which may be accorded to his/her by the laws of Alabama upon his/her legal adoption.2. I am executing this document voluntarily and unequivocally thereby consenting to the adoption of said minor.3. I understand that by signing this document and the subsequent Court Order to ratify the consent, I will forfeit all rights and obligations to said minor and that I understand the consent to the adoption and execute it freely and voluntarily.4. I understand that the consent to the adoption may be irrevocable, and I should not execute it if I need or desire psychological or legal advice, guidance or counseling.5. I have received or been offered a copy of this document.6. I waive the right to know the identity of each Petitioner who petitions to adopt the said minor child. 7. I waive further notice of the adoption proceedings by the execution of this consent, unless there is a contest or appeal of the adoption proceedings. 8. I understand that notice of withdrawal of consent must be mailed to the Probate Court of ____________ County at the following address: _________________________________________, and that such withdrawal must be mailed within five (5) days after the execution of this document. 9. I do hereby request that the Probate Judge make all such Orders and Decrees as may be necessary or proper to legally effectuate said adoption.Given under my hand at ___________ o'clock ___.m., the _____ day of _____________, __________________ at _______________________.__________________________________________I, ___________________, sign my name to this instrument this _____ day of ________________, ________, and being first duly sworn do hereby declare to the undersigned authority that I execute it as my free and voluntary act for the purposes therein expressed, and that I am 21 years of age or older, of sound mind, and under no constraint or undue influence.__________________________________________STATE OF ALABAMACOUNTY OF _____________Subscribed, sworn to and acknowledged before me by ________________________ this _____ day of ______________ _________.__________________________________________Notary Public (NOTARIAL SEAL)My Commission Expires: ____________________I acknowledge receipt of two (2) copies of this document.________________________________________________________Date I, ____________________________, on this _______ day of ___________ ______, at ______________ a.m./p.m. in the presence of the two witnesses whose signatures and addresses are subscribed below, hereby withdraw the adoption consent previously signed by me. _________________________________ ____________________________________Witness Affiant’s Signature_________________________________Address_________________________________Witness_________________________________Address