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Fill and Sign the Wisconsin Adoption Adult Form

Fill and Sign the Wisconsin Adoption Adult Form

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STATE OF WISCONSIN, CIRCUIT COURT,       COUNTY For Official Use IN THE MATTER OF THE ADOPTION OF       Name Petition for Adoption Child Adult       Date of Birth Case No.       Under oath, I petition the court for an order for adoption of this person, and state that: (For child adoptions, fill out sections 1-7) (For adult adoptions, fill out sections 1, 8, 9 and 10) 1. I am a relative of the child by blood. the child’s stepparent. a proposed adoptive parent with whom the child has been placed. an adult proposing to adopt another adult. My address is       My telephone number is       2. The parental rights of the mother were terminated and a certified copy of the Order Terminating Parental Rights is attached. will be terminated on       in       court. other:       3. The parental rights of the father were terminated and a certified copy of the Order Terminating Parental Rights is attached. will be terminated on       in       court. other:       4. The guardian is       and the consent is attached. consent will be provided prior to the hearing. 5. The child has lived in my home since       6. The adoption is in the best interests of the child. 7. The child’s name should be changed to       8. I am a resident of Wisconsin and wish to adopt this person. 9. The consent of the adoptee: accompanies this petition will be signed at the hearing. 10. The consent of my spouse (if not a co-petitioner): accompanies this petition will be signed at the hearing. JC-1645 , 11/99 Petition for Adoption – Child/Adult §48.90 and Chapter 882, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Petition for Adoption Page 2 of 2 Case No. Subscribed and sworn to before me on             Notary Public, State of Wisconsin My commission expires:       Signature of Petitioner       Name Printed or Typed Signature of Petitioner       Name Printed or Typed Distribution: 1. Original - Court 2. Interested Persons       Date JC-1645 , 11/99 Petition for Adoption §48.90 and Chapter 882, Wisconsin Statutes This form shall not be modified. It may be supplemented with additional material. Page 2 of 2

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