Petition For Adoption Of Adult Or Married Minor {13-19673-360}

13-19673-360 rev. 03/28/18 PETITION FOR ADOPTION OF ADULT OR MARRIED MINOR Fam C. 2479300 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: IN THE MATTER OF: , Adopting Person PETITION FOR ADOPTION OF ADULT OR MARRIED MINOR CASE NUMBER: Petitioner(s) (name) respectfully represent(s) and allege(s): Petitioner (Adopting Person) is an adult who is older than the proposed Adoptee. Petitioner (Adopting Person) seeks to adopt: Proposed Adoptee (name): Date of Birth: Age: Place of Birth: Person with developmental disabilities Married Minor, date of marriage: Proposed Adoptee resides: Full names of spouse(s) (if applicable) Petitioner (Adopting Person): Proposed Adoptee: Spouse(s) consent(s) has been filed concurrently with this petition. Full names and place of residence of any living parents and/or adult children of Proposed Adoptee: American LegalNet, Inc. www.FormsWorkFlow.com 13-19673-360 rev. 03/28/18 PETITION FOR ADOPTION OF ADULT OR MARRIED MINOR Fam C. 2479300 In the Matter of Case No. Petitioner (Adopting Person) or Petitioner222s Spouse: Has previously adopted an adult. Date and place of adoption: Has NOT previously adopted an adult Is a provider or employee of a provider of board and care, treatment, rehabilitation, or other services to persons with developmental disabilities Is NOT a provider or employee of a provider of board and care, treatment, rehabilitation, or other services to persons with developmental disabilities Petitioner (Adopting Person) and Proposed Adoptee request the adoption for the following reason: The Adopting Person and Proposed Adoptee entered into an agreement in writing in which Adopting Person agrees to adopt Proposed Adoptee and parties agree to assume towards each other the legal relation of parent and child and to have all the rights and be subject to all the duties and responsibilities of that relationship. The Adoption Agreement is filed concurrently with this petition. The Petitioner (Adopting Person) desire to adopt Proposed Adoptee and give him or her name of and Proposed Adoptee desire to be so adopted and be given such name. Wherefore, parties pray the court to approve the agreement of adoption, and make a decree that Proposed Adoptee has been duly and legally adopted by Petitioner (Adopting Person) and shall be known as I declare under penalty of perjury under the laws of the State of California that the foregoing is true and correct. Date: Type or Print Name Signature of Petitioner (Adopting Person) Date: Type or Print Name Signature of Adoptee Date: Type or Print Name Signature of Attorney for Petitioner American LegalNet, Inc. www.FormsWorkFlow.com