Last updated: 9/7/2011
Joinder And Consent Of Agency In Petition To Voluntarily Relinquish Parental Rights To Agency
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Description
IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ JOINDER AND CONSENT OF AGENCY IN PETITION TO VOLUNTARILY RELINQUISH PARENTAL RIGHTS TO AGENCY It is hereby certified that ____________________________________ is an agency as defined in 23 Pa.C.S.A. §2102 of _________________; that its office having the care of _________________________ is located in ________________________ County; and that, after due cons ideration, it consents to join in the foregoing Petition and to accept custody of the child and res time as the child is adopted. [NAME OF AGENCY] ponsibility for his/her well-being until such BY:______________________________________ SIGNATURE OF INDIVIDUAL WITH AUTHORITY TO BIND AGENCY] [TYPE NAME] [TYPE TITLE] American LegalNet, Inc. www.FormsWorkFlow.com
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