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Petition For Rescission Of Adoption And Order PCA 349 - Michigan
| Petition For Rescission Of Adoption And Order Form. This is a Michigan form and can be used in Adoption Statewide . |
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Approved, SCAO STATE OF MICHIGAN FILE NO. JUDICIAL CIRCUIT - FAMILY DIVISION PETITION FOR RESCISSION OF ADOPTION COUNTY AND ORDER In the matter of , adoptee Full name of child at birth Full name of child immediately after adoption Birth date 1. I, was adopted by . Adoptees present name Step-parents name 2. I, , birth parent, had my parental rights terminated by order of this court. Birth parents name 3. I desire to rescind the adoption by the step-parent and restore the parental rights of the birth parent. 4. The adoptees name will be . First Middle Last 5. The adoptees legal parents are: Name of natural parent Name of adoptive step-parent Address Address City, state, zip Telephone no. City, state, zip Telephone no.I request the court to conduct a hearing, and an investigation if necessary, and enter an order of rescission of the adoption and restore the parental rights of the petitioner birth parent. I declare that the this petition has been examined by me and that its contents are true to the best of my information, knowledge, and belief. Date Signature of adoptee petitioner Address City, state, zip Telephone no.Date Signature of birth parent petitioner Address City, state, zip Telephone no.Attorney signature Attorney name (type or print) Bar no.Address City State Zip Telephone no.IT IS ORDERED: 6. The adoption of the above named adoptee by the above named step-parent is rescinded and the parental rights of the above named birth parent are restored. 7. The petition is denied. Date Judge Bar no. Do not write below this line - For court use only PCA 349 (9/97) PETITION FOR RESCISSION OF ADOPTION AND ORDER MCL 710.66; MSA 27.3178(555.66)
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