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Consent Of Adoptee - Pennsylvania

Consent Of Adoptee Form. This is a Pennsylvania form and can be used in Adoptions Orphans Court Chester Local County .
 Fillable pdf Last Modified 9/29/2011
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IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ CONSENT OF ADOPTEE I, [ADOPTEE], am over twelve (12) years of age, have read the foregoing petition ad consent to my adoption by [PETITIONER]. I also agree to having my name changed to [NAME AFTER ADOPTION]. I have read and understand the above and I am signing it as a free and volunt ary act. Date Place _______________[SIGNATURE]___________ Type Name: of Execution: of Execution WITNESSES: RELATIONSHIP TO ADOPTEE: [SIGNATURE]______________ _________________ Type name: Type Address: [SIGNATURE]______________ _________________ Type name: Type Address: American LegalNet, Inc. www.FormsWorkFlow.com ______________________________ [Signature] ______________________________ [Signature] American LegalNet, Inc. www.FormsWorkFlow.com
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