Vermont > Statewide > Probate Court
Adult Adoption Petition 131A - Vermont
| Adult Adoption Petition Form. This is a Vermont form and can be used in Probate Court Statewide . |
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FORM 131A. ADULT ADOPTION PETITION STATE OF VERMONT PROBATE COURTDISTRICT OF ____________________, SS. DOCKET NO_._ ___________IN RE: ADOPTION OF _______________________________________________________ ADULT ADOPTION PETITION 15A V.S.A. 5-105 Part 1. The undersigned petitioners represent that: 1. The person to be adopted is: Name: ________________________________________________________________________ Address: _____________________________________________________________ _________ Place of birth: _______________________________ Date of birth: _________ ____________ Current marital status: __________________________________________________________ If married, please state the place and date of marriage: ______________________________________________________________________________ Full name by which the adoptee is to be known if the petition is granted: ______________________________________________________________________________ 2. The adopting parent(s) is: Name: ________________________________________________________________ _______ Address: ______________________________________________________________________ Length of residence at present address: _____________________________________________ Place of birth: ___________________________ Date of birth: ___________________ _____ Currentm arital status: ___________________________________________________________ If married, please state the place and date of marriage: ______________________________________________________________________________ Name: __________________________________________________________________ _____ Address: ______________________________________________________________________ Length of residence at present address: _____________________________________________ Place of birth: ___________________________ Date of birth: ____________ ____________ Currentm arital status: ___________________________________________________________ 3. Please state the duration and nature of the lationship re between the prospective adoptive parentand the adoptee: ______________________________________________________________________________ <<<<<<<<<********>>>>>>>>>>>>> 2Form 131A Page 2 Part 2. The prospective adoptive parent and adoptee certify the following: 1. The prospective adoptive parent(s) and the adoptee desire to assume the legal relationship of parent and child and to have all of the rights and be subject all of the duties of that relationship.to 2. The adoptee understands that a consequence of the adoptionill wbe to terminate thedoptee a srelationship as the child of an existing parent, if the adoptive parent isbut the adoptees stepparent, the adoption will not affect the adoptees relationship with a parent who is the stepparents spouse, but will terminate the adoptees relationship to the adoptees other parent, except for the right to inherit from or through that parent. 3. The adoptee and the prospective parent(s) understand the consequences the adoption may have for any right of inheritance, property, or support from adoptive and biological parents. Part 3. Persons Interested in Adoption Proceeding 1. Please state the full name and last known address of any other person whose consent to this adoption is required: ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ 2. Please state the name, age, and last known address of each biological ordopted a child of the prospective adoptive parent(s). If adopted, please state the date and place of adoption: ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ 3. Please state the name, age, and last known address of each living parent or child of the adoptee: ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ ____________________________________________________________________ _______ Part 4. Documents Required <<<<<<<<<********>>>>>>>>>>>>> 3Form 131A Page 31. Certified copy of the adoptees birth certificate and the adoptive parents. 2. Any required consent that has been executed. 3. Filing fee of $75.00. Dated at________________________, Vermont, this_____day200 of _____________, __. ______________________________________________, Petitioner( s) ______________________________________________ _______________________________________________, Adoptee Subscribed and sworn to this ________ day 200 of ______________________,__, before me, ______________________________________________, Notary Public Subscribed and sworn to this _____ day200 of __________________, __, before me, ______________________________________________, Notary Public * Consent to the adoption of an adult or emancipated minor is required only of spouse of the prospective adoptive parent. (See attached form.)
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