Order Terminating Parental Rights After Release Or Consent {PCA 318}

In the matter of Full name of child þ DOB: , adoptee 1. þ Date of hearing: en-US þ Judge: en-USBar no.en-USTHE COURT FINDS: þ 2. þ A release of the child has been executed according to law by en-USName(s)en-US þ þ en-US en-US . þ 3. þ The consent to the adoption is genuine and is given by the person(s) having legal authority to sign the consent and the best þ interests of the adoptee will be served by the adoption. þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ þ en-USIT IS ORDERED: 5. þ The rights of the parent(s) or the person in loco parentis en-USName(s)en-US are terminated. en-USDate þ en-USJudge American LegalNet, Inc. www.FormsWorkFlow.com