Withdrawal Of Parental Consent To Adoption | Pdf Fpdf Docx | Legal Forms

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Withdrawal Of Parental Consent To Adoption | Pdf Fpdf Docx | Legal Forms

Last updated: 11/14/2017

Withdrawal Of Parental Consent To Adoption

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Description

WITHDRAWAL OF PARENTAL CONSENT TO ADOPTION On (Date), I, , the (Father/Mother) of , a (Male/Female) child born on (Date), consented to (His/Her) adoption by and (Adoptive Parents). I declare my intention to revoke my consent to said adoption agreement on the grounds that the following changes in my circumstances establish it to be in the best interest of (Child) to remain in my care and custody: . Therefore, I do hereby revoke my consent to the adoption agreement and declare said adoption agreement to be void and of no further effect. In witness whereof, I have signed this instrument at (Place of Execution). Signature Date This document was signed in the presence of the following: Signature Date Signature Date 2001 251 American LegalNet, Inc.

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