Madera — Consent of Spouse of Adopting Parent (SAMPLE) (MAD-JUV-014)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-juv-014-consent-spouse-adopting-parent-rev-04-15-2020-sample-version.pdf

MAD-JUV-014 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY NAME OF ADOPTING PARENT STREET ADDRESS CITY, STATE, ZIP NAME OF ADULT BEING ADOPTED STREET ADDRESS CITY, STATE, ZIP

TELEPHONE NO: FAX NO. (Optional): E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA STREET ADDRESS: 200 South G Street MAILING ADDRESS: 200 South G Street CITY AND ZIP CODE: Madera, CA 93637 BRANCH NAME: Juvenile Division IN THE MATTER OF THE ADOPTION PETITION OF: NAME OF ADULT BEING ADOPTED CASE NUMBER: CONSENT OF SPOUSE OF ADOPTING PARENT

I, NAME OF SPOUSE OF ADOPTING PARENT, hereby state that I was married to NAME OF ADOPTING

PARENT on DATE OF MARRIAGE, and that we remain married and are not lawfully separated. I hereby consent to the adoption of NAME OF ADULT BEING ADOPTED , an adult person, by my WIFE/HUSBAND, NAME OF ADOPTING PARENT .

Dated: DATE SIGNED ___________________________________ NAME OF SPOUSE OF ADOPTING PARENT

Form Adopted for Optional Use CONSENT OF SPOUSE OF ADOPTING PARENT Page 1 of 1 Madera Superior Court Local Form MAD-JUV-014 [Rev. 04/15/2020]