Madera — Consent of Spouse of Adopted Person (MAD-JUV-015)

Source: https://www.madera.courts.ca.gov/system/files/forms-and-filings/mad-juv-015-consent-spouse-adopted-person-rev-04-15-2020.pdf

MAD-JUV-015 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): FOR COURT USE ONLY

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: CASE NUMBER: CONSENT OF SPOUSE OF ADOPTED PERSON

I, ___________________________, hereby state that I was married to ______________________, on

//_____, and that we remain married and are not lawfully separated. I hereby consent to the adoption of my __________________________ by ________________________.

Dated: ______________ _____________________________________ NAME OF SPOUSE OF ADOPTED PERSON

Form Adopted for Optional Use CONSENT OF SPOUSE OF ADOPTED PERSON Page 1 of 1 Madera Superior Court Local Form MAD-JUV-015 [Rev. 04/15/2020]