El Dorado — Consent of Natural Parent to Adopt

Source: https://www.eldorado.courts.ca.gov/system/files/consent-natural-parent-adopt.pdf

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Address

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City,State,Zip

IN THE SUPERIOR COURT OF THE STATE OF CALIFORNIA IN AND FOR THE COUNTY OF EL DORADO

In the Matter of the Adoption } STEPPARENT ADOPTION Petition of: } } CASE NO: ___________________ } CONSENT OF ADOPTION BY (Name) } PARENT RETAINING CUSTODY

I, the undersigned, being the father/mother of _____________ Name of Minor

give my full and free consent to the adoption of said child by

, who is my husband/wife without

Husband/Wife name relinquishing any of my rights, duties, obligations as his/her father/mother and I

respectfully ask that the petition be granted.

Said child was born on , in
Birth Date City and State

and is the child of and . Name of Legal Father Name of Legal Mother

DATED: ____________________ ____________________________ Signature of Parent

Signed in the presence of *Title

The Judge/Commissioner of the Superior Court or the Clerk of the Superior Court may witness.

NOTARY SEAL OR SIGN IN COURT

Consent of Natural Parent Local Form A-2 Mandatory Use Form Rev. 3/4/02