San Bernardino — 13-21913-360

Source: https://sanbernardino.courts.ca.gov/system/files/13-21913-360consentofspouseofadultormarriedminortobeadopted.pdf

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

TELEPHONE NO.: FAX NO.: EMAIL ADDRESS: ATTORNEY FOR (Name): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN BERNARDINO STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME:

IN THE MATTER OF THE PETITION OF:

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CONSENT OF SPOUSE OF ADULT OR MARRIED MINOR TO BE ADOPTED CASE NUMBER:

I, ___________________________________________________________________, the spouse of

______________________________________________, Proposed Adoptee herein, do hereby fully and freely consent to

the adoption of my spouse by (name of Adopting Person) _________________________________________________.

IN WITNESS WHEREOF, the undersigned has executed consent on __________ day of ________________________

Date: __________________________

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Type or Print Name Signature of Spouse of Adoptee

13-21913-360 rev 03/28/18 CONSENT OF SPOUSE OF ADULT OR MARRIED MINOR TO BE ADOPTED Fam C. §9302