El Dorado — Consent of Spouse of Person Being Adopted

Source: https://www.eldorado.courts.ca.gov/system/files/consent-spouse-person-being-adopted.pdf

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

In the Matter of the Adoption Petition of: } STEPPARENT ADOPTION } } CASE NO: } ___________________ } CONSENT OF ADOPTION BY PARENT (Petitioner) } OUTSIDE CALIFORNIA GIVING CUSTODY TO HUSBAND OR WIFE OF OTHER PARENT

I, the undersigned, being the father/mother of do hereby give my full
Name of Minor

full and free consent to the adoption of said child by

,

Name of Petitioner (Stepparent)

the petitioner herein, it being fully understood by me that with the signing of this document my consent may not be

withdrawn except with court approval, and that with the signing of the order of adoption by the court, I shall give

up all my rights of custody, services, and earning of said child, and that said child cannot be reclaimed by me. Said child was born on , in Birth Date City and State and is the child of and Name of Natural Father Name of Natural Mother Date ________________ 20 Signature of Parent

STATE OF } } ss. County of }

Before me, , a Notary Public in and for said County and State,

personally appeared , known to me to be the person whose name is

subscribed to the within instrument, and acknowledged to me that he/she executed the same.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my official seal this day of

, 20 .

Notary Public in and for said County and State

NOTICE TO BIRTH PARENT WHO CONSENTS TO THE CHILD'S ADOPTION: If you or your child lived together at any time as parent and child, the adoption of your child by a stepparent does not affect the child's right to inherit your property or the property of blood relatives. For further information regarding this right of inheritance, you should consult an attorney at your own expense.

This form is to be used only when parent is giving custody of the child to the husband or wife of other parent. Original for court record.

Consent of Parent Outside of State Local Form A-5 Mandatory Use Form New 12/01/04