ALA ADOPT-065 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): SUPERIOR COURT OF CALIFORNIA, ALAMEDA COUNTY STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME IN THE MATTER OF THE PETITION OF: Prospective Adoptive Parent (name each): Proposed Adoptee: CASE NUMBER: AGREEMENT OF ADOPTION OF ADULT OR MARRIED MINOR The prospective adoptive parent(s) (name each if more than one) and the proposed adoptee 1. a. Whereas prospective adoptive parent , age have entered into the following agreement. , born in (city, state, or country): on (month, date, year): desires to adopt (name of proposed adoptee): b. Whereas prospective adoptive parent , residing at (address) : . , age , born in (city, state, or country): on (month, date, year): , residing at (address): desires to adopt (name of proposed adoptee): 2. Whereas proposed adoptee on (month, date, year): , residing at (address): , age . , born in (city, state): , desires to be adopted by (name of prospective adoptive parent(s)): The parties agree to assume toward each other the legal relationship of parent and child, and to have all of the rights and be subject to all of the duties and responsibilities of that relationship. The parties agree to file a joint petition in the Superior Court of California, County of Alameda, praying for approval of this agreement of adoption by issuance of an order that the proposed adoptee is the child of the prospective adoptive parent(s) and shall take the birth name of and that proposed adoptee may continue to use the current name of . Date: __________________________________________ PRINT OR TYPE NAME _________________________________________________ SIGNATURE OF PROSPECTIVE ADOPTIVE PARENT Date: __________________________________________ PRINT OR TYPE NAME _________________________________________________ SIGNATURE OF PROSPECTIVE ADOPTIVE PARENT Date: __________________________________________ PRINT OR TYPE NAME Form Approved for Optional Use Superior Court of California, County of Alameda ALA ADOPT-065 [New January 1, 2009] _________________________________________________ SIGNATURE OF PROPOSED ADOPTEE Page 1 of 1 AGREEMENT OF ADOPTION OF ADULT OR MARRIED MINOR Fam. Code §§ 9300-9307; 9320-9328) American LegalNet, Inc. www.FormsWorkflow.com