Madera Superior Court Form Adopted for Optional Use MAD - JUV - 00 13 (Rev. 3/1 9 /19) ADULT ADOPTION AGREEMENT Page 1 of 1 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address) : NAME OF ADOPTING PARENT STREET ADDRESS CITY, STATE, ZIP NA ME OF ADULT BEING ADOPTED STREET ADDRESS CITY, STATE, ZIP TELEPHONE NO: FAX NO. (Optional): E - MAIL ADDRESS (Optional) : ATTORNEY FOR (Name) : FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF MADERA STREET ADDRESS: MAILING ADDRESS: CITY AND ZIP CODE: BRANCH NAME: 200 South G Street 200 South G Street Madera, CA 93637 Juvenile Division IN THE MATTER OF THE ADOPTION PETITION OF: NAME OF ADULT BEING ADOPTED ADULT ADOPTION AGREEMENT CASE NUMBER: NAME OF ADOPTING PARENT age INSERT AGE , which lives at STREET, CITY, ZIP CODE, and NAME OF ADULT BEING ADOPTED, age INSERT AGE , which lives at STREET, CITY, ZIP CODE, have entered into the following agreement: WHEREAS, NAME OF ADOPTING PARENT wishes to adopt NAME OF ADULT BEING ADOPTED, and NAME OF ADULT BEING ADOPTED wishes to be adopted by NAME OF ADOPTING PARENT , THEREFORE, the parties agree as follows: 1. To assume toward each other the legal relation of parent and child, and to have all the duties and responsibilities of that relation; 2. To file a joint petition in the Superior Court of California, County of Sacramento, praying for approval of this Agreement of Adoption by issuance of a decree of adoption. Dated: DATE SIGNED NAME OF ADOPTING PARENT Dated: DATE SIGNED NAME OF ADULT BEING ADOPTED American LegalNet, Inc. www.FormsWorkFlow.com