Madera Superior Court Form Adopted for Optional Use MAD - JUV - 00 15 (Rev. 3/1 9 /19) CONSENT OF SPOUSE OF ADOPTED PERSON 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 CONSENT OF SPOUSE OF ADOPTED PERSON CASE NUMBER: I, NAME OF SPOUSE OF ADOPTED PERSON, hereby state that I was married to NAME OF ADULT BEING ADOPTED , on DATE OF MARRIAGE, and that we remain married and are not lawfully separated. I hereby consent to the adoption of my HUSBAND/WIFE by NAME OF ADOPTING PARENT . Dated: DATE SIGNED NAME OF SPOUSE OF ADOPTED PERSON American LegalNet, Inc. www.FormsWorkFlow.com