OUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....... .. : Index No. SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA : q BANNING 155 E. Hays, Banning, CA 92220 q BLYTHE 265 North Broadway, Blythe, CA 92225 q HEMET 880 N. State St., Hemet, CA 92543 Plaintiff(s) St., Indio, CA q INDIO 46-200 Oasis-against-92201 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : : : Calendar No. q MURRIETA 30755-D Auld Road, Murrieta, CA 92563 4050 Main St., Riverside, CA q RIVERSIDE SUBPOENA 92501 JUDICIAL q RIVERSIDE 4175 Main St., Riverside, CA 92501 q TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 : FOR COURT USE ONLY : Defendant(s) : . . . . . . . . . . . . . .TELEPHONE NO.:. . . . . . . . . . . . . . . . . . . . . . .FAX. NO.: . . . ........ . .. ATTORNEY FOR (Name) : PETITIONER IN PROPRIA PERSONA: q Yes q No In the Matter of the Petition of: HE PEOPLE OF THE STATE OF NEW YORK O Adopting Parent(s) CASE NUMBER: AGREEMENT OF ADOPTION OF ADULT REETINGS: (Adopting Person) _____________________________________________________________________________________ an adult WE COMMAND __________________________________________________________________ person residing at YOU, that all business and excuses being laid aside, you and each of you attend before , e Honorable Address) in _____________________________________________________________ California, being desirous of assuming at the Court (Street located at ounty oftoward each other the legal relation of parent and child, and of having all of the rights, and being subject to all of the duties and room responsibilities of that relation, do hereby mutually agree that (Adopting Person)________________________________ , on the day of , 20 , at o'clock in the noon, and at any recessed shall adopt testify and give evidence as a witness in this action on the part of the adjourned date, to(Proposed Adoptee) _____________________________________________________________________. IT IS FURTHER AGREED by the parties that they will petition the Superior Court of California, County of Riverside for a decree approving the agreement comply with this subpoena is punishable as a contempt of court and will make you liable to Your failure toand declaring that (New Name) __________________________________________________ is whose of (Adopting Person) ________________________________________________________________________. e party onthe child behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a sult of your failure to comply. IN WITNESS WHEREOF, we have hereunto set our hands this ________________ day of ____________________________________. Witness, Honorable ourt in County, , one of the Justices of the day of , 20 PETITIONER (Attorney must sign above and type name below) PETITIONER Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: Form #804.1 (Rev. 07/01/2003) AGREEMENT OF ADOPTION OF ADULT American LegalNet, Inc. www.USCourtForms.com Attachment #1 Petition for Adoption (Adult) RI-A8041