Index No. SUPERIOR COURT, COUNTY OF RIVERSIDE, STATE OF CALIFORNIA : BANNING 155 E. Hays, Banning, CA 92220 BLYTHE 265 North Broadway, Blythe, CA 92225 HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 -against- Plaintiff(s) Calendar No. MURRIETA 30755-D Auld Road, Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 : JUDICIAL SUBPOENA RIVERSIDE 4175 Main St., Riverside, CA 92501 TEMECULA 41002 County Center Dr., #100, Temecula, CA 92591 : : ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : FOR COURT USE ONLY : Defendant(s) : ...................................................... TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name) : PETITIONER IN PROPRIA PERSONA: THE PEOPLE OF THE STATE In the Matter of the Petition of: Yes No OF NEW YORK TO Petitioner(s) GREETINGS: CASE NUMBER: CONSENT AND AGREEMENT CONSENT AND AGREEMENT WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before (Independent and Agency) , the Honorable at the Court We, the of undersigned petitioners, husband at and wife, hereby agree with the State of California and with the minor child located County named in the adoption petition or agency joinder that said child shall be adopted and treated in all respects as our own in room , on the day of , 20 , at o'clock in the noon, and at any recessed lawful child and shall enjoy all the rights of a natural child of our own issue, including the right of inheritance. We each or adjourned date, to testify and give evidence as a witness in this action on the part of the consent to the adoption of said minor by the other petitioner. Dated: ______________________________ HUSBAND Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a WIFE result of your failure to comply. AGREEMENT (Stepparent, Independent and Agency Adoption where there is of the Justices of the Witness, Honorable , one one petitioner) Court in County, day of , 20 I, the undersigned petitioner, having petitioned the above entitled court for approval of the adoption of the minor child(ren) named in the adoption petition or agency joinder herein, do hereby agree with the State of California and with (Attorney and treated in all respects as my own lawful the said minor child(ren) that said minor child(ren) shall be adopted must sign above and type name below) child(ren) and shall enjoy all the rights of a natural child(ren) of my own issue, including the right of inheritance. Dated: _____________________ Attorney(s) for ADOPTION PARTY CONSENT OF CHILD (to be signed if child is over 12 years of age) Office and adoption by petitioner(s). I, the minor child who is the subject of this adoption petition, do hereby consent to myP.O. Address Dated: _____________________________ Executed in my presence on the date above-indicated. Form #807 (Rev. 07/01/2003) NAME ON BIRTH CERTIFICATE Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: CONSENT AND AGREEMENT JUDGE OF THE SUPERIOR COURT American LegalNet, Inc. www.USCourtForms.com RI-A807