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 MURRIETA 30755-D Auld Road, Murrieta, CA 92563 RIVERSIDE 4050 Main St., Riverside, CA 92501 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) : TELEPHONE NO.: FOR COURT USE ONLY FAX NO.: ATTORNEY FOR (Name) : PETITIONER IN PROPRIA PERSONA: Yes No In the Matter of the Adoption Petition of: Adopting Parent(s) CASE NUMBER: CONSENT OF SPOUSE OF ADULT TO BE ADOPTED I, _______________________________________________________ , the Wife/Husband of (NAME ON BIRTH CERTIFICATE) ________________________ a petitioner herein, do hereby fully and freely consent to the adoption of my Husband/Wife by ____________________________________ IN WITNESS WHEREOF, the undersigned has executed this consent this __________day of ____________________________________ Date: ________________________________ Form #804.3 (Rev. 07/01/2003) SPOUSE OF ADULT TO BE ADOPTED CONSENT OF SPOUSE OF ADULT TO BE ADOPTED Attachment # 3 Petition for Adoption (Adult) RI-A8043