SUPERIOR COURT OF CALIFORNIA, COUNTY OF RIVERSIDE HEMET 880 N. State St., Hemet, CA 92543 INDIO 46-200 Oasis St., Indio, CA 92201 ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number and Address) RIVERSIDE 4175 Main St., Riverside. CA 92501 RI-A804 FOR COURT USE ONLY TELEPHONE NO.: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO. (Optional): IN THE MATTER OF THE PETITION OF: ADOPTING PARENT(S): CASE NUMBER: PETITION FOR ADOPTION (ADULT) Your petitioner respectfully represent(s) and allege(s): Petitioner (Proposed Adoptee) is an adult person born on Petitioner (Adopting Person) Petitioner (Proposed Adoptee) in (State), and now residing in (State). (City), (County), On or about which petitioner (Adopting Person) agreed to adopt petitioner Proposed Adoptee and both petitioners agreed to assume towards each and (Adopting Person) other the legal relation of parent and child and to have all the rights and be subject to all the duties and responsibilities of that relation. A copy of the agreement is attached hereto as Attachment 1 and made part hereof. Petitioners seek this adoption for the following reason: because it is in their best interests that the petitioners have between them the legal rights and obligations of parent and child, including rights relating to inheritance and inheritance taxes and duties of support. This adoption is in the public interest for the same reasons, and particularly because it will create legal duties of support between the petitioners and thereby reduce the likelihood of either petitioner becoming a public charge in the future. is an adult who is older than and who now resides in (County), (State). , the petitioner(s) entered into and executed an agreement in writing in Your petitioner(s) further respectfully represent(s) and allege(s) that statements preceded with an X are applicable to this petition for adoption: Each petitioner's spouse has consented in writing to this adoption. Copies of the consents are attached as Attachments 2 and 3 and made part hereof. Petitioner's Spouse (Adopting Person) has consented in writing to this adoption. Copy of this consent is attached as Attachment 2 and make a part hereof. Petitioner's Spouse (Proposed Adoptee) has consented in writing to this adoption. A copy of this consent is attached as Attachment 2 and made a part of hereof. Adopted for Optional Use Riverside Superior Court RI-A804 [Rev. 7/14/11] PETITION FOR ADOPTION (ADULT) Family Code §9300 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF THE PETITION OF: CASE NUMBER: The parents of petitioner (Proposed Adoptee) are and (Father), (Mother). They reside at: 3HWLWLRQHU 3URSRVHG $GRSWHH KDV DGXOW FKLOGUHQ OLVWHG DV IROORZV 1DPH Name $GGUHVV Address Petitioner (Adopting Person) has never previously adopted an adult. Neither Petitioner (Adopting Person) nor his/her spouse has ever previously adopted an adult. Petitioner (Adopting Person) has previously adopted another adult or adults. He/She adopted (Name or Names of Adults) on (Date or Dates of Adoption), at (Location of Adoption) Petitioner (Adopting Person) and his /her spouse have previously adopted another adult or adults. They adopted (Names or Names of Adults) on (Date or Dates of Adoption) at (Location of adoption). The Spouse of the Petitioner (Adopting Person) has previously adopted another adult or adults. He/She adopted (Names or Names of Adults) on (Date or Dates of Adoption) at (Location of adoption). Your petitioner(s) further respectfully represent(s) and allege(s): Petitioner (Adopting Person) and petitioner (Proposed Adoptee) desires to adopt petitioner (Proposed Adoptee) and to give him/her the name of (New Name) desires to be so adopted and to be given such name. WHEREFORE, petitioners pray the court to approve the agreement of adoption, and make a decree that petitioner (Proposed Adoptee) has been duly and legally adopted by petitioner (Adopting Person) and shall hereafter bear the name of (New Name) (Date) (PETITIONER) (PETITIONER) NOTE: For additional or supplemental information, please prepare on plain paper and attach to Petition. Attachments 1. Agreement of Adopting Adult Adopted for Optional Use Riverside Superior Court RI­A804 [Rev. 7/14/11] PETITION FOR ADOPTION (ADULT) Family Code §9300 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com IN THE MATTER OF THE PETITION OF: CASE NUMBER: VERIFICATION STATE OF CALIFORNIA COUNTY OF RIVERSIDE ) ) SS: I am the petitioner(s)/Attorney of Record, in the foregoing Petition for Adoption; I have read the foregoing Petition for Adoption and know the contents thereof; and I certify that the same is true of my own knowledge, except as to those matters which are therein stated upon my information or belief, and as to those matters I believe it to be true. I declare under penalty of perjury that the foregoing is true and correct. Executed on (Date) at (City), California. (SIGNATURE) (SIGNATURE) Adopted for Optional Use Riverside Superior Court RI-A804 [Rev. 7/14/11] PETITION FOR ADOPTION (ADULT) Family Code §9300 riverside.courts.ca.gov/localfrms/localfrms.shtml American LegalNet, Inc. www.FormsWorkFlow.com