ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, Address) Reserved for Clerk's Office Stamp TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Youth Services Center, Juvenile Court 222 Paul Scannell Drive San Mateo, CA 94402 IN RE: ADULT ADOPTION-CONSENT OF SPOUSE CASE NUMBER: 1. Adopting parent(s) name(s): a. __________________________________________ b.__________________________________________ 2. Address Street: ___________________________________City: _______________________ State: ____ Zip: ________ Phone number: ( ) ___________________ Email address__________________________________________ 3. Your lawyer (if you have one): (Name, address, phone # ,State Bar#) _____________________________________________________ _____________________________________________________ _____________________________________________________ 4. Person to be adopted (name): ______________________________________________________ Consent of petitioner's spouse (only if there is one adopting spouse) I am married to, or the registered domestic partner of, the adopting parent listed in section 1 and I agree to his or her adoption of the adult listed in section 4. Date: __________ ___________________________ Type of print name Male Female _____________________________ Signature of spouse or domestic partner Consent of spouse of person to be adopted I am married to, or the registered domestic partner of, the person to be adopted listed in section 2; I agree to his or her adoption by the adult(s) listed in section 1. Date: __________ ___________________________ Type of print name _____________________________ Signature of spouse or domestic partner Form adopted for Mandatory Use Local Court Form Adopt-11 [Revised Sept. 2012] Adult Adoption ­ Consent of Spouse www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkFlow.com