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: CASE NUMBER: ADULT ADOPTION ORDER Adopting parent(s) (print) a. ____________________________________________ (first, middle, last) b.__________________________________________ (first, middle, last) Person to be adopted name before adoption: _____________________________________________________ (first, middle, last) Male Female Date of Birth: __________________________Age:___________ Date of hearing: __________________________ Dept.______ Judicial Officer: _____________________________ Present: Petitioner(s) Attorney for petitioner(s) Adult adoptee Adoptee's Attorney Other (specify):_____________________________________________________________________ The court has read and considered the documents submitted into evidence. The court has examined each petitioner and the adoptee; each party has executed an agreement in writing that they will sustain toward one another the legal relationship of parent and child. THE COURT FINDS AND ORDERS THAT Person(s) seeking to adopt and the person to be adopted are all adults. The petition for adoption is granted. The petitioners now have the legal relationship of parent and child, subject to all the rights and duties of that relationship. The name of the adult being adopted shall be (specify): ____________________________ ________________________ ______________________________________ (first) (middle) (last) Date: _________________ ___________________________________________ Judge of the Superior Court Form adopted for Mandatory Use Local Court Form Adopt-6 [Revised Sept. 2012] Adult Adoption - Order www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkFlow.com