Attorney or Party without attorney (Name and Address) Telephone No.: Attorney for: SUPERIOR COURT OF CALIFORNIA, COUNTY OF SHASTA Mailing Address 1500 Court Street, Room 319, Redding, CA 96001 Street Address 1500 Court Street, Room 319, Redding, CA 96001 Branch IN THE MATTER OF AGREEMENT OF ADOPTION ­ ADULT {Family Code Section 9320} Case Number: A- Petitioner(s)/Adoptive parent(s) ________________________________________________________, and Adoptee_____________________________________________________________, have entered into the following agreement: Whereas _________________________________, born ___________ 19_____, age ____, residing at _________________________________________________________________________________, desires to adopt ____________________________________________________________________. Whereas _________________________________, born ___________ 19_____, age ____, residing at _________________________________________________________________________________, desires to adopt ____________________________________________________________________, Whereas _________________________________, born ____________ 19 ______, age ____, desires to be adopted by ____________________________________________________________________, THEREFORE, The Parties agree as follows: 1) to assume toward each other the legal relationship of parent and child, and to have all of the rights and be subject to all of the duties and responsibilities of that relationship 2) to file a joint petition in the Superior Court of California, County of Shasta, praying for approval of this agreement of adoption by issuance of a decree/order of adoption. DATED: _______________________ DATED: _______________________ DATED: _______________________ _________________________________________ Adopting Parent _________________________________________ Adopting Parent _________________________________________ Adoptee ______________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-ADP-101[rev July 1, 2012] ADOPTION AGREEMENT - ADULT - FC §9320 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com