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 Street Address Redding, CA 96001 Branch Name: IN THE MATTER OF CONSENT OF SPOUSE OF PERSON BEING ADOPTED ADULT Case Number: I, ___________________________________________________, spouse of the ADULT ADOPTEE ____________________________________________________, do hereby Consent to the adoption of my spouse by the petitioner(s)______________________________________________________. IN WITNESS WHEREOF, the undersigned has executed this consent on this _______ Day of ______________________, 20______ I declare under penalty of perjury, under the laws of the State of California, that the foregoing is true and correct. Signed _________________________________________ Spouse of the Adoptee ______________________________________________________________________________________ Form Approved for Optional Use Shasta County Superior Court LF-017 [rev May 28, 2010] CONSULT OF SPOUSE OF ADULT ADOPTEE FC §9320 Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com