Form 153 (Rev. 06/10) The Family Court of the State of Delaware In and For New Castle ) ) ) ) ) ) ) ) Kent Sussex County In the Matter of: File No.: (D.O.B) AFFIDAVIT OF CONSENT OF ADOPTEE IN ADULT ADOPTION I, , hereby give my consent for to adopt me. Date Consenting Party Sworn to subscribed before me this ______ day of ______________________, _________ Clerk of Court/Notary Public Date Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com