IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT, IN AND FOR BREVARD COUNTY, FLORIDA Case No.: Bar Code Label IN THE MATTER OF THE ADOPTION OF {use name to be given to adult} , Adoptee. PETITION FOR ADOPTION OF ADULT BY STEPPARENT Petitioner, {full legal name} , whose date of birth is , and whose social security number is , files this petition for adoption of the above-named adult, pursuant to Chapter 63, Florida Statutes, and states: 1. 2. This is an action for adoption of an adult by the adult's stepparent, Petitioner. I desire to adopt {adult's full legal name} was born on {date} , at {city} , {state} {county} I desire to adopt the adult because: . 4. I am years old, and I have resided at {address} , Florida for years. . , who , . 3. 5. 6. The adoptee's name shall be: The adoptee's birth parents are: Father's Name Birth date Address Law 1114 New 8-2009 American LegalNet, Inc. www.FormsWorkFlow.com Mother's Name Birth date Address 7. 8. Notice. Notice to the birth parents was made by: Consent. [ check all that apply] a. The consent of the adoptee is attached. b. The adoptee is married to {full legal name of adoptee's spouse} , and the consent of the spouse is attached. c. The adoptee is not married. . 9. Written notice of this final hearing was provided to the parents or proof of service of process showing notice has been served on the parents is attached. WHEREFORE, I request that this Court enter a Final Judgment of Adoption of the adult by Petitioner Stepparent and change of the name of the adoptee. I understand that I am swearing or affirming under oath to the truthfulness of the claims made in this petition and that the punishment of knowingly making a false statement includes fines and/or imprisonment. Date Signature of Party Printed Name: Address City Telephone Number State Zip Fax Number Law 1114 New 8-2009 American LegalNet, Inc. www.FormsWorkFlow.com STATE OF FLORIDA COUNTY OF BREVARD Sworn to or affirmed and signed before me on . by NOTARY PUBLIC or DEPUTY CLERK [Print, type or stamp commissioned name of notary or deputy clerk.] Personally known Produced identification Type of identification produced IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW: [fill in all blanks] I, {full legal name and trade name of nonlawyer} nonlawyer, located at {street} {city} {state} helped {name} form. ,a , {phone} , , who is the petitioner, fill out this Law 1114 New 8-2009 American LegalNet, Inc. www.FormsWorkFlow.com