Final And Irrevocable Consent To Adoption
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Final And Irrevocable Consent To Adoption Form. This is a Illinois form and can be use in Dupage Local County.
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Tags: Final And Irrevocable Consent To Adoption, 3262, Illinois Local County, Dupage
FINAL AND IRREVOCABLE CONSENT - ADOPTION
3262 ( Rev 06/07)
UNITED STATES OF AMERICA
IN THE CIRCUIT COURT OF THE EIGHTEENTH JUDICIAL CIRCUIT
STATE OF ILLINOIS
COUNTY OF DU PAGE
IN THE MATTER OF THE PETITION FOR
ADOPTION OF
CASE NUMBER
File Stamp Here
FINAL AND IRREVOCABLE CONSENT TO ADOPTION
I,
(state relationship)
of
a
That such child was born on
female
at
and I reside at
County of
That I am of the age of
male child state:
State of
.
.
That I hereby enter my appearance in this proceeding and waive service of summons on me.
That I do hereby consent and agree to the adoption of such child.
That I wish to and understand that by signing this consent I do irrevocably and permanently give up all custody and other
parental rights I have to such child.
That I understand such child will be placed for adoption and that I cannot under any circumstances after signing this
document, change my mind and revoke or cancel this consent or obtain or recover custody or any other right over such
child.
That I have read and understand the above and I am signing it as my free and voluntary act.
Witness
Signature
Title
Date
Date
CHRIS KACHIROUBAS, CLERK OF THE 18th JUDICIAL CIRCUIT COURT ©
WHEATON, ILLINOIS 60189-0707
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