Approved, SCAO JUDICIAL CIRCUIT - FAMILY DIVISION JIS CODE: ADO STATE OF MICHIGAN FILE NO. ORDER OF ADOPTION COUNTY In the matter of THE COURT FINDS: 1.Apetitionforanorderofadoptionhasbeenfiled. 2.Allnecessaryordersterminatingparentalrightshavebeenentered. 3. The adoptee was wasnot madeawardofthiscourt. DOB: , adoptee 4.Thatanyappealofthedecisiontoterminateparentalrightshasreacheddisposition;thatnoappeal,applicationforleaveto appeal,ormotionforrehearingorreconsiderationispending;andthatthetimeforallappellateproceedingsinthismatter has expired. 5.Theadoptionoftheadopteebythepetitioner(s)isdesirableandinthebestinterestoftheadoptee. IT IS ORDERED: 6.Fromandafterthisdate,theparent(s)oftheadopteeis/are Name and Name Name . . 7. The name of the adoptee is 8.Theadoptee,ifawardofthiscourt,isdischarged. Date Judge Barno. Do not write below this line - For court use only PCA 321 (12/15) ORDER OF ADOPTION MCL 710.56, MCL 710.60 American LegalNet, Inc. www.FormsWorkFlow.com