State of Minnesota County Judicial District: Court File Number: Case Type: District Court Adoption ­ Stepparent In Re the Petition of: , Petitioner/Parent and , Petitioner/Stepparent To Adopt: , (child's current name) Findings of Fact, Conclusions of Law, Order for Judgment, and Judgment and Decree of Adoption The above entitled Stepparent Adoption matter came on for hearing and was heard before the undersigned Judge of District Court on [date] in closed court. The following persons were present at the hearing: Parent: Stepparent: ; Child: FINDINGS OF FACT The Court, having read the file and being fully advised in the premises, finds as follows: Petitioners 1. Petitioners' full names are [parent's name] [hereinafter "parent"] and ___________________________________ [stepparent's name] [hereinafter "stepparent"]. 2. Parent's date of birth is is and stepparent's date of birth . [city], County [state]. ; . 3. Petitioners are husband and wife having been married on [date of marriage] in the City of of [county], State of 4. Petitioners presently reside at ___________________________________________________ (street address) in the City of (city), State of Minnesota, and have resided in Minnesota since ____________________ (date began residing in Minnesota), which [check one]: is for at least one year as required under Minnesota Statutes § 259.22, subd. 1. is not for at least one year, but the Court finds that it is in the best interests of the child to waive the one-year residency requirement and reduce such requirement to thirty (30) days as permitted under Minnesota Statutes § 259.22, subd. 1. ADO213 State ENG Rev 7/15 www.mncourts.gov/forms Page 1 of 4 American LegalNet, Inc. www.FormsWorkFlow.com Child to be Adopted 5. Stepparent ] desires to adopt the child named [child's current name], who was born on [date of birth], in the City of [city], County of [county], State of [state], and whose birth mother's name is [name], and whose birth father's name is [name]. 6. The above named child owns no real estate, savings or bank accounts, bonds, securities or personal property other than clothing and personal effects of inconsequential market value, except as shown on the attached schedule. 7. The child (check one) is or is not an Indian child(ren) and the Indian Child Welfare Act (ICWA) (check one) applies or does not apply. 8. Stepparent [stepparent's name] obtained physical custody of said child at the time of Petitioners' marriage on [date of marriage] and, as required by law, three months have passed since the date Stepparent acquired physical custody of the child or the Court has waived that requirement as allowed under the law. 9. The child has lived in Petitioners' home since the date of Petitioners' marriage. 10. A certified copy of the original birth certificate of the child is on file with the Court. Adoption 11. The non-petitioning parent of the child has consented to the child's adoption by the stepparent, and the non-petitioning parent's properly executed consent dated [date consent signed] is on file with the Court. 12. If the child is age 14 or older, the child has consented to adoption by the stepparent, and the child's properly executed consent dated [date consent signed] is on file with the Court. 13. Certification that the Minnesota Fathers' Adoption Registry has been searched, and the results of that search, are on file with the Court. 14. All persons entitled to notice of this proceeding have received due and sufficient notice. 15. Pursuant to Minnesota Statutes § 259.41, subd. 1(b), an Adoption Home Study report and the child's parents' social and medical history are not required in this stepparent adoption matter because the adoption is by a person related to the child. 16. The Post-Placement Assessment report, unless waived by the Court, is on file with the Court. Even though the Post-Placement Assessment may have been waived, the background study report, including fingerprint results, is on file with the Court. ADO213 State ENG Rev 7/15 www.mncourts.gov/forms Page 2 of 4 American LegalNet, Inc. www.FormsWorkFlow.com 17. A Communication and Contact Agreement (check one) is or is not on file with the Court and, if one is one file, the Court finds that such agreement is in the child's best interests. 18. Petitioners' home and the child are suited to each other, and Petitioners are fit and proper persons to have said child with reference to the suitability of their home and financial standings. 19. It is in the best interests of the child that the child be adopted by Petitioner/Stepparent. 20. Petitioners request that the child's name be changed from [child's current name] to name]. CONCLUSIONS OF LAW All allegations in the Petition have been proven, and it is in the best interests of the child that, from this date forward to all legal intents and purposes, the child should be the child of the Petitioners, the name of the child should be changed as stated above, and a decree of adoption should be issued. ORDER FOR JUDGMENT It is therefore ordered and decreed that the Petitioners' Petition for Stepparent Adoption is granted, that said child is the child of the Petitioners, that the child's name shall be as stated above, and that judgment and decree shall be entered accordingly. [child's desired LET JUDGMENT BE ENTERED ACCORDINGLY. Dated: BY THE COURT: Judge of District Court ADO213 State ENG Rev 7/15 www.mncourts.gov/forms Page 3 of 4 American LegalNet, Inc. www.FormsWorkFlow.com JUDGMENT AND DECREE OF ADOPTION I certify that the above Findings of Fact, Conclusions of Law, and Order for Judgment and Decree constitute the Judgment and Decree of this Court. The above-entitled Stepparent Adoption matter came on for hearing before the above-named Court on [date], and the Court being fully advised in the premises did on [date] duly make and file its Findings of Fact, Conclusions of Law, and Order for Judgment granting the requests of the Petitioners. It is adjudged and decreed that the name of said child be, and the same is hereby legally changed to, and established as [desired name]. Now, pursuant to the said Order for Judgment, it is hereby adjudged and decreed that from and after this date, said child, having been given the name of [desired name] by Petitioners, shall be deemed and taken to be the child and heir of the Petitioner/Parent and Petitioner/Stepparent in all respects as though born to the Petitioners. Dated: BY THE COURT: Court Administrator By Deputy ADO