D.R.L. 247111(1)(a) Adoption Form 29b (Consent of Adult Adoptee) 3/2018 FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF In the Matter of the Adoption of Docket No. CONSENT TO ADULT ADOPTION BY ADOPTEE An Adult, State of New York ) ) : ss: County of ) I am an adult over the age of 18 who is the subject of this adoption proceeding. I was born on [specify date of birth]: My permanent address i s [specify, unless an address confidentiality order ha s been obtained pursuant to F.C .A. 247154 - b]: I hereby consent to being adopted by the petitioner(s) and consent to being treated in all respects as the adoptive child of the petitioning ad optive parent(s). Sworn to this day Signature of Adoptee of , Print or type name (Deputy Clerk of the Court) Signature of Attorney, if any (Notary Public) or Type) American LegalNet, Inc. www.FormsWorkFlow.com