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M.C. FORM 119.0 226 PETITON FOR ADOPTION OF ADULT PROBATE COURT OF MONTGOMERY COUNTY, OHIO ADOPTION OF: (Name after Adoption) CASE NO.: PETITION FOR ADOPTION OF ADULT The undersigned respectfully petitions the Court for permission to adopt , an adult, and to have the adult222s name changed to. Petitioner says (s)he may adopt the adult because the adult: Is totally or permanently disabled. Is determined to be a person with an intellectual disability. Established a child-foster caregiver, kinship caregiver, or child-stepparent relationship with the petitioner(s) as a minor, and the adult consents to the adoption. Was at the time of the adult222s eighteenth birthday, in the permanent custody of, or in a planned permanent living arrangement with a public children services agency or a private child placing agency, and the adult consents to the adoption. The adult is the child of the spouse of the petitioner and the adult consents to the adoption. Attorney222s Signature Petitioner(s) Signature Typed or Printed Name Typed or Printed Name Address Petitioner(s) Signature Address Typed or Printed Name City State Zip Code Address Telephone Number City State Zip Code Attorney Registration Number Telephone Number American LegalNet, Inc. www.FormsWorkFlow.com