Consent To Adoption
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Consent To Adoption Form. This is a Ohio form and can be use in Wood County (Court Of Common Pleas).
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Tags: Consent To Adoption, 19.3, Ohio County (Court Of Common Pleas), Wood
PROBATE COURT OF WOOD COUNTY, OHIO
David E. Woessner, Judge
In the matter of the ADOPTION of:____________________________________________________________
(Name after adoption)
Case No.________________
Date:________________________
CONSENT TO ADOPTION
[R.C. 3107.06, 3107.08 & 3107.081]
The undersigned
[check one of the following seven capacities by which your consent is given]
c
Mother
c
Father
c
Putative father who has registered under R.C. 3107.062 (for a minor born on or after January 1, 1997).
c
Putative father (for a minor born before January 1, 1997).
c
Agency having permanent custody
c
Minor, who is more than twelve years of age (this consent must be executed in the presence of the Court)
c
Other
_____________________________________________________________________________
hereby waives notice of the hearing on the Petition for Adoption to be filed in the Court, and consents to the
adoption of _________________________________________________________________________
(Name before adoption)
as proposed in the petition.
The undersigned further states that this consent is voluntarily executed irrespective of disclosure of the name or other
identification of the prospective adopting parents.
Sworn to before me and signed in my presence,
this
(Seal)
day of
,
Person authorized pursuant to R.C. Chapter 3107 to take
this acknowledgement
Title
FORM 18.3 - CONSENT TO ADOPTION
Crensch$\forms\18.3
183
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7/26/01
