IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ CONSENT OF SPOUSE OF ADOPTING PARENT (TO STEP-CHILD ADOPTION) 1. [Name, age and marital status of consenting parent.] 2. [Name, sex and birth date of child.] 3. [Name of other parent of child.] I hereby voluntarily and unconditionally consent to the adoption of my above-named child by my husband/wife, __________________________. By signing this consent I do not indicate an intent to relinquish any of my parental rights to this child. I understand that my husband/wife, __________________________ desires to adopt such child as one of his/her heirs and to perform all the duties of parent to him/her. I understand that I may not revoke this child is entered. c onsent after a decree of adoption of this I have read and understand the above and I act. am s igning it as a free and voluntary Date: ________________________ (Signature)________ (Type Name) American LegalNet, Inc. www.FormsWorkFlow.com