Joinder And Consent Of Agency In Petition To Voluntarily Relinquish Parental Rights To Agency
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Joinder And Consent Of Agency In Petition To Voluntarily Relinquish Parental Rights To Agency Form. This is a Pennsylvania form and can be use in Chester Local County.
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Tags: Joinder And Consent Of Agency In Petition To Voluntarily Relinquish Parental Rights To Agency, Pennsylvania Local County, Chester
IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA
ORPHANS’ COURT DIVISION
IN RE: {use initials only}
Case Number: ___________________________
JOINDER AND CONSENT OF AGENCY IN PETITION
TO VOLUNTARILY RELINQUISH
PARENTAL RIGHTS TO AGENCY
It is hereby certified that
____________________________________ is an
agency as defined in 23 Pa.C.S.A. §2102 of _________________; that its office having
the care of _________________________ is located in ________________________
County; and that, after due cons ideration, it consents to join in the foregoing Petition
and to accept custody of the child and res
ponsibility for his/her well-being until such
time as the child is adopted.
[NAME
OF AGENCY]
BY:______________________________________
SIGNATURE OF INDIVIDUAL WITH AUTHORITY TO BIND AGENCY]
[TYPE NAME]
[TYPE TITLE]
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