[Attorney caption: name, address, zip code, telephone #, ID#] IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ PETITION FOR ADULT ADOPTION WITH NAME CHANGE FINAL DECREE AND NOW, _______________________, _________, upon cons ideration of the ad thereon, the Court having made an within Petition and after the hearing h investigation to verify the statements of the Petition and other facts to give the Court full knowledge as to the desirability of the proposed adoption: The Court, being satisfied, finds that the statements made in the Petition are true, that the welfare of the person proposed to be adopted will be promoted by this adoption, and that all requirem ents of the Adoption Act and 54 Pa.C.S .A. §701, et seq., have been met; and it is hereby ORDERED, ADJUDG ED and DECR EED that ___________ ___________, the person pr oposed to be adopt duties of such child; ed, shall have all the rights of a child and heir of ________________________, t he adopting parent(s), and shall be subject to all the and shall hereafter assume the name of ________________________. BY THE COURT: ______________________________________ J. American LegalNet, Inc. www.FormsWorkFlow.com