IN THE COURT OF COMMON PLEAS OF CHESTER COUNTY, PENNSYLVANIA ORPHANS' COURT DIVISION IN RE: {use initials only} Case Number: ___________________________ PETITION TO REGISTER AND DOCKET FOREIGN DECREE IN ACCORDANCE WITH 23 Pa.C.S.A. §2908 Petitioner(s) is/are __________________________________ who reside(s) at ___________________________________________. Petitioner(s) file(s) this Petition pursuant to 23 Pa.C.S.A. §2908 and relevant Chester County Orphans' Court Rule. The Adoptee was placed with the adopters in [STATE, TERRITORY, COUNTRY, ETC.] on [DATE]. The placement of the adoptee was arranged by [AGENCY OR INDIVIDUAL(S)]. Petitioner(s) adopted the minor formerly, known as [BIRTH NAME], who was born on [DATE OF BIRTH] in [STATE, TERRITORY, COUNTRY, ETC.]. The adoption took place on [DATE OF FOREIGN DECREE]. The ORIGINAL AND COPY of the foreign adoption decree and related documents are attached hereto as "Exhibit A". The TRANSLATION INTO ENGLISH of the foreign decree and related documents, certified by counsel to be true and correct, is attached hereto as "Exhibit B". WHEREFORE, Petitioner(s) request(s) that this Court enter a decree authorizing the registration and docketing of the attached foreign decree with the Clerk of the Orphans;' Court and make a finding that [BIRTH NAME OF ADOPTEE] shall be American LegalNet, Inc. www.FormsWorkFlow.com henceforth known as [NAME AFTER ADOPTION] and shall have all the rights of a child and heir of [NAME(S) OF PETITIONER(S)]. [Type [Signature] Petitioner's Name] [Type [Signature] Petitioner's Name] American LegalNet, Inc. www.FormsWorkFlow.com VERIFICATION [PETITIONER(S)] verify that the facts set forth in the foregoing petition are true and correct to the best of my/our knowledge, information and belief. I/We understand that false s tatements made her ein are subj ect to the penalties of 18 Pa.C. S.A. §4904 relating to unsworn falsification to authorities. [Signature] [Type Name] [Signature] [Type Name] American LegalNet, Inc. www.FormsWorkFlow.com