Adult Adoption Petition Template: Court Filing Request Form

Adult Adoption Petition Template

IN THE [NAME OF COURT]
FOR [COUNTY / DISTRICT / JURISDICTION]

In re the Petition for the Adoption of:
[Adult Adoptee Full Name]

Case No.: [Case Number]

1. Petitioner Information

Petitioner Full Name: [Full Name]
Address: [Address]
City, State, ZIP Code: [City, State, ZIP Code]
Phone Number: [Phone Number]
Email Address: [Email Address]

2. Adult Adoptee Information

Adult Adoptee Full Name: [Full Name]
Date of Birth: [Date of Birth]
Address: [Address]
City, State, ZIP Code: [City, State, ZIP Code]

3. Jurisdiction and Residence

The Petitioner states that this Court has jurisdiction over this matter under the laws of [State].

The Petitioner resides in [County, State], and the Adult Adoptee resides in [County, State].

4. Relationship of the Parties

The relationship between the Petitioner and the Adult Adoptee is as follows:

[Parent-child relationship / stepparent relationship / long-term caregiving relationship / other]

The parties have had the following relationship and connection:

[Brief description]

5. Consent

The Adult Adoptee consents to this adoption.

If required, additional consent information is as follows:

[Insert spouse consent, guardian statement, or other required information, if applicable]

6. Request for Adoption

The Petitioner respectfully asks the Court to enter an order approving the adoption of [Adult Adoptee Full Name] by [Petitioner Full Name].

If requested, the Petitioner further asks that the Adult Adoptee’s name after adoption be:

[New Legal Name, if applicable]

7. Additional Statements

The Petitioner states that:

☐ the adoption is being requested voluntarily
☐ the Adult Adoptee is an adult under applicable law
☐ the parties understand the legal effect of adoption
☐ the adoption is in compliance with applicable legal requirements

Additional facts, if any:

[Insert additional facts]

8. Prayer for Relief

The Petitioner requests that the Court:

approve this adult adoption;
recognize the legal relationship created by the adoption;
approve any requested name change, if applicable;
grant any further relief the Court considers proper.

9. Signature of Petitioner

Signature: __________________________
Name: [Petitioner Full Name]
Date: [Date]

10. Signature of Adult Adoptee

Signature: __________________________
Name: [Adult Adoptee Full Name]
Date: [Date]

11. Verification

I declare under penalty of perjury that the information contained in this Petition is true and correct to the best of my knowledge.

Petitioner Signature: __________________________
Name: [Petitioner Full Name]
Date: [Date]

12. Notary or Witnesses

Witness Signature: __________________________
Name: [Full Name]
Date: [Date]

Witness Signature: __________________________
Name: [Full Name]
Date: [Date]

Notary, if required:

State of [State]
County of [County]

On this [Day] of [Month], [Year], before me, the undersigned notary public, personally appeared [Name of Signer(s)], known to me or satisfactorily proven to be the person(s) whose name(s) are subscribed to this instrument, and acknowledged that they executed the same for the purposes stated herein.

Notary Public Signature: __________________________
Name: [Notary Name]
My Commission Expires: [Date]