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Adoption Agreement

This form is to be used in drafting an adoption agreement in the State of Utah.Download

Extracted Text for Proper Search

Adoption Agreement  Approved Board of District Court Judges December 17, 2010 
Revised April 8, 2015 Page 1 of 1 
   
This is a private record.
My Name 
 
Address 
 
City, State, Zip 
 
Phone 
 
Email 
 
In the District Court of Utah 
__________ Judicial District ________________ County 
Court Address ______________________________________________________ 
In the Matter of the Adoption of 
_____________________________________
(adoptee’s name) 	
Adoption Agreement 
Case Number ___________________ 
Judge  _________________________ 
Commissioner ___________________ 	
I agree to adopt _________________________________________________________ 
(adoptee’s proposed first, middle, and last name) 	and treat him/her in all respects as my own 
child. 
Agreed to and signed in open court. 	
Sign here ►
Date 
Typed or Printed Name (Adopting Parent)	
 Sign here ►	
Judge
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