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P-425, Alaska Consent to Stepparent Adoption (Child Spouse or Guardian)

The following application has to be carried out under oath and affirmation from the person who is giving consent for the child’s adoption by the practitioner. The application has to be notarized either by the Notary Public or the Clerk of Court or any personnel authorized to administer oaths.

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Page 	1 of 	2 	
P-425 (	5/12	)(cs) 	AS 25.23.060	-.070	 	
CONSENT  TO  STEPPARENT  ADOPTION  (CHILD'S SPOUSE OR GUARDIAN)	 	Adoption Rule	 9 	
IN  THE  SUPERIOR  COURT  FOR  THE  STATE  OF  ALASKA	 	
 	AT 	 	 	
 
In 	the matter of the adoption of	 	) 	
 	) 	
 	) 	
 	) 	
 	, 	) 	
 	(child's name after adoption)	 	) 	
DOB: 	 	, A Minor Child,	 	) 	
 	 	) 	
By	 	, 	) 	CASE NO. 	 	 	
 	Petitioner.	 	) 	
 	) CONSENT TO 	STEPPARENT ADOPTION	 	
 	(CHILD'S SPOUSE 	OR GUARDIAN)	 	
 
1. 	My name is 	 	. 	
 
 	My relationship to	 the child being adopted, 	 	, 	
 	(child's current full name)	 	
 	is: 	 	. 	
 
2. 	I  understand  that  before  I  sign  this  consent  I  have  the  right  to  consult  with  an 
attorney of my choice, at my expense.	 	
 
3. 	I  consent  to	 the  adoption  of  the  above	-named  child  by  the  petitioner  named 	
above.  	 	
 
4. 	I understand I have a limited right to withdraw my consent.  I understand that my 
consent  cannot  be  withdrawn  after  the  judge  signs  the  decree  of  adoption.  
However,  before  the  ado	ption  decree  is  signed,  I  can  withdraw  my  consent  as 	
follows:	 	
 	
a. 	Within  10  days  after  I  sign  this  form,  I  can  deliver  written  notice  to  the 
court  at  the  address  in  paragraph  5  or  to  the  person  who  obtained  my 
consent.  This written notice must be delivere	d or postmarked by the tenth 	
day.	 	
 	
b. 	After the above 10	-day period, if the decree has not been signed, I can file 	
a  request  to  withdraw  with  the  court,  which  the  court  may  or  may  not 
grant.  My request will be granted only if the court finds that it is in	 the best 	
interests of the child after both the petitioner and I are given notice and an 
opportunity to be heard.	 	
 
5. 	I understand that the adoption petition will be filed in the Superior Court at:	 	
 	
Court Address: 	 	 	
 
 	Court Telephone Number:

Page 	2 of 	2 	
P-425 (	5/12	)(cs) 	AS 25.23.060	-.070	 	
CONSENT  TO  STEPPARENT  ADOPTION  (CHILD'S SPOUSE OR GUARDIAN)	 	Adoption Rule	 9 	
6. 	The  child	 is  not  a  member  of  an  Indian  tribe  or  an  Alaska  Native  Village.    In 	
addition,  the  child  is  not  eligible  for  such  membership,  and  neither  of  the  child's 
biological parents is a member of an Indian tribe or an Alaska Native Village. 	 	
 
7. 	 As  the  child's  guardian,  I understand  that  this  consent  is effective  as  a power 	
of  attorney  under  AS  13.26.020,  delegating  to  petitioner  parental  authority  over 
the  care,  custody  and  property  of  the  minor  child  during  the  pendency  of  the 
adoption proceeding	. 	
 
8. 	I 	 am	 	 am not	 	a 	minor.  My date of birth is 	 	. 	
 
9. 	I  acknowledge  that  I  have  received  a  copy  of  this  consent  (or  will  receive  one 
after it is signed).	 	
 
 	
Verification	 	
 
I  state  on  oath  or  affirm  that  I  have  read  this  c	onsent  form  and  believe  all  statements 	
made in it are true.	 	
 
 	 	 	 	
 	Date	 	Signature of Person Giving Consent	 	
 
 	 	 	
 	Mailing Address	 	
 
 	 	 	
 	City	 	State	 	Zip	 	
 
 	 	 	
 	Daytime Phone	 	
 
 
 	
ACKNOWLEDGEMENT & OATH	 	
 
On 	 	,  	personally appeared	 	
 	(date)	 	(name)	 	
before me in 	 	,  Alask	a,  signed  the  above  consent  to  adoption, 	
certified under oath or affirmation that he/she has read it and believes its contents to be 
true,  and  acknowledged  that  he/she  signed  the  consent  freely  and  voluntarily  for  the 
purposes stated therein.	 	
 
(SEAL)	 	 	 	
 	Cl	erk  of  Court,  Notary  Public  or  other	
 	person authorized to administer oaths.	 	
 	My commission expires:
Next: p-420, Alaska Adoption Consent (Child 10 or Older) Previous: P-455, Alaska Affidavit of Reasonable Investigation
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