Petition to Adopt Minor By A Parents Partner
This form is to be used in drafting a Petition to adopt a minor by a parent’s partner in the State of Vermont.Download
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700 -00131B_C – Petition to Adopt Minor by Stepparent ( 12/2016) Page 1 of 4
STATE OF VERMONT
SUPERIOR COURT PROBATE DIVISION
Unit Docket No.
In re Adoption of:
PETITION TO ADOPT MINOR BY STEPPARENT
OR DOMESTIC PARTNER OF CUSTODIAL PARENT
I/We ask the Court to permit me /us to adopt the minor child named above. I/We swear or affirm under oath
that the facts set forth below are true to the best of my knowledge and belief:
Information A bout the M inor Child to be Adopted
Child’s F ull Birth or Current Legal Na me: ______ _________________________________________________
Date of Birth: _____________________________ Time of Birth: ____________ AM ___________ PM
Place of Birth (town, state, zip ): ___________________ _____ ______________________________________
Name by which Child will be known After Adoption: ______________________________________________
Gender of Child: ☐ Male ☐ Female
Describe any assets or property owned by the child and the value of each asset
Asset Value
_______________________________________ __________ $_________________
_________________________________________________ $_________________
_________________________________________________ $_________________
Petitioner Information
My Name: ______________________________ _________________________________________________
Date of Birth: ______ _____________________________ Place of Birth: ____________________________
Complete Mailing Address (town, state, zip ):____________ _____ ___________________________________ ___
Length of time residing at this residence: _____________ Phone Number: ___________________________
Describe your relationship to the Child:
______________________________________________________________________________________
________________________________ ______________________________________________________
Occupation: ____________________________________ Annual Income: $__________________________
I have the resources and the facilities to provide the care and support for this Child: ☐ Yes ☐ No
1) I state that to the best of my knowledge and belief, the minor is not subject to the Indian Child Welfare
Act, 25 U.S.C. §1901 et seq.
2) I state to the best of my knowledge and belief, any law governing interstate or inter -country placement
which app lies to this adoption has been complied with.
700 -00131B_C – Petition to Adopt Minor by Stepparent ( 12/2016) Page 2 of 4
Information A bout the Biological Parents - provide all information that you know
Full Na me of Parent A : ____________ _______________________ _______________________________
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
Full Na me of Parent B : ___________________ ___________ ____________________________________
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
☐ I do not know some or all of the information about the other par ent because (briefly explain) :
_______________________________________________________________________________________
_______________________________________________________________________________________
Consent , Relinquishment or Disclaimer of Parental Interest
The following person (s) has/ have signed a consent, relinquishment or disclaimer of parental interest:
Name Relationship to Child Type of Document Signed
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
The following person (s) has a parental relationship that has not been terminated and a consent or
relinquishment m ay be required:
Name Relationship to Child Facts that may Explain
Lack of C onsent
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
Prior Adoption Petitions
I have previously filed an adoption petition in another court: ☐ Yes ☐ No
If yes, describe what happened to your petition:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Prior or Pending Court Proceedings Involving this Child
Describe any Court proceedings or Court Orders related to this child concerning child support, custody (parental rights and
responsibilities ) or visitation (parent child contact). Use additional shee ts if necessary
Name of Court Docket Number Type of Court Proceeding
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
__________________________ ____________________ _____________________
700 -00131B_C – Petition to Adopt Minor by Stepparent ( 12/2016) Page 3 of 4
Information R elated to M arital Status :
☐ Single/Never Married ☐ Married
☐ In a Civil Union ☐ Single/Divorced
☐ Spouse/Partner Deceased
If married or in a Civil Union, complete the following information:
Date of Marriage/Union: ___________ _____________ _ Place of Marriage/Union: ___________________
Spouse/Partner’s Date of Birth: ___________ _________ Spouse/Partner’s Place of Birt h: ______________
If married, has spouse been judicially de termined to be incompetent: ☐ Yes ☐ No
If Yes, please provide the date of determination: _ __ __ ______ ______________________________________
If spouse/partner is deceased, please provide the following information:
Date of Death: _____________ Place of Death: _______________ Cause of Death: _______________
Current Residence of Minor Child
☐ The child has resided with the petitioner since ________________________________ .
☐ The child is no t currently residing with petitioner because:
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________________ ______________________________
_______________________________________________________________________________________
Legal Custody of Minor
I/We have legal custody of the minor : ☐ Yes ☐ No
If yes, describe the circumstances under which you obtained custody of the minor:
_______________________________________________________________________________________
_______________________________________________________________________________________
__________________________________________ _____________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Information ab out Living Maternal Grandparents
Full Na me of Living Maternal Gr andmother: _________ _____________ _______________________________
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
Phone Number: __________________________________________________________________
Full Na me of Living Maternal Grandfather: __________________ _____________ _______________________
If contact information for maternal grandfather is different than maternal grandmother, please complete the information below
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
Phone Number: __________________________________________________________________
700 -00131B_C – Petition to Adopt Minor by Stepparent ( 12/2016) Page 4 of 4
Information about Living Paternal Grandparents
Full Na me of Living Paternal Grandmother: _________ _____________ _______________________________
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
Phone Num ber: __________________________________________________________________
Full Na me of Living Paternal Grandfather: __________________ ____________________________________
If contact information for maternal grandfather is different than maternal grandmoth er, please complete the information below
Complete Mailing Address : ____________ _______ __ ______ ______________________________ ________ _
Town & State of Residence: __________________________________________________________________
Mailing Address (if different) : __________________________________________________________________
Phone Number: __________________________________________________________________
Home Study
☐ A home study is being prepared by (name and address of preparer) : ___________ ________________________________
________________________________ _______________________________________________________
☐ I request a waiver of the home study : ☐ Yes ☐ No
If you are requesting a waiver, you must attach a letter to the Court explaining in detail why a waiver would be appropriate.
I swear or affirm that the facts set forth in this consent are true and correct to the best of my knowledge and
belief.
On:
Date
At:
Signature of Parent
City, County and State Printed Name
Signed and sworn to before me:
IF PETITIONER IS MARRIED OR IN A CIVIL UNION, PETITIONER’ S SPOUSE/PARTNER MUST CONSENT TO THE
PETITION BY SIGNING BELOW UNLESS THE SPOUSE/PARTNER HAS BEEN JUDICIALLY DECLARED I NCOMPETENT.
☐ I am the spouse/part ner of the petitioner and I consent to the filing of this petition
On:
Date
At:
Signature of Spouse/Partner
City, County and State Printed Name
Date Signature of Notary Public Expiration DateRelevant article from our knowledge database You're so right, some parents aren't better. You could also need to satisfy the birth parents at this time. Potential foster parents will shortly be able for paperwork electronically, should they wish.
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A parent of the child was deceased or was missing for three or more months. The kid's legal parents aren't married to one another at the time the petition is filed. It's every time a kid is left with no adult supervision, food, shelter, water, etc.. A kid can incorporate an adopted kid. If lost, it's harder to successfully legitimate a kid and might result in termination of parental rights. An adult child who's disabled and not able to make a living has a continuing right to support.
You may also ask an attorney to receive expert opinion on your circumstance. Quite frankly, an attorney really isn't the lowest-cost solution, nor do they wish to be. The attorney can guide you get through the paperwork, make sure to have the required supporting documents, and stay informed about the time lines. Most attorneys utilize this program and will have the ability to do child support calculations.
The best method to manage a kid custody issue is to create friends with your ex so it is possible to get the job done with each other to make your son's or daughter's future as happy and perfect as possible. If an issue arises, an attorney can step in, and direct you toward resolving the issue. When you have questions concerning the way the factors might be relevant to your case, make sure you consult a lawyer experienced in family law.
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