Stepparent Adoption: Consent of Adoptee

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Instructions for Florida Supreme Court Approved Family	 Law Form 12.981(a)(2), Stepparent Adoption: 	
Consent of Adoptee 	(03/15	) 	
INSTRUCTIONS FOR FLORIDA SUPREME COURT APPROVED FAMILY LAW 	
FORM 12.981(a)(2),	 	
STEPPARENT ADOPTION: CONSENT OF ADOPTEE	 (03/15	) 	
 
 	
When should this form be used?	 	
 	
This form must be completed and signed by the person being adopted, the adoptee, if he or she is	 over 12	 	
years  of  age	,  unless  the  court,  in  the  best  interest  of  the  minor  excuses the minor	’s consent. 	It must be 	
signed in the presence of a 	notary public	 or 	deputy clerk	 and two witnesses other than the notary public or 	
deputy clerk.	 	
 
This form should b	e typed or printed in black ink.  After completing this form, you should 	file	 the original 	
with the 	clerk of the circuit court	 in the county where the 	Joint Petition 	for Adoption by Stepparent	, Florida 	
Supreme Court Approved Family Law Form 12.981(b)(1) is	 filed and keep a copy for your records.	 	
 
 
 	 	 	IMPORTANT INFORMATION REGARDING E	-FILING	 	
 
The Florida Rules of Judicial Administration now require that 	all 	petitions, pleadings, and documents be filed 	
electronically  except  in  certain  circumstances. 	Self	-repr	esented  litigants  may  file 	petition	s or  other 	
pleadings 	or documents 	electronically; however, they are not required to do so. 	If y	ou choose to file your	 	
pleadings  or 	other 	documents  electronically,  you  must  do  so  in  accordance  with  Florida  Rule  of  Judicial	 	
Administration 2.525, and you must follow the procedures of the judicial circuit in which you file. 	The rules 	
and procedures should be carefully read and followed.	 	
 
 
 	Special notes...	 	
 
Remember, a person who is NOT an attorney is called a nonlawyer. If a 	nonlawyer helps you fill out these 	
forms,  that  person  must  give  you  a  copy  of 	Disclosure  from  Nonlawyer	,  Florida  Family  Law  Rules  of 	
Procedure Form 12.900 (a	), before he or she helps you. 	A nonlawyer helping you fill out these forms also 	
must	 put his or he	r name, address, and telephone number on the bottom of the last page of every form he 	
or she helps you complete.

Florida Supreme Court Appr	oved Family Law Form 12.981(a)(2	), Stepparent Adoption: 	Cons	ent of Adoptee 	(03/15	) 	
IN THE CIRCUIT COURT OF THE 	               	 JUDICIAL CIRCUIT,	 	
IN AND FOR 	                              	 COUNTY, FLORIDA	 	
 	
Case No.: 	 	 	
Division: 	 	 	
 
IN THE MATTER OF THE ADOPTION OF 	 	
 
_________________________________________	 	
{use name to be given to the child(ren)}	 Adopte	e(s).	 	
 	 	
 
 	CONSENT OF ADOPTEE	 	
 
1. 	I, {full legal name}	  	, being over the age of 12,	 	
consent to my adoption by 	{name}	  	 	 	 	 	, to be 	his/her legal 	
child and heir at law.	 	
 
2. 	I have been told of my right to choose a person who does not have an employment, 
professional, or personal relationship with the adoption entity or prospective adoptive parents 
to be present when this affidavit is e	xecute	d and to sign it as a witness. 	The witness I selected is: 	
{full legal name}	 	. 	
 
3.     	{Choose 	only 	one]	 	
(   	)  I consent to my name being legally changed to 	{specify}	  	. 	
(   	)  I do 	not	 consent to a name change.	  	
 
I understand that I am swearing or a	ffirming under oath to the truthfulness of the claims made in this 	
consent and that the punishment for knowingly making a false statement includes fines and/or 
imprisonment	. 	
Dated: 	  	 	 	 	 	 	 	
Signature of Adoptee	 	
Printed Name: 	 	 	
Address: 	 	 	
City, State, Zip: 	 	 	
Telephone Number: 	 	 	
Fax Number:	  	 	
                                           	 	 	           	 Designated E	-mail Address(es)	: ____________________	 	
 	 	 	 	 	 	_______________________________________________

Florida Supreme Court Approved Family Law Form 12.981(a)(2), Stepparent	 Adoption: Consent of 	
Adoptee 	(03/15	) 	
 
______________________________________	 	
Signature of Witn	ess	  	
Printed Name: 	 _________________________	 	
Business Address: _______________________	 	
Home Address:_________________________	 	
Driver’s License No.: _____________________	 	
State ID Card No.:	 _______________________	 	
 
______________________________________	 	
Signature of Witness	 	
Printed Name: 	 _________________________	 	
Business Address: _______________________	 	
Home Address:______________________	 	
Driver’s License No.: _____________________	 	
State ID Card No.:	 _______________________	 	
 
 
 
 
STATE OF FLORIDA	 	
COUNTY O	F __________________________	 	
 
Sworn to or affirmed and signed before me on 
{date} 	                                                                          	
. 	
 	
 	 	 	 	 	 	 	 	
                           	 	
 
 	                                                        	                               	
                                                 
_________________________________________	   	
NOTARY PUBLIC or DEPUTY CLERK 	 	
 	
 	 	
{Print,  type,  or  stamp  commissioned 	name  of  notary  or 	
deputy clerk.}	 	
 	
_____	Personal	ly known	  	 	 	 	
__	___	Produced identification	 	
           	 Type of identification produced 	____________________	 	
 
 
 
 
IF A NONLAWYER HELPED YOU FILL OUT THIS FORM, HE/SHE MUST FILL IN THE BLANKS BELOW:	  	
[fill in 	all	 blanks]	 This form was prepared for the 	{choose only 	one	} (   )	 adoptee	 (   ) stepparent	 	
This form was completed with the assistance of:	 	
{name of 	individual	}_______________________________	____________________________________	, 	
{name of business} 	_______________________________________________________________	______	, 	
 {address} ____________________________________________________________________________	,  	
{city}	 ________________	, {state}	 ______	,{zip code}_________	 {tele	phone	 number	} __________________.	 	
.