Free STATE OF MINNESOTA - Minnesota


File Size: 71.5 kB
Pages: 3
Date: June 10, 2008
File Format: PDF
State: Minnesota
Category: Court Forms - State
Author: jcain
Word Count: 724 Words, 4,860 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.courts.state.mn.us/forms/public/forms/Adoption/Stepparent_Adoption_of_a_Child/ADO209.pdf

Download STATE OF MINNESOTA ( 71.5 kB)


Preview STATE OF MINNESOTA
State of Minnesota
County Judicial District: Court File Number: Case Type:

District Court
Adoption ­ Stepparent

In the Matter of the Petition of: , Petitioner/Parent and , Petitioner/Stepparent To Adopt: , (child's current name) , (child's current name) , (child's current name) State of Minnesota County of Petitioners,
[stepparent's name] , being first

AFFIDAVIT OF PETITIONERS IN SUPPORT OF EX PARTE MOTION TO WAIVE POST-PLACEMENT ASSESSMENT

) ) SS )
[parent's name] and duly sworn upon oath state as follows:

1. We make this affidavit in support of our request that the Court waive the requirement of a post-placement assessment and report and allow the filing of our Petition for Stepparent Adoption. 2. We understand that even if the Court waives the post-placement assessment, the Court must still direct the appropriate agency to conduct a background study, including a fingerprint check, of all adults in the home age 18 or older. 3. We are in a committed relationship having been married on and the minor child has resided with us since 4. ________________________________ [parent's name] is the parent of [child's name] who was born on [date of birth] . 5. The decision for [stepparent's name] to adopt [child's name] was a mutual decision in which we both participated equally. We agree to coparent the child and to share all parental and financial responsibility. 6. We have co-parented [child's name] since the child began living with us, and we have each developed a parent-child relationship with the child.
ADO209 State ENG Rev 5/08 www.mncourts.gov/forms Page 1 of 3

[date] , [date] .

7. _______________________________________ [child's name] is being raised in a loving and warm environment. 8. ________________________________ [parent's name] is employed as [occupation] , and [stepparent's name] is employed as [occupation]. 9. We own/rent our home, which is located at [address] in the City of _____________________, State of Minnesota. 10. We have listed each other as beneficiaries of our life insurance and have executed wills leaving our estates to the survivor. 11. We wish to legalize relationship with the child's best interests. the legal protection that will result from an adoption. 12. If `s [stepparent's name] parental [child's name] because it is in [child's name] deserves

dies while [child's name] is a minor, we do not want his/her life disrupted by guardianship or custody proceedings.

[parent's name]

13. We also want [stepparent's name] , as a legal parent to [child's name] , to be able to obtain medical treatment for the child as needed and to communicate with the child's school as the child's parent. 14. The adoption of by [stepparent's name] will also ensure that the child has a right to inherit from the estate of [stepparent's name] , and to enforce all other claims which arise out of the parent-child relationship, such as recovery in tort for the wrongful death of [stepparent's name] , survivor benefits under the social security laws, and the right to claim continuing financial support from [stepparent's name] .
[child's name]

15. We fully understand and accept the legal responsibilities and consequences of the adoption. We firmly believe that the adoption of [child] by [stepparent] is in the child's best interests for all of the reasons set forth above.

ADO209

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 2 of 3

Further affiants sayeth not except that this affidavit is made in good faith in support of their motion for waiver of the requirements of a post-placement assessment. Dated: Petitioner/Parent (sign only in front of notary public) Dated: Petitioner/Stepparent (sign only in front of notary public) VERIFICATION AND ACKNOWLEDGEMENT State of Minnesota County of ) ) SS )

The above-named Petitioner/Parent, [parent's name] , being first duly sworn on oath states that Petitioner has read the foregoing Affidavit subscribed by him/her, that Petitioner knows the contents thereof, and that the same is true to Petitioner's best information and belief.
[parent's name]

Petitioner / Parent
[signature] (sign only in front of notary public)

Subscribed and sworn to before me this ___ day of _________________, _____ ________________________________ Notary Public

State of Minnesota County of

) ) SS )

The above-named Petitioner/Parent, [stepparent's name] , being first duly sworn on oath states that Petitioner has read the foregoing Affidavit subscribed by him/her, that Petitioner knows the contents thereof, and that the same is true to Petitioner's best information and belief.
[stepparent's name]

Petitioner / Parent
[signature] (sign only in front of notary public)

Subscribed and sworn to before me this ___ day of _________________, _____ ________________________________ Notary Public

ADO209

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 3 of 3