Free STATE OF MINNESOTA - Minnesota


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Date: June 10, 2008
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State: Minnesota
Category: Court Forms - State
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URL

http://www.courts.state.mn.us/forms/public/forms/Adoption/Stepparent_Adoption_of_a_Child/ADO213.pdf

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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)

FINDINGS OF FACT, CONCLUSIONS OF LAW, ORDER FOR JUDGMENT, AND JUDGMENT AND DECREE OF ADOPTION

The above entitled stepparent adoption matter came on for hearing and was heard before the undersigned Judge of District Court on [date] in closed court. The following persons were present at the hearing: Parent: ; Stepparent: ; Child: . FINDINGS OF FACT The Court, having read the file and being fully advised in the premises, finds as follows: Petitioners 1. Petitioners' full names are ___________________________________ [stepparent's name]. 2. Petitioners' respective dates of birth are and [stepparent's date of birth] .
[parent's name]

and

[parent's date of birth]

3. Petitioners are husband and wife having been married on marriage] in the City of [city] , County of [county] , State of [state] .

[date of

4. Petitioners presently reside at ___________________________________________________ (street address) in the City of (city), State of Minnesota, and have resided in Minnesota since ____________________ (date began residing in Minnesota), which [check one] :

is for at least one year as required under Minnesota Statutes § 259.22, subd. 1. is not for at least one year, but the Court finds that it is in the best interests of the child to
waive the one-year residency requirement and reduce such requirement to thirty (30) days as permitted under Minnesota Statutes § 259.22, subd. 1.

ADO213

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 1 of 4

Child to be Adopted 5. Stepparent name
[date of birth] , in the City of [county] , State of [stepparent's name] desires to adopt [child's name] , who was born on [city] , County of [state] , and whose birth mother's name is [name] and whose birth father's name is [name] .

the child

6. The above named child owns no real estate, savings or bank accounts, bonds, securities or personal property other than clothing and personal effects of inconsequential market value, except as shown on attached schedule. 7. The child (check one) is or is not an Indian child(ren) and the Indian Child Welfare Act (ICWA) (check one) does or does not apply. 8. Stepparent [stepparent's name] obtained physical custody of said child at the time of Petitioners' marriage on [date of marriage] and, as required by law, three months have passed since the date Stepparent acquired physical custody of the child or the Court has waived that requirement as allowed under the law. 9. Said child has lived in Petitioners' home since the date of Petitioners' marriage. 10. A certified copy of the original birth certificate of said child is on file with the Court. Adoption 11. The non-petitioning parent of the child has consented to the child's adoption by the stepparent and the parent's properly executed consent dated [date consent signed] is on file with the Court. 12. If the child is age 14 or older, the child has consented to adoption by the stepparent and the child's properly executed consent dated [date consent signed] is on file with the Court. 13. Certification that the Minnesota Fathers' Adoption Registry has been searched, and the results of that search, are on file with the Court. 14. All persons entitled to notice of this proceeding have received due and sufficient notice. 15. Pursuant to Minnesota Statutes § 259.41, subd. 1(b), an Adoption Home Study report and the child's parents' social and medical history are not required in this stepparent adoption matter because the adoption is by a person related to the child. 16. The Post-Placement Assessment report, unless waived by the Court, is on file with the Court. Even though the Post-Placement Assessment may have been waived, the background study report, including fingerprint results, is on file with the Court.

ADO213

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 2 of 4

17. A Communication and Contact Agreement (check one) is or is not on file with the Court and, if one is one file, the Court finds that such agreement is in the child's best interests. 18. Petitioners' home and the child are suited to each other, Petitioner's are fit and proper persons to have said child with reference to the suitability of their home and financial standings 19. It is in the best interests of the child that the child be adopted by Petitioner/Stepparent. 20. The name of the child should be changed from [child's current name] to name] . CONCLUSIONS OF LAW All allegations in the Petition have been proven, and it is in the best interests of the child that, from this date to all legal intents and purposes, the child should be the child of the Petitioners, the name of the child should be changed as stated above, and a decree of adoption should be issued. ORDER FOR JUDGMENT It is therefore ordered and decreed that the Petitioner's Petition for Stepparent Adoption is granted, that said child is the child of the Petitioners, that the child's name shall be as stated above, and that judgment and decree shall be entered accordingly.

[child's desired

LET JUDGMENT BE ENTERED ACCORDINGLY.

Dated:

BY THE COURT:

Judge of District Court

ADO213

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 3 of 4

JUDGMENT AND DECREE OF ADOPTION

I certify that the above Findings of Fact, Conclusions of Law, and Order for Judgment and Decree constitute the Judgment and Decree of this Court. The above-entitled stepparent adoption matter came on for hearing before the above-named Court on [date] , and the Court being fully advised in the premises did on [date] duly make and file its findings and order granting the prayer of the Petitioners. Now, pursuant to the said Order for Judgment, it is hereby adjudged and decreed that from and after this date, said child, having been given the name of [desired name] by Petitioners, shall be deemed and taken to be the child and heir of the Petitioner/Parent and Petitioner/Stepparent in all respects as though born to the Petitioners. It is further adjudged and decreed that the name of said child be, and the same is hereby legally changed to, and established as [desired name] .

Dated:

BY THE COURT:

Court Administrator

By Deputy

ADO213

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 4 of 4