Approved, SCAO
JIS CODE: OTA
STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION
FILE NO. ORDER TERMINATING PARENTAL RIGHTS AFTER RELEASE OR CONSENT
COUNTY
In the matter of
Full name of child
DOB: Judge:
, adoptee
Bar no.
1. Date of hearing: THE COURT FINDS:
2. A release of the child has been executed according to law by
Name(s)
. 3. The consent to the adoption is genuine and is given by the person(s) having legal authority to sign the consent and the best interests of the adoptee will be served by the adoption. IT IS ORDERED: 4. The parental rights of
Name(s)
are terminated.
Date
Judge
Do not write below this line - For court use only
PCA 318 (9/07)
ORDER TERMINATING PARENTAL RIGHTS AFTER RELEASE OR CONSENT
MCL 710.29(7), MCL 710.55(1)