Free STATE OF MINNESOTA - 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)

AFFIDAVIT OF PETITIONERS IN SUPPORT OF EX PARTE MOTION TO WAIVE ONE YEAR RESIDENCY REQUIREMENT

State of Minnesota County of

) ) SS )

Petitioners,

and [stepparent's name] , being first duly sworn upon oath state as follows: 1. We make this affidavit in support of our request that the court waive the one year residency requirement and reduce such requirement to thirty (30) days as permitted under Minnesota Statutes § 259.22, subd. 1. 2. We are in a committed relationship having been married on and the minor child has resided with us since
[date] , [date] .

[parent's name]

3. ________________________________ [parent's name] is the parent of [child's name] who was born on [date of birth] , and [stepparent's name] is the stepparent of the child and is a person related to the child as defined in Minnesota Statutes § 245A.02, subd. 13. 4. 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.

ADO206

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 1 of 2

Further affiants sayeth not except that this affidavit is made in good faith in support of their motion for waiver of the requirements of the one year residency requirement. 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

ADO206

State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 2 of 2