Alabama Form Pr 2 – Fill Out and Use This PDF

State of Alabama		CONSENT FOR ADULT TO BE	Probate Court
Unified Judicial System			Case No.:
	Page 1 of 3	ADOPTED
Form PR-2	8/08	(Section 26-10A-11(b), Ala.Code 1975)

STATE OF ALABAMA

___________________COUNTY

In the Matter of the Adoption Petition of [Full Name(s) and Age(s) of Petitioner(s) and His/Her/Their Residence Address(es), Including City(ies) or Town(s), State(s), and Zip Code(s)]:

_______________________________________________________________________________

_______________________________________________________________________________.

To Adopt ____________________________________________________ (Name of Person), an Adult.

KNOW ALL MEN BY THESE PRESENTS that I, __________________________________

_________________________________________, as (Check which boxes are applicable): [ the person

being adopted; OR [ ] the spouse or [ ] the guardian or [ the conservator of the person

being adopted; OR [ ] the guardian ad litem appointed by this Court for the person being adopted (having filed a written report), after been first duly placed under oath, do hereby state, agree, and consent to [ ] my adoption [ ] the adoption of _________________________ (Name

of person being adopted) by _________________________________

[Name(s) of Petitioner(s), unless identity waived] in order that the person being adopted may have all the privileges which may be accorded to the person by the laws of Alabama upon his or her legal adoption.

The Petitioner(s) further aver(s) as follows (Check which boxes are applicable):

[	1. That the person being adopted is _____ years of age, having been born on

____________________________ (state month, day, and year of birth).

[2. Any Other Name(s) by Which the Person Being Adopted Has Been Known:

_________________________________________________________________________________.

[ 3. That a copy of the Petition for Adoption of the person was received and that [Check which boxes are applicable]: [ ] the person being adopted has read the Petition and understands its content and purpose; OR the [ spouse, [ ] guardian, [ conservator, or [guardian ad litem has read the Petition and understands its content and purpose;

[

4. As the:

[ ]

person being adopted; OR the

[ ]

spouse,

[ ]

guardian,

[ ]

custodian, or

[] guardian ad litem of the person being adopted, I am executing this document voluntarily and unequivocally thereby consenting to the adoption.

[

5. I, as the

[ ]

person being adopted; OR the

[ ]

spouse,

[ ]

guardian,

[ ]

custodian,

or [ ] guardian ad litem of the person being adopted, understand that by signing this

document and the subsequent court order to ratify the consent, I will forfeit all rights and obligations and that I understand the consent to the adoption and execute it freely and voluntarily.

[ 6. I understand that the consent to the adoption may be irrevocable, and I should not execute it if I need or desire psychological or legal advice, guidance, or counseling.

	State of Alabama		CONSENT FOR ADULT TO BE ADOPTED
	Unified Judicial System
	Page 3 of 3		(Section 26-10A-11(b), Ala.Code 1975)
	Form PR-2	8/08

STATE OF ___________________________

______________________________ COUNTY

Subscribed, sworn to and acknowledged before me by

_____________________________ this _____ day of ___________________, 20 ____.

__________________________________

Notary Public

(My commission expires: ___________________)

I acknowledge receipt of two copies of this document. _____________________________(Seal)

_________________________________

(Date)

NOTICE OF WITHDRAWAL

I, ______________________________________________, as [Check which boxes are applicable]: ] the

person being adopted; OR the [ ] spouse, or [ ] guardian, or [ ] conservator of the person being adopted; OR [ ] the guardian ad litem appointed by this Court for the person being adopted, on this ________ day of ______________________, 20___, at _______ [ ] a.m. [ ]

p.m.(time of day) in the presence of two (2) witnesses, whose signatures and addresses are subscribed below, hereby withdraw the Consent to Adoption previously signed by me.

__________________________________

[Signature of Person Being Adopted, Spouse, Guardian, Conservator, or Guardian ad Litem]

________________________________________________

[Printed Name of Witness]

________________________________________________

[Signature of Witness]

______________________________________________________________________________

[Home Address of Witness, including City or Town, State, and Zip Code]

________________________________________________

[Printed Name of Witness]

________________________________________________

[Signature of Witness]

______________________________________________________________________________

[Home Address of Witness, including City or Town, State, and Zip Code]