Dss 5163 PDF Details

Embarking on the journey of adult adoption is a profound step towards creating or affirming familial bonds that surpass biological connections. Central to this legal process within the state of North Carolina is the DSS-5163 form, a document that formally petitions the court for the adoption of an adult. This form, as outlined by the General Court of Justice, District Court Division, requires detailed information from the petitioning parents, including their names, sexes, marital status, and addresses, alongside the full name by which the adult adoptee will be known post-adoption. It demands declarations of residence to establish jurisdiction, the disclosure of any biological or previously adopted children of the petitioning parents, and the listing of the adoptee’s living relatives and any property they might hold, especially if they are adjudicated as incompetent. Furthermore, the form necessitates transparency regarding the adoptee’s marital status and a formal plea to the court to establish the legal relationship of parent and child, potentially altering the adoptee's name to signify their new familial ties. This document not only serves as a request for a legal bond but also as a testament to the enduring and chosen bonds of family. Completing the DSS-5163 form accurately is crucial, as it is the first step towards legal recognition of a new familial structure under North Carolina law, embodying both the petitioners' commitment and the state's requirements for adult adoption.

QuestionAnswer
Form NameDss 5163
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesaddoption papers, nc adoption paper pacakage, adoption papers north carolina, adoption form pdf

Form Preview Example

STATE OF NORTH CAROLINA

COUNTY

(Full name of petitioning parent 1)

(Full name of petitioning parent 2)

FOR THE ADOPTION OF

(Full name by which adult adoptee is to be known if adoption granted)

IN THE GENERAL COURT OF JUSTICE

DISTRICT COURT DIVISION BEFORE THE CLERK

SP

PETITION FOR

ADULT ADOPTION

To the Honorable, Clerk of the Superior Court of

 

 

____________________County:

We (1), the undersigned,

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(Name of petitioning parent 1)

 

 

 

 

(Sex)

(Marital Status)

and/or

 

 

 

 

 

 

 

 

 

whose address is

 

(Name of petitioning parent 2)

(Sex)

 

(Marital Status)

 

 

 

 

I

(Street & Number)

(RFD)

(City)

(County)

(State)

do hereby petition the Court for leave to adopt

(Name by which the adoptee is to be known)

, an adult, pursuant to N.C.G.S. 48-5-100, et. seq., and represent to the Court:

(Sex)

I

1.That the petitioner(s) herein seeking adoption has/have lived in or been domiciled in North Carolina for at

least six consecutive months immediately preceding the filing of this petition; or the adoptee has lived in North Carolina for at least six consecutive months immediately preceding the filing of this petition or from birth.

2.

That

 

was born in the State/Country of

(Original Name of Adult Adoptee)

on the

 

day of

I

3.That the petitioner(s) is/are [related] [not related] to the said adult adoptee in the following manner:

_________________________________________________________________________________________

4.That the following are the name, age, and last known address of any adult child of the prospective adoptive parent, including an adult previously adopted by the prospective adoptive parent or the adoptive parent's spouse, and the date and place of the adoption:

_________________________________________________________________________________________

5.That the following are the name, age, and last known address of any living parent, spouse, or adult child of adoptee:

_________________________________________________________________________________________

DSS-5163 (Rev. 11/2014)

Child Welfare Services

Page 1 of 2

6.That the following is a description and estimate of the value of any property of the adoptee, if adjudicated incompetent:

_________________________________________________________________________________________

7.That the adoptee’s true name as it appears on his/her birth certificate is:

 

_________________________________________________________________________________________

8.

That the adoptee is presently married to

 

 

 

 

, having been

 

married on or about the

____day of

__________I ____________

 

 

 

 

 

 

 

 

 

 

WHEREFORE, your petitioner(s) pray(s) that the relationship of parent and child be established between petitioner(s) and said adult and that the adult adoptee's name [remain] [be changed to]

_________________________________________________________________________________________

__________________________________________________________________pursuant to G. S. 48-9-102 (g).

This the

day of

 

I

 

 

 

 

 

 

 

 

 

___________________________________Signature of Petitioner 1

 

 

 

__________________________________ Signature of Petitioner 2

 

 

 

ACKNOWLEDGMENT

, being duly sworn, deposes and says that he/she has read the foregoing Petition and that the facts set forth therein are true to his/her knowledge, except as to matters therein set forth upon information and belief,, and as to those such matters he/she believes them to be true.

__________________________________Signature of Petitioner 1

__________________________________Signature of Petitioner 2

Subscribed and sworn to before me this

 

day of

I

(S E A L)

Clerk Superior Court or Notary Public

My commission expires:

________________________________________________________________________________________________

Attorney for petitioner/s(Mailing Address)

_________________________________________________________________________________________________

(Telephone Number)

(City or Town)

NOTE: The DSS-5163 is prepared in duplicate. The original form is held in the Office of the Clerk of Superior Court. A copy is forwarded, along with originals of all other documents filed in proceeding, within ten days following the entry of the Decree of Adoption by the Clerk of Court to the Division of Social Services, State Department of Health and Human Services.

DSS-5163 (Rev. 11/2014)

Child Welfare Services

Page 2 of 2

How to Edit Dss 5163 Online for Free

Very few tasks are easier than preparing documents through our PDF editor. There isn't much you need to do to update the adoption papers for adults document - only adopt these measures in the following order:

Step 1: You can choose the orange "Get Form Now" button at the top of this webpage.

Step 2: Now, you are on the document editing page. You may add text, edit present details, highlight certain words or phrases, insert crosses or checks, add images, sign the document, erase unnecessary fields, etc.

You should provide the next data if you would like fill in the template:

stage 1 to filling in adoption papers online

Complete the Name of petitioning parent, Sex, Marital Status, Street Number, RFD, City, County, State, do hereby petition the Court for, Name by which the adoptee is to be, an adult pursuant to NCGS et seq, Sex, That the petitioners herein, hashave lived in or been domiciled, and That areas with any information that will be asked by the software.

Entering details in adoption papers online step 2

Mention the important particulars in parent including an adult, That the following are the name, and DSS Rev Child Welfare Services part.

Filling in adoption papers online step 3

The That the following is a, That the adoptees true name as it, That the adoptee is presently, having been, married on or about the, day of, WHEREFORE your petitioners prays, pursuant to G S g, This the, day of, Signature of Petitioner, Signature of Petitioner, ACKNOWLEDGMENT, and being duly sworn deposes and says box can be used to point out the rights and responsibilities of either side.

Finishing adoption papers online stage 4

Finalize by checking the next fields and typing in the required details: being duly sworn deposes and says, Signature of Petitioner, Signature of Petitioner, Subscribed and sworn to before me, day of, S E A L, My commission expires, Clerk Superior Court or Notary, Attorney for petitioners, Mailing Address, Telephone Number, City or Town, and NOTE The DSS is prepared in.

Filling in adoption papers online stage 5

Step 3: In case you are done, click the "Done" button to export the PDF file.

Step 4: Have a copy of any document. It's going to save you some time and enable you to stay clear of difficulties down the road. By the way, your details isn't going to be distributed or viewed by us.

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