Irrevocable Details

Form Ad0203 is an important document for all businesses. This form is used to request a change in your Employer Identification Number (EIN). The EIN is the unique identifier for your business with the IRS. If you make any changes to your business, you will need to update your EIN on this form. Making changes to your EIN can impact your tax filing status and other important information. Make sure you are familiar with the contents of Form Ad0203 before submitting it to the IRS.

If you'd like to first learn how much time you need to fill out the form ad0203 and the number of pages it has, here's some basic information that might be helpful.

QuestionAnswer
Form NameForm Ad0203
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesAD0203, 10th, foregoing, Minnesota

Form Preview Example

State of Minnesota

 

 

 

District Court

 

 

 

County

 

Judicial District:

 

 

 

 

 

 

 

Court File Number:

 

 

 

 

 

 

Case Type:

 

Adoption – Stepparent

In the Matter of the Petition of:

 

 

 

 

 

 

 

 

, Petitioner/Parent

 

 

 

 

 

 

 

 

 

 

and

 

 

CONSENT OF PARENT TO

 

 

 

, Petitioner/Stepparent

 

 

 

 

ADOPTION AND WAIVER OF

 

 

 

 

 

 

 

To Adopt:

 

 

NOTICE OF ADOPTION

 

 

 

 

 

,

 

 

HEARING

(child’s current name)

,

(child’s current name)

,

(child’s current name)

I,

 

 

 

 

 

 

 

 

 

 

 

[parent’s name], being first duly sworn upon

oath, depose and state as follows:

 

 

 

 

 

 

 

 

 

 

 

 

1.

I was born on

 

[date of birth], am currently

 

 

years of age,

 

and reside at

 

 

 

 

 

 

 

 

 

 

[street address],

 

in the City of

 

, County of

,

 

State of

 

 

 

 

 

 

 

 

.

 

 

 

 

 

 

 

 

 

 

 

2.

I am the parent of

 

 

 

 

 

 

 

 

 

[child’s name], a

 

male

female [check one] child who was born on

 

 

 

[date of birth] in

 

the City of

 

 

 

 

 

 

 

 

 

, State of

 

.

 

 

 

 

 

 

 

 

 

 

 

3.

Of my own free will, and with a view to the future welfare of my child, and in the presence of

 

two competent witnesses, I

 

 

 

 

 

 

 

 

 

 

[parent’s name],

 

hereby consent to the adoption of

 

 

 

 

 

 

 

 

 

 

[child’s name]

 

by

 

 

 

 

 

 

 

 

 

 

 

 

[stepparent’s name].

4.I hereby waive notice of any and all hearings now or hereafter related to the adoption of said child.

5.I understand that I may, for any reason, withdraw this consent to adoption within the next ten (10) working days from the date this consent is signed by me.

AD0203 State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 1 of 2

6.I further understand that if I decide to withdraw my consent to this adoption, my withdrawal of my consent must be in writing and must be received by the Court at the following address

no later than the tenth (10th) working day following the date upon which this consent is signed

and acknowledged:

 

 

[name of county] County District Court

located at

 

 

 

 

 

[street address],

in the City of

 

 

, and State of Minnesota, Zip Code

 

[zip code].

 

 

 

 

 

7.I understand that my consent will become irrevocable on the day following the tenth (10th) working day from the date this consent is signed and acknowledged, unless a Court later rules in writing that consent was obtained by fraud.

PARENTAL RIGHTS NOTICE

PETITIONER WILL SUBMIT YOUR CONSENT TO ADOPTION TO THE COURT. THE CONSENT ITSELF DOES NOT TERMINATE YOUR PARENTAL RIGHTS. PARENTAL RIGHTS TO A CHILD MAY BE TERMINATED ONLY BY AN ADOPTION DECREE OR BY A COURT ORDER TERMINATING PARENTAL RIGHTS. UNLESS THE CHILD IS ADOPTED OR YOUR PARENTAL RIGHTS ARE TERMINATED, YOU MAY BE ASKED TO SUPPORT THE CHILD.

Parent’s Signature

Dated:

[Signature of parent – sign only in front of notary public and two witnesses]

Witnesses’ Signatures

Dated:

[Witness – sign only in front of notary public]

Dated:

[Witness – sign only in front of notary public]

On this

 

day of

 

,

 

,

before me personally appeared the person described herein who executed the foregoing consent to adoption and waiver and acknowledged that such consent and waiver was freely given, and the persons who were present when such consent was executed.

Notary Public

AD0203 State

ENG

Rev 5/08

www.mncourts.gov/forms

Page 2 of 2

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