Form Nhjb 2185 Fp PDF Details

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QuestionAnswer
Form NameForm Nhjb 2185 Fp
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names2009, adoptee, ASSENTS, interlocutory

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THE STATE OF NEW HAMPSHIRE

JUDICIAL BRANCH

http://www.courts.state.nh.us

Court Name:

Case Name:

In the adoption of

Case Number:

(if known)

PETITION FOR ADOPTION

(RSA 170-B)

A CERTIFIED COPY (LONG FORM) OF THE CHILD'S BIRTH CERTIFICATE AND

ALL REQUIRED SURRENDERS AND ASSENTS MUST BE FILED WITH THIS PETITION.

1.

Petitioner Name

 

Date of Birth

 

 

Petitioner Name

 

Date of Birth

 

 

Mailing Address

 

 

 

 

 

 

 

Residence

 

Telephone

 

 

How long has petitioner(s) been resident(s) of this city/town?

 

 

 

 

 

 

2.

Attorney Name

 

Telephone

 

 

Mailing Address

 

 

Bar ID #

 

3.Marital status of petitioner(s):

Married

Civil Union

Single

Other

If married or civil union, date and place of ceremony

4.Petitioner(s) relationship to child.

Relative

Foster Parent

Unrelated

5.Date child was placed in the home of the petitioner(s) Person or agency which placed child in the home

6. Petitioner(s) were granted custody of the child on

 

by the

Court.

7.Is child an American Indian child as defined by the Indian Child Welfare Act?

Yes

No

 

If yes, name and address of tribe

 

 

 

 

 

Is tribe recognized by the federal government as eligible for federal services or certain Alaskan

 

native corporations as defined in 43 U.S.C. §1602(c)?

 

Yes

No

8.

Child Birth Name

 

Date of Birth

 

 

 

Place of Birth

 

 

 

 

 

Residence Address

 

 

 

 

NHJB-2185-FP (10/01/2009)

Page 1 of 3

Case Name: In the adoption of

Case Number:

PETITION FOR ADOPTION

9.

Birth Mother Name

 

Telephone

 

Mailing address

 

 

 

 

10.

Birth Father Name

 

 

Telephone

 

 

Mailing address

 

 

 

 

11.Are there any pending guardianship, juvenile, domestic violence, marriage dissolution, domestic relations, paternity, legitimization, custody or other proceedings affecting this child or

the proposed adoptive parents of this child?

Yes

No

If yes, attach a

separate sheet identifying and explaining each.

 

 

 

The petitioners declare that they have the facilities and resources suitable to provide for the nurture and care of the minor adoptee, and that it is the desire of the petitioners to establish the relationship of parent and child with the adoptee. Therefore, the petitioners ask that this adoption be decreed and that the name of the child be changed to

Date

Petitioner Signature

 

 

(Must be signed in presence of notarial officer)

 

 

 

Date

Petitioner Signature

 

 

(Must be signed in presence of notarial officer)

State of

 

, County of

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

This instrument was acknowledged before me on

 

 

 

 

by

 

 

 

 

 

 

 

Date

 

 

Petitioner(s)

 

My Commission Expires

 

 

 

 

 

 

 

 

 

Affix Seal, if any

 

 

Signature of Notarial Officer / Title

 

NHJB-2185-FP (10/01/2009)

Page 2 of 3

Case Name: In the adoption of

Case Number:

PETITION FOR ADOPTION

ASSENTS

CHILD'S ASSENT

I am the child mentioned in this petition, am 14 years of age or older, and give my assent to the adoption and the change of my name as described in this form.

Date

Child Signature

Signed in the presence of

Presiding Judge

ASSENT OF PETITIONER’S SPOUSE WHO IS PARENT OF ADOPTEE

I am the spouse of the petitioner and parent of the adoptee, and will maintain all those parental rights along with the petitioner. I give my assent to the petitioner’s adoption of the child named in this petition and to the change of the child’s name as described in this petition.

Date

Parent Signature

ASSENT OF PETITIONER’S SPOUSE TO ADOPTION OF ADULT

I am the spouse of the petitioner, and assent to the petitioner’s adoption of the adult child named in this petition.

Date

Spouse Signature

ASSENT OF ADOPTEE’S SPOUSE

I am the spouse of the adoptee, and I assent to this adoption.

Date

Spouse Signature

DECREE

Petition for adoption is granted.

Petition for adoption is granted on an interlocutory basis. (See separate Interlocutory Decree of Adoption.)

Date

Judge

NHJB-2185-FP (10/01/2009)

Page 3 of 3

How to Edit Form Nhjb 2185 Fp Online for Free

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Pay attention when completing this document. Make certain all required areas are filled out properly.

1. When filling in the NHJB-2185-FP, ensure to complete all needed blank fields in their associated area. It will help expedite the work, allowing for your details to be processed efficiently and accurately.

interlocutory conclusion process described (portion 1)

2. Now that the previous segment is done, you have to include the necessary specifics in How long has petitioners been, Attorney Name, Mailing Address, Marital status of petitioners, Married, Civil Union, If married or civil union date and, Telephone, Bar ID, Single, Other, Petitioners relationship to child, Relative, Foster Parent, and Unrelated so you're able to proceed to the 3rd stage.

Single, Petitioners relationship to child, and Relative in interlocutory

It is possible to make errors while filling in the Single, therefore ensure that you reread it before you decide to submit it.

3. This subsequent part is considered pretty simple, Is child an American Indian child, Yes, If yes name and address of tribe, Yes, Child Birth Name, Place of Birth, Residence Address, Date of Birth, NHJBFP, and Page of - these form fields must be filled in here.

Step no. 3 of filling in interlocutory

4. This next section requires some additional information. Ensure you complete all the necessary fields - PETITION FOR ADOPTION Birth, Mailing address, Birth Father Name, Mailing address, Telephone, Telephone, Are there any pending, domestic relations paternity, No If yes attach a, Yes, The petitioners declare that they, and Petitioner Signature Must be - to proceed further in your process!

Writing part 4 in interlocutory

Step 3: After you have glanced through the details in the file's blank fields, simply click "Done" to finalize your form. Download the NHJB-2185-FP after you register online for a free trial. Readily get access to the pdf in your FormsPal account, along with any edits and changes being all kept! FormsPal guarantees your data privacy by using a protected system that never records or shares any sort of personal data used in the form. Be confident knowing your files are kept safe any time you work with our services!

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