PARENTAL CONSENT TO ADOPTION
We, ________________________________ and ______________________________, the parents of _____________________________, a _______ (Male/Female) child born to us on ___________ (Date) consent to _______ (His/Her) adoption by _____________________________ and ___________________________, husband and wife, who currently reside at ________________________________________________________ (Address).
In witness whereof, we have signed this instrument at ___________________________ (Place of Execution) on ____________ (Date).
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Signature of Parent
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Signature of Parent
This document was signed in the presence of the following:
__________________________________ __________
Signature Date
__________________________________ __________
Signature Date