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Form 9-102.10. Attorney Affidavit As To Consent Of A Child To Adoption

Form 9-102.10. Attorney affidavit as to consent of a child to adoption

   

 

    Affidavit by Attorney as to Consent of               (Child) to Adoption    

 

 

 

 

 

   1.  I am the attorney representing           , the individual who is the 

subject of this adoption proceeding ("the child").

 

   2.  The child, at the time of the signing of the consent form, was          

years old. The child's date of birth is        . To the best of my knowledge, 

the child is not an Indian child subject to the provisions of the Indian Child 

Welfare Act.

 

   3.  (Check one of the following)

 

   [ ] The child is not disabled or is disabled but the disability would not 

affect the child's ability to understand the meaning of the consent to 

adoption.

 

   OR

 

   [ ] The child has a disability that could affect the child's ability to 

understand the meaning of consenting to adoption. The disability is           .

 

   Despite the child's disability, I believe that the child understands the 

meaning of the consenting adoption. The following additional steps were taken 

to ensure that the child understood the meaning of the consent form prior to 

signing it:                                                                   

 

                                                                              .

 

   4.  The child understands English, or the consent form that the child 

signed has been translated into           , a language that the child 

understands.

 

   5.  I have explained to the child that              have asked the court to 

be permitted to adopt the child, that the child has the right to decide 

whether or not the child wants to be adopted, and the possible options if the 

adoption is not approved.

 

   6.  I reviewed the consent form thoroughly with the child, and I believe 

that the child agrees to the adoption and has signed the consent form 

knowingly and voluntarily and not due to duress or coercion.

 

 

 

 

   I solemnly affirm under the penalties of perjury that the contents of this 

affidavit are true to the best of my knowledge, information, and belief.

 

 

 

 

                                                                              

 

   (Date)                                     (Signature)

 

                                                                              

 

                                       (Printed Name)

 

                                                                              

 

                                       (Address)

 

                                                                              

 

                                       (City, State, Zip Code)

 

                                                                              

 

                                       (Telephone Number)

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Local Government
Maryland
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Larry Hogan
Larry Hogan
January 21, 2015 -
Republican
1-410-974-3400
100 State Circle, Annapolis, MD, 21401

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