NAME OF ADOPTING PARENT
STREET ADDRESS
CITY, STATE, ZIP
TELEPHONE NUMBER

NAME OF ADULT BEING ADOPTED
STREET ADDRESS
CITY, STATE, ZIP
TELEPHONE NUMBER

NAME OF ADOPTING PARENT and
NAME OF ADULT BEING ADOPTED  , IN PRO PER

SUPERIOR COURT OF THE STATE OF CALIFORNIA 
FOR THE COUNTY OF SACRAMENTO 

In the Matter of the Adoption of

NAME OF ADULT BEING ADOPTED,

An Adult Person	Case No.  

CONSENT OF SPOUSE OF ADOPTED PERSON	

I, NAME OF THE SPOUSE OF ADULT BEING ADOPTED hereby state that I was married to NAME OF ADULT BEING ADOPTED  on DATE OF MARRIAGE, and that we remain married and are not lawfully separated.

I hereby consent to the adoption of my HUSBAND OR WIFE by NAME OF ADOPTING PARENT.

Dated: INSERT DATE SIGNED	       ______________________________
				       NAME OF THE SPOUSE OF ADULT BEING ADOPTED