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 ADOPTING PARENT	

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

I hereby consent to the adoption of NAME OF ADULT BEING ADOPTED by my HUSBAND OR WIFE.

Dated: INSERT DATE SIGNED	       ______________________________
				       NAME OF THE SPOUSE OF ADOPTING PARENT