NAME OF ADOPTING PARENT  
 STREET ADDRESS 
 CITY, STATE, ZIP 
 PHONE NUMBER WITH AREA CODE

 NAME OF ADULT BEING ADOPTED  
 STREET ADDRESS 
 CITY, STATE, ZIP 
 PHONE NUMBER WITH AREA CODE

 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 
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CONSENT OF SPOUSE OF ADOPTING PARENT	

I,  NAME OF 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 , an adult person, by my  WIFE/HUSBAND,   NAME OF ADOPTING PARENT .

Dated:  DATE SIGNED			         ____________________________________  
 NAME OF SPOUSE OF ADOPTING PARENT