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Here is the text we could read:

Name

Address, City, State, Zip

Relationship
to Adoptee

Date and Place
of Birth

, adoptee

1. An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor

Court, Case Number

, was

, and

remains

is no longer

pending.

Birth date and time

In the matter of

Full name of child

The petitioners are:

Maiden:

has been previously filed in

assigned to Judge

2. The adoptee is:

Full name of child (type or print)

City, county, and state of birth

Current residential address (if known)

3. The adoptee will be my heir at law.

4. The adoptee’s name will

not be changed.
be changed to

5. The adoptee’s property is

6. The adoptee’s parents are

Address

City, state, zip

Name(s) and address(es)

First Middle Last

Address

City, state, zip

7. The adoptee’s court-appointed guardian and/or conservator is/are (attach copy[ies] of letters of authority)

Father’s name (type or print) Birth date

Mother’s name and maiden name (type or print) Birth date

8. The other parent has failed to provide support or comply with a support order and failed to visit or contact the adoptee for
a period of 2 years or more. (Attach form PCA 302, Supplemental Petition and Affidavit to Terminate Parental Rights of Noncustodial Parent.)

Do not write below this line - For court use only(See additional page)PCA 301b (6/18) PETITION FOR STEPPARENT ADOPTIONMCL 710.24, MCL 710.51Approved, SCAO JIS CODE: APFSTATE OF MICHIGANJUDICIAL CIRCUIT - FAMILY DIVISIONCOUNTY PETITION FOR STEPPARENT ADOPTIONFILE NO.Petition for Stepparent Adoption

(6/18) Page

File No.

9. The adoptee is an Indian child as defined in MCR 3.002(12). The identity of the tribe is

Name of tribe, if known

I REQUEST:

10. Termination of all existing parental rights inconsistent with the order of adoption, entry of an order approving placement of

the child with me, and entry of an order of adoption with the adoptee’s name recorded as stated in item 4.

11. The adoption be expedited because

I declare that the statements above are true to the best of my information, knowledge, and belief.

Attorney signature

Date

Attorney name (type or print) Bar no.

Signature of petitioner

Address

Signature of petitioner

City, state, zip Telephone no.

Petitioner telephone no.

report its findings in writing to this court, within 3 months of this order, in accordance with the provisions of MCL 710.46.

is directed to fully investigate and

IT IS ORDERED:

12.

Court agent or employee

13. The full investigation is waived.

14. The petitioner(s) shall give notice of this petition to the persons prescribed in MCR 3.800(B) in accordance with MCR

3.802(A)(3) and MCR 3.807(B), if applicable (use form PCA 352).

Date

Judge Bar no.

PCA 301b, Petition for Stepparent Adoption

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Downloads: You can download both the original form (last checked 2023-03) and the machine-processed form with normalized data fields.

About This Form:

Sourced from www.courts.michigan.gov/adoptions-court-forms (2023-03)
Page(s): 2
Fields(s): 61
Average fields per page: 30
Reading Level: Grade 8
LIST Grouping(s): FA-00-00-00-00.

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Identified Data Fields:

We have done our best to automaticly identify and name form fields according to our naming conventions. When possible, we've used names tied to our question library. See e.g., user1_name. If we think we've found a match to a question in our library, it is highlighted in green. Novel names are auto generated. So, you will probably need to edit some of them if you're trying to stick to the convention.

Here are the fields we could identify.

stat_e_n_l_county was STATE OF MICHIGAN JUDICIAL CIRCUIT FAMILY DIVISION COUNTY (0.64 conf)
full_name_child was Full name of child (0.35 conf)
relationship_adoptee_maiden__1 was Relationship to AdopteeMaiden (0.38 conf)
address_city_state_zip_maiden__1 was Address City State ZipMaiden (0.30 conf)
date_place_birth_maiden__1 was Date and Place of BirthMaiden (0.38 conf)
relationship_adoptee_maiden__2 was Relationship to AdopteeMaiden_2 (0.36 conf)
address_city_state_zip_maiden__2 was Address City State ZipMaiden_2 (0.29 conf)
date_place_birth_maiden__2 was Date and Place of BirthMaiden_2 (0.42 conf)
action_division_involving was 1 An action within the jurisdiction of the family division of circuit court involving the family or family members of the minor (0.37 conf)
court_case_number was Court Case Number (0.46 conf)
was was was (0.41 conf)
and was and (0.41 conf)
remains was remains (0.32 conf)
longer was is no longer (0.37 conf)
full_name_child_type_print was Full name of child type or print (0.44 conf)
birth_date_time was Birth date and time (0.43 conf)
city_county_state_birth was City county and state of birth (0.47 conf)
current_residential_address was Current residential address if known (0.51 conf)
changed__1 was not be changed (0.41 conf)
changed__2 was be changed to (0.44 conf)
first was First (0.34 conf)
middle was Middle (0.31 conf)
last was Last (0.34 conf)
undefined__1 was undefined (0.38 conf)
fathers_name_type_print was Fathers name type or print (0.49 conf)
birth_date__1 was Birth date (0.43 conf)
mothers_name_maiden_type_print was Mothers name and maiden name type or print (0.41 conf)
birth_date__2 was Birth date_2 (0.44 conf)
users1_address_line_one was Address (1.00 conf)
address__1 was Address_2 (0.35 conf)
users1_address_line_two was City state zip (1.00 conf)
city_state_zip__1 was City state zip_2 (0.35 conf)
adoptees_attach_authority was 7 The adoptees courtappointed guardian andor conservator isare attach copyies of letters of authority (0.48 conf)
provide_comply_contact was 8 The other parent has failed to provide support or comply with a support order and failed to visit or contact the adoptee for (0.30 conf)
names_addresses was Names and addresses (0.47 conf)
undefined__2 was undefined_2 (0.39 conf)
text__1 was Text8 (0.35 conf)
text__2 was Text9 (0.35 conf)
text__3 was Text10 (0.35 conf)
text__4 was Text11 (0.35 conf)
text__5 was Text12 (0.35 conf)
of was of (0.38 conf)
undefined__3 was undefined_3 (0.39 conf)
adoptee_indian_child_defined_mc_r_identity_tribe was 9 The adoptee is an Indian child as defined in MCR 300212 The identity of the tribe is (0.36 conf)
name_tribe_known was Name of tribe if known (0.35 conf)
adoption_expedited was 11 The adoption be expedited because (0.37 conf)
child_order_stated_item was the child with me and entry of an order of adoption with the adoptees name recorded as stated in item 4 (0.36 conf)
undefined__4 was undefined_4 (0.39 conf)
signature_date__1 was Date (1.00 conf)
attorney_name_type_print was Attorney name type or print (0.50 conf)
bar__1 was Bar no (0.41 conf)
address__2 was Address_3 (0.35 conf)
city_state_zip__2 was City state zip_3 (0.35 conf)
telephone was Telephone no (0.44 conf)
petitioner_telephone was Petitioner telephone no (0.45 conf)
court_agent_employee was Court agent or employee (0.46 conf)
unknown was 12 (0.38 conf)
full_investigation_waived was 13 The full investigation is waived (0.41 conf)
shall_give_notice_accordance was 14 The petitioners shall give notice of this petition to the persons prescribed in MCR 3800B in accordance with MCR (0.42 conf)
signature_date__2 was Date_2 (1.00 conf)
bar__2 was Bar no_2 (0.37 conf)

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The Legal Innovation & Technology Lab's Form Explorer Beta @ Suffolk Law School Last updated 2023-04-02

PCA 301b, Petition for Stepparent Adoption

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Identified Data Fields:

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The Legal Innovation & Technology Lab's Form Explorer ^Beta @ Suffolk Law School Last updated 2023-04-02