IN THE COURT OF COMMON PLEAS OF 
 _____________________________ COUNTY, PENNSYLVANIA 
ORPHANS’ COURT DIVISION 

(FAMILY COURT DIVISION in Philadelphia County) 

IN RE: ADOPTION OF ______________ 

   (initials only) 

ADOPTION NO. __________________ 

FINAL DECREE 

AND NOW, this   _________ day of  _______________________ , 20___, 

upon consideration of the within Petition and after the hearing thereon, the Court 

having made an investigation to verify the statements of the Petition and other facts 

to give the Court full knowledge as to the desirability of the proposed adoption; and 

the Court, being satisfied, finds that the statements made in the Petition are true, 

that the needs and welfare of  the child proposed to be adopted will be promoted by 

this adoption, and that all requirements of the Adoption Act have been met, it is 

hereby  ORDERED, ADJUDGED and DECREED that this child,  

________________________________________ is hereby adopted, 

(Name of child as written on Foreign Decree) 

shall be known as ____________________________________________ and shall  

 (Child’s name from this time forward) 

have all the rights of a child and heir of _____________________________. 

(Adopting Parent(s)) 

_________________________, and shall be subject to the duties of a child to said 

adopting parent(s).   

____________________________________ 
J.

Form A-12 Rev. 07/01/22



Final Decree

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