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Here is the text we could read:

Co-Petitioner’s Name

Address

City, State, Zip

Phone

If you do not respond to this
document within applicable time
limits, judgment could be entered
against you as requested.

Check your email. You will receive information and
documents at this email address.

[ ] We are Co-Petitioners

[ ] I am Co-Petitioners’ Attorney

(Utah Bar #:__________)

In the District Court of Utah

__________ Judicial District ________________ County

Court Address ______________________________________________________

In the matter of the adoption of

Verified Joint Petition for Adoption
of an Adult

_____________________________________
Adoptee

_______________________________
Case Number

_______________________________
Judge

We are the petitioners and we want to adopt
________________________________________________________ (name of adoptee),

who is an adult.

Utah has jurisdiction in this case. (Utah Code 78B-6-105).

The case is filed in this county because (Choose all that apply; at least one must apply.):

[ ] We reside in this county.

[ ] We are not residents of this state and the proposed adoptee was born in

[ ] The proposed adoptee resides in this county on the day on which this

this county.

petition is filed.

1002ADF Approved September 19,
2017 / Revised February 8, 2021

Verified Joint Petition for Adoption of an Adult

Page 1 of 4

[ ] A parent of the proposed adoptee resides in this county on the day on which

the petition is filed.

The full name of the adult to be adopted (the “adoptee”) is:

First name

Middle name

Surname on birth certificate

Married surname (if any)

The adoptee was born on _______________________ (date).

The adoptee was born in ________________________________________ (city,
county and state, OR city and country).

The adoptee lives in ____________________________________________ (city,
state).

The adoptee is not a vulnerable adult. (Utah Code Section 78B-6-117).

(Choose one.):

[ ] The adoptee is citizen or national of the United States.

[ ] The adoptee is not a citizen or national of the United States but is legally in
the United States. (Attach written evidence from the United States Citizenship and
Immigration Services showing that the adoptee was admitted into the United States for
permanent residence, was admitted into the United States temporarily in one of the lawful
nonimmigrant categories, or was legally paroled into the United States.)

The adoptee consents to this adoption.

10.

The adoptee is (Choose one.):

[ ] not married.

[ ] married, and [ ] the adoptee’s spouse has waived in writing notice of the

adult adoption proceeding.

11. We are married and we both consent to this adoption.

1002ADF Approved September 19,
2017 / Revised February 8, 2021

Verified Joint Petition for Adoption of an Adult

Page 2 of 4

12. Co-petitioner ____________________________________________ (name) was
born on _________________ (date) and is at least ten years older than the
adoptee.

Co-petitioner ____________________________________________ (name) was
born on _________________ (date) and is at least ten years older than the
adoptee.

13.

[ ] We ask the court to waive the requirement to provide notice of the adoption

once ordered to the adoptee’s legal parents for the following reasons:

14.

[ ] The adoptee’s name should remain the same as in paragraph 3 above.

[ ] The adoptee will take our family surname as the adopting parents, and

therefore the adoptee’s name should be changed on the adoptee’s birth
certificate to:

First name

Middle name

New surname

Married surname (if any)

15. We ask the court to enter a decree declaring us to be the legal parents of

_____________________________________________________________
(name of adoptee).

16.

[ ] We ask the court to order that the adoptee’s birth certificate be amended to

name ___________________________________________________ (name
of one of the adopting parents) as the adoptee’s parent.

1002ADF Approved September 19,
2017 / Revised February 8, 2021

Verified Joint Petition for Adoption of an Adult

Page 3 of 4

[ ] We ask the court to order that the adoptee’s birth certificate be amended to

name ___________________________________________________ (name
of the other adopting parent) as the adoptee’s parent.

o-Petitioner’s Signature

I declare under criminal penalty under the law of Utah that everything stated in this document is true.

Signed at ______________________________________________________ (city, and state or country).

o-Petitioner’s Signature

I declare under criminal penalty under the law of Utah that everything stated in this document is true.

Signed at ______________________________________________________ (city, and state or country).

Signature ►

Printed Name

Signature ►

Printed Name

1002ADF Approved September 19,
2017 / Revised February 8, 2021

Verified Joint Petition for Adoption of an Adult

Page 4 of 4

Date

Verified Joint Petition for Adoption of an Adult

This info page is part of the LIT Lab's Form Explorer project. It is not associated with the Utah state courts. To learn more about the project, check out our about page.

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 legacy.utcourts.gov (2023-03)
Page(s): 4
Fields(s): 158
Average fields per page: 39
Reading Level: Grade 10
LIST Grouping(s): GO-00-00-00-00.

Use our Rate My PDF tool to learn more. Go beyond the above insights and learn more about this or any pdf form at RateMyPDF.com, includes: counts of difficult words used, passive voice decetion, and suggestions for how to make the form more usable.

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.

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We've done our best to group similar variables togther to avoid overwhelming the user.

Suggested Screen 0:

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

Verified Joint Petition for Adoption of an Adult

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