Dss-1814 - Forsyth County Clerk Of Superior Court
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1
2STATE OF NORTH CAROLINA
IN THE GENERAL COURT OF JUSTICE
DISTRICT COURT DIVISION
____________________COUNTY
BEFORE THE CLERK
______ SP __________
________________________________________________
(Full name of petitioning parent 1)
________________________________________________
(Full name of petitioning parent 2)
DECREE OF ADOPTION
FOR THE ADOPTION OF
________________________________________________
(Full name by which adoptee is to be known)
This cause coming on to be heard and being heard before the undersigned and the Court from all the evidence presented
in this proceeding, enters the following Decree of Adoption. The Court finds by a preponderance of the evidence the
following:
1.
That all necessary parties in the above-entitled proceeding are properly before the Court; that notice of the
filing of the Petition was served on all required persons and that the time for filing a response has expired;
2.
That the above-named ___________ child was born on ___________________________________________
(Sex)
(Month)
(Day)
(Year)
in ______________________________________________________;
(State/Country)
3.
That said child was placed with petitioner(s) for adoption on the _______ day of _____________________,
_________, or the placement requirement has been waived; and each necessary consent, relinquishment, waiver, or
judicial order terminating parental rights has been obtained and filed with the Court and the time for revocation has
expired.
The consent of the minor child 12 or more years old is hereby dispensed with as the Court finds it is not in
the minor's best interest to require the consent;
4.
That said child has been in the physical custody of the petitioner(s) for at least 90 days or this requirement has
been waived by the Court for cause;
5.
That a duly verified Petition for Adoption of said child was filed with this Court by the above-named
petitioner(s) on the ______________ day of _______________________________________, ____________;
6.
That at least 90 days have elapsed since the filing of the Petition for Adoption or this requirement has been
waived by the Court for cause;
7.
That the marital status and gender of the petitioner(s) is/are: ______________________________________
___________________________________________________________________________________________;
(Enter whether married, stepparent, single, and petitioners genders)
8.
That any assessment required by Chapter 48 has been filed with and considered by the Court;
9.
That, if applicable, the requirements of the Interstate Compact on the Placement of Children, G.S. 7B-3800, et.
seq., have been met or have been waived pursuant to G.S. 48-2-603(b).
10.
Any motion to dismiss this adoption proceeding has been denied;
DSS-1814 (Rev. 11/2014)
Children's Services
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