Pc-603a Petition And Agreement

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Petition and Agreement
C O N N E C T I C U T P R O B A T E C O U R T S
of Adult Adoption
PC-603A NEW 10/14
CONFIDENTIAL
R E C E I V E D :
Instructions: 1) An adult person may use this form to petition for approval of an agreement to adopt another adult who
is younger in age, provided that the proposed adoptive parent and the adult to be adopted are not
related as spouse, brother, sister, uncle or aunt, whether of the whole or half blood.
2) The Agreement of Adult Adoption contained in the petition must be signed by the proposed adoptive
parent (s) and the adult to be adopted.
3) One parent of the adult to be adopted may join in the adoption agreement between the parent’s spouse
or one other person and the adult child. The rights of a parent who does not join in the adoption
agreement will be terminated in accordance with subdivisions (5) (6) and (7) of C.G.S. section 45a-731.
4) The petition must be filed in the probate district in which the adoptive parent resides. If the adoptive
parent does not reside in Connecticut, the petition should be filed in the district in which the adult to be
adopted resides.
5) For further information, see C.G.S. sections 45a-731 and 45a-734.
6) Type or print the form in ink. Use an additional sheet or Second Sheet, PC-180 if more space is needed.
Probate Court Name
District Number
In the Matter of (List name, address and telephone number of the adult to be adopted)
Date and place of birth of
adult to be adopted
Hereinafter referred to as the adult to be adopted
Proposed adoptive parent(s) (List name, address, telephone number and date of birth of each proposed adoptive
parent)
Parent of adult to be adopted joining in the adoption agreement, if any, as addressed in Instruction No. 3 above
(List name, address and telephone number)
Spouse of proposed adoptive parent, if not a parent or proposed adoptive parent (List name, address and
telephone number)
Other persons interested in the welfare of the proposed adoptive parent(s) or adult to be adopted to whom notice
of this petition should be given (List name, address and telephone number of each person)
Page 1 of 3
Petition and Agreement of Adult Adoption
PC-603A

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