Written Statement Of Biological Parent - Probate Court Of Fairfield County, Ohio Page 2
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2I further represent to the Court that I am aware of the provisions of Section 3107.16 of the
5.
Revised Code that provides that:
Appeals from the Probate Court are subject to the Rules of Appellate Procedure
A.
and, to the extent not in conflict with those rules, Chapter 2505, of the Revised
Code.
Unless there is good cause for delay, appeals shall be heard on an
expedited basis.
Subject to the disposition of an appeal, upon the expiration of one year after an
B.
adoption decree is issued, the decree cannot be questioned by any person,
including the petitioner, in any manner or upon any ground, including fraud,
misrepresentation, failure to give any required notice, or lack of jurisdiction of the
parties or of the subject matter, unless, in the case of the adoption of a minor, the
petitioner has not taken custody of the minor, or, in the case of the adoption of a
minor by a stepparent, the adoption would not have been granted but for fraud
perpetrated by the petitioner or the petitioner's spouse, or, in the case of the
adoption of an adult, the adult had no knowledge of the decree within the one -
year period.
I further represent that I understand that if the Court approves this placement that my consent will
6.
still be required before a petition to adopt this child may be granted.
I further represent that I understand that under Section 3107.084 of the Revised Code:
7.
A consent to adoption is irrevocable and cannot be withdrawn after the entry of
A.
an interlocutory order or after the entry of a final decree of adoption when no
interlocutory order has been entered. The consent of a minor is not voidable by
reason of the minor's age.
A consent to adoption may be withdrawn prior to the entry of an interlocutory
B.
order or prior to the entry of a final decree of adoption when no interlocutory
order has been entered if the Court finds after hearing that the withdrawal is in
the best interest of the person to be adopted and the Court by order authorizes
the withdrawal of consent. Notice of the hearing shall be given to the petitioner,
the person seeking the withdrawal of consent, and the agency placing the minor
for adoption.
I understand that the effect of the Interlocutory and Final Orders of Adoption is the
8.
termination of all legal relationships between myself and this child.
The prospective
adoptive parents will be established as the legal parents of this child, have the full and complete
rights to determine the values and upbringing of the child, including but not limited to, the choice
of religious training, education, and discipline.
My name is ___________________________________________________________________
9.
My address is _________________________________________________________________
My date of birth is_____________________________________________________________
I execute this Written Statement in open Court on ___________________________________________
(Date)
__________ ____________________________________
(Signature of parent)
__________________________________, personally appeared and acknowledged the signing of document to be her
voluntary act and deed, having been duly cautioned and sworn.
______________________________________
Terre L. Vandervoort, Probate Judge
FORM 19.13 - WRITTEN STATEMENT OF BIOLOGICAL PARENT
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