Affidavit Of Adopting Relative Or Stepparent
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Court file number
(Name of Court)
Form 34H: Affidavit of Adopting
Relative or Stepparent,
at
sworn/affirmed
(Court office address)
Applicant(s)
(The first letter of the applicant’s surname may be used)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
Respondent(s)
(If there is a respondent, the first letter of the respondent’s surname may be used)
Full legal name & address for service — street & number, municipality,
Lawyer’s name & address — street & number, municipality, postal
postal code, telephone & fax numbers and e-mail address (if any).
code, telephone & fax numbers and e-mail address (if any).
My name is
(full legal name)
I live in
(municipality & province)
and I swear/affirm that the following is true:
1.
I was born on
(date of your own birth)
2.
The name of the child whom I want to adopt is
(Give full legal name, date of birth, sex and birth registration number if known)
Full legal name
Date of birth
Sex
Birth registration number
3.
I am the applicant in this adoption and am this child’s
stepparent.
grandparent by blood, marriage or adoption.
aunt/uncle by blood, marriage or adoption.
great-aunt/great-uncle by blood, marriage or adoption.
4.
I have made reasonable inquiries about the existence of any outstanding orders of custody of or access to the child. To
the best of my knowledge,
there is no outstanding order.
the outstanding order(s) is/are as follows:
(For each order, give the name of the court, date of order, name of judge, court file
number and full legal name(s) of the person(s) given custody or access under the order.)
Put a line through any space left on this page.
FLR-34H-E (2009/04)
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