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__________________________________________County, Colorado
Court Address:
The Petitioner or adult seeking to be adopted is a resident of the County where this Petition is filed.
Full name of birth parents of the adult seeking to be adopted are:
Birth Mother _____________________________ Birth Father __________________________________
Facts concerning the adult seeking to be adopted are as follows:
Full Name: __________________________________________________________________________
Date of Birth: _____________________________ Place of Birth: _______________________________
Place of Residence: ___________________________________________________________________
____________________________________________________________________________________
Wherefore, Petitioner(s) pray(s) that a Decree of Adoption be entered declaring said adult to be the heir at law of
the Petitioner(s), who shall be entitled to inherit from the Petitioner(s) any property in all respects as if such
person had been the Petitioner(s)’ child born in lawful wedlock. The name of said adult shall:
remain the same.
be changed to ____________________________________________________
_______________________________________ ______________________________________
Attorney Signature Date Petitioner Signature Date
______________________________________
Petitioner Signature Date