Free pca321.pmd - Michigan

Approved, SCAO

JIS CODE: ADO

STATE OF MICHIGAN
JUDICIAL CIRCUIT - FAMILY DIVISION

FILE NO. ORDER OF ADOPTION

COUNTY

In the matter of

DOB:

, adoptee

THE COURT FINDS: 1. A petition for an order of adoption has been filed. 2. All necessary orders terminating parental rights have been entered. 3. The adoptee was was not made a ward of this court.

4. The adoption of the adoptee by petitioner(s) is desirable and in the best interest of the adoptee. IT IS ORDERED: 5. From and after this date the parent(s) of the adoptee is/are and
Name Name

. .

6. The name of the adoptee is 7. The adoptee, if a ward of this court, is discharged.

Date

Judge

Bar no.

Do not write below this line - For court use only

PCA 321 (9/07)

ORDER OF ADOPTION

MCL 710.56, MCL 710.60