Petition For Registration Of An Adoption Order From A Foreign Country Page 4

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Name
__________________________________
Address __________________________________
__________________________________
Phone
__________________________________
Petitioner Pro Se
_____________ DISTRICT COURT, ___________________ COUNTY, UTAH
Address ______________________________________________________________
__________________________________________________________________________
*
VERIFIED PETITION
IN THE MATTER OF:
*
FOR REGISTRATION
*
OF ADOPTION ORDER
*
FROM FOREIGN COUNTRY
*
__________________________________, *
Case No. _________________
*
A MINOR CHILD.
*
Judge: ____________________
________________________________________________________________________
TO THE HONORABLE COURT:
My name is _______________________________________________________.
I was born on _____________(date). I live at the address shown above.
___________________________________________________________ (name of child)
is a child who lives with me and who I first met on ___________________ (date) at:
_____________________________________________________________________
_______________________________________ (place -write complete address).
I have learned the following information about the child:
Date of birth: ____________________
8/04
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