Dss 5164 nc fillable form-2026

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The document is a consent form for adult adoption in North Carolina, where an adult adoptee agrees to be adopted by specified petitioners. It outlines the legal implications of the adoption, including rights and duties, inheritance consequences, and the process for revoking consent before the adoption decree is finalized. The form requires notarization and is submitted to the Clerk of Superior Court.

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Click ‘Get Form’ to open the Dss 5164 nc fillable form in the editor.
Begin by entering the full name of petitioning parent 1 in the designated field at the top of the form.
Next, input the full name of petitioning parent 2 in the corresponding section.
Fill in the full name of the adult adoptee as they will be known if adoption is granted.
Complete the date of birth and place of birth for the adult adoptee in the specified fields.
Indicate whether you consent to your adoption by checking the appropriate boxes regarding name changes and legal relations.
Review all sections carefully, ensuring that you understand your rights and responsibilities as outlined in points 2 and 3.
Finally, sign and date the form at the bottom, ensuring all required information is complete before submission.

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Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (52 Votes)

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